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The Effect of Visual Feedback Training Using a Mirror on the Balance in Hemiplegic Patients  

Ji, Sang-Goo (Department of Physical Therapy, Eulji University Hospital)
Nam, Gi-Won (Department of Physical Therapy, Dongshin University)
Kim, Myoung-Kyun (Department of Physical Therapy, College of Health Science, Youngsan University)
Cha, Hyun-Kyu (Department of Physical Therapy, Eulji University Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.6, no.2, 2011 , pp. 153-163 More about this Journal
Abstract
Purpose: This study was conducted to compare the effect of visual feedback training using mirror and the training without mirror on the balance in people with hemiplegic paralysis. Methods: A total of 26 stroke patients were enrolled in this study. The participants were allocated randomly to 2 groups : visual feedback training group(n=13) and control group(n=13). Both groups received PNF(proprioceptive neuromuscular facilitation) for 5 times(each 30 minutes) per week over 6 weeks period. The group, which is enrolled in visual feed back training, performed additional exercise in front of mirror for 30 minutes. The control group performed same exercise without mirror. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Results: The visual feedback training group showed significantly increased foot pressure and total pressure compared to the control group(p<.05) and significantly decreased body sway compared to the control group (p<.05). Also, visual feedback training group showed significant increase on the Berg Balance Scale(BBS), Timed Up and Go test(TUG) compared to the control group(p<.05). Conclusion: These results support the perceived benefits of visual feedback training using mirror to augment the balance of stroke patients. Therefore, visual feedback training using mirror is feasible and suitable for stroke patients.
Keywords
Stroke; Balance; Mirror; Visual;
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1 Yavuzer G, Selles R, Sezer N et al. Mirror Therapy Improves Hand Function in Subacute Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation. 2008;89(3):393-8.   DOI   ScienceOn
2 Sackley CM, Baguley BI, Gent S et al. The use of balance performance monitor in the treatment of weight bearing and weight transference problems after stroke. Physiotherapy. 1992;78:907-13   DOI
3 Stevens JA, Stoykov ME. Using motor imagery in the rehabilitaion of hemiparesis. Archives of Physical Medicine and Rehabilitation. 2003;7:1090-2.
4 Summers JJ, Kagerer FA, Garry MI et al. Bilateral and unilateral movement training on upper limb fuction in chronic stroke patients: A TMS study. Journal of the Neurological Science. 2007;252:76-82.   DOI   ScienceOn
5 Sutbeyaz S, Yavuzer G, Sezer N et al. Mirror Therapy Enhances Lower-Extremity Motor Recovery and Motor Functioning After Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation. 2007;88(5):555-9.   DOI   ScienceOn
6 Vries S, Mulder T. Motor imagery and stroke rehabilitation: a critical discussion. Journal of Rehabilitaion. 2007;39:5-13.
7 Woollacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: Changes in sensory organization and muscular coordination. Int Aging Hum Dev. 1986;23(2):97-114.   DOI
8 Winstein CJ, Gardner ER, McNeal DR et al. Standing balance training: Effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil. 1989;70:755-62.
9 Nashner LM, Mccollum G. The Organization of human postural movements: A formal basis and experimental synthesis. Behar Brain Sci. 1985;8(1):135-50.   DOI
10 Peterka RJ, Black FO. Age-related Changes in human posture control: Sensory organization tests. Journal of Vestibular Research. 1990;1(1):73-85.
11 Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
12 Rode G, Tiliket C, Boisson D. Predominance of postural imbalance in left hemiparetic patients. Scand J Rehabil Med. 1997;29(1):11-6.
13 Ramachnadran VS, Rogers-Ramachandran D. Synaesthesia in phantom limbs induced with mirrors. Proc Biol Sci. 1996;263(1369):377-86.   DOI   ScienceOn
14 Rizzolatti G, Craighero L. The mirror-neuron system. Annual Review of Neuroscience. 2004;27:169-92.   DOI   ScienceOn
15 Rizzolatti G. The mirror neuron system and imitation. In:Hurley S, Chater N(Eds.), Perspectives on imitation: from cognitive neuroscience to social science. Cambridge, MA:MIT Press. 2005;55-77.
16 Rosen B, Lundborg G. Training with a mirror in rehabilitation of the hand. Scandinavian Journal of Plastic Reconstructive Surgery and Hand Surgery. 2005;39(2): 104-8.   DOI   ScienceOn
17 Hochstenbach J, Donders R, Mulder T et al. Longterm outcome after stroke: A disability-orientated approach. Int J Rehabil Res. 1996;19:189-200.   DOI   ScienceOn
18 Karmakar A, Lieberman I. Mirror box therapy for complex regional pain syndrome. Anaesthesia. 2006;61(4):412-3.
19 Kwakkel G, Peppen R, Wagenaar RC et al. Effects of augmented exercise therapy time after stroke: meta-analysis. Stroke. 2004;35:2529-39.   DOI   ScienceOn
20 Kenozek TW, LaMott EE. Comparison of plantar pressures between the elder and young adults. Gait Posture. 1995;3(3):143-8.   DOI   ScienceOn
21 Laufer Y, Dickstein R, Resnik S et al. Weightbearing shifts of hemiparetic and healthy adults upon stepping on stairs of various heights. Clin Rehabil. 2000;14(2):125-9.   DOI   ScienceOn
22 Leonard G, Tremblay F. Corticomotor facilitation associated with observation, imagery and imitation of hand actions: a comparatioe studassocyoung and old adults. Experimental Brain Research. 2007;177:167-75.   DOI   ScienceOn
23 Leroux A. Exercise training to improve motor performance in chronic stroke: Effects of a community-based exercise program. Int J Rehabil Res. 2005;28(1):17-23.   DOI   ScienceOn
24 Maeda F, Mazziotta J, Iacoboni M. Transcranial magnetic stimulation studies of the human mirror neuron system. International Congress Series. 2002;1232:889-94.
25 Bohannon RW, Leavy KM. Standing balance and function over the course of acute rehabilitation. Arch Phys Med Rehabil. 1995;76(11):994-6.   DOI   ScienceOn
26 Dean CM, Richards CL, Malouin F. Task related circuit training improves performance of locomotor tasks in chronic stroke: A randomized controlled pilot trial. Arch Phys Med Rehabil. 2000;81(4):409-17.   DOI   ScienceOn
27 Cheng PT, Wu SH, Liau MY. Sysmmetrical body weight distribution training in stroke patients and the effect on fall prevention. Arch Phys Med Rehabil. 2001;82(12):1650-4.   DOI   ScienceOn
28 Cole B, Finch E, Gowland C et al. Physical Rehabilitation Outcome Measures. Wiliams & Wilkins. Baltimore. 1994.
29 Davies PM. Steps to follows: A guide to the treatment of adult hemiplegia. berlin. springerverlag. 1985.
30 Dechent P, Merboldt KD, Frahm J. Is the human primary motor cortex involved in motor imagery? Brain Research: Cognitive Brain Research. 2004;19:138-44.   DOI   ScienceOn
31 de Haart M, Geurt AC, Huidekoper SC et al. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil. 2004;85(6):886-95.   DOI   ScienceOn
32 De Weerdt WG, Crossley SM, Lincolon NB et al. Restoration of balance in stroke patients. Clin Rehabil. 1989;3:139-47.   DOI
33 Dobkin BH. Short-distance walking speed and timed walking distance: Redundant measures for clinical trials? Neurology. 2006;66(4):584-6.   DOI   ScienceOn
34 Edwards S. Neurological physiotherapy: a problemsolving approach. new york. churchill livingstone. 1996.
35 Ehrsson HH, Spence C, Passingham RE. That`s my hand! activity in premotor cortex reflects feeling of ownership of a limb. 2004;305,5685:875-7.   DOI
36 Goldie PA, Matyas TA, Evans OM. Maximum voluntary weight bearing by the affected and unaffected legs in standing following stroke. Clin Biomech. 1996;11:333-42.   DOI   ScienceOn
37 Hamman RG, Mekjavic I, Mallinson AI et al. Training effects during repeated therapy sessions of balance training using visual feedback. Arch Phys Med Rehabil. 1992;73(8):738-44
38 Berg KO, Maki BE, Williams JI et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phy Med Rehabil. 1992;73(11):1073-80.
39 백남영. 거울치료가 편마비환자의 하지 기능에 미치는 영향. 미간행 석사학위 청구논문. 대구대학교 재활과학대학원. 2009.
40 Altschuler EL, Wisdom SB, Stone L et al. Rehabilitation of hemiparesis after stroke with a mirror. Lancet. 1999;353(9169):2035-6.   DOI   ScienceOn
41 Berg KO, Wood-Dauphinee SL, Williams JI et al. Measuring balance in elderly; Preliminary development of an instrument. Physiotherapy(Canada). 1989;41:304-11.
42 Bogle Thorbahn LD, Newton RA. Use of the Berg balance test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-83.
43 Bohannon RW, Andrews AW, Smith MB. Rehabilitation goals of patients with hemiplegia. Int J Rehabil Res. 1988;11:181-3.   DOI