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http://dx.doi.org/10.13066/kspm.2020.15.1.105

Effects of Interactive Metronome Training on the Plantar Pressure and Fall Efficacy in Chronic Stroke Patients  

Hwang, Won Kyung (Ganghwa Disabled Welfare Center)
Lee, Han Suk (Eulji university)
Park, Sun Wook (Sam Sung Seoul Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.15, no.1, 2020 , pp. 105-112 More about this Journal
Abstract
PURPOSE: This study examined the effects of Interactive Metronome training on the plantar pressure and fall efficacy in chronic stroke patients. METHODS: Twenty-two hemiplegic patients were allocated randomly to an experimental group and control group. The experimental group received conventional physical therapy and emphasized weight-bearing interactive metronome training, whereas the control group received conventional physical therapy. The training was performed three times per week, 40 minutes per each session, for a total of seven weeks. The plantar pressure was assessed using the contact area and contact pressure, whereas the fall efficacy was assessed using the FES (Fall Efficacy Scale), ABC (Activities-specific Balance Confidence scale) and FOFQ (Fear of Falling Questionnaire). RESULTS: After training, a significant increase was observed in the paretic side of the contact area and the paretic and non-paretic side of contact pressure in both groups (p<.05). The between-group differences in the changes before and after training were statistically significant in the paretic side of the contact pressure (p<.05). After training, both the FES of the between-group and ABC of the experimental group were increased significantly (p<.05), but the between-group differences in the changes before and after training were not statistically significant in the FES, ABC, and FOFQ (p>.05). CONCLUSION: Interactive Metronome training is considered an effective treatment for improving the contact pressure of the paretic side in chronic stroke patients.
Keywords
Interactive metronome; Stroke; Plantar pressure; Fall efficacy;
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1 Bartscherer ML, Bartscherer ML, Dole RL. Interactive metronome(R) training for a 9-year-old boy with attention and motor coordination difficulties. Physiother Theory Pract. 2005;21(4):257-69.   DOI
2 Mauk MD, Buonomano DV. The neural basis of temporal processing. Annu. Rev. Neurosci. 2004;27:307-40.   DOI
3 Laje R, Cheng K, Buonomano DVJFiin. Learning of temporal motor patterns: an analysis of continuous versus reset timing. Front Integr Neurosci. 2011;5:61.   DOI
4 Hillier S, Lai MS. Insole plantar pressure measurement during quiet stance post stroke. Top Stroke Rehabil. 2009;16(3):189-95.   DOI
5 Jang SN, Cho SI, Ou SW, et al. The validity and reliability of korean fall efficacy scale(FES) and activities-specific balance confidence scale(ABC). Ann geriatr med res. 2003;7(4):255-68.
6 Choi JH, Moon JS, Sohng KY. The effects of tai chi exercise on physiologic, psychological functions, and falls among fall-prone elderly. J Rheum Dis. 2003;10(1):62-76.
7 Yang DJ. Effects of biofeedback with task-related training on motor function and neural plasticity in subjects with stroke. Doctor's Degree. Dongshin University. 2011.
8 Shumway-Cook A, Anson D, Haller S, et al. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Archives of physical medline rehabilitation. 1988;69(6):395-400.
9 Dault MC, de Haart M, Geurts AC, et al. Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients. Human movement science. 2003;22(3):221-36.   DOI
10 Song JY. Effects of upper-lower extremity complex and weight bearing exercises of stance phase of chronic stroke patients. Journal of Rehabilitation Research. 2013;17(2):355-71.
11 Jung DI, Seo TH, Ko DS. Comparative analysis fall-related physicopsychological according to virtual exercise and lumbar stabilization exercise in the patient with stroke. Jour. of KoCon.a. 2012;12(8):274-82.
12 Rha YH, Goo BO, Rho MH, et al. The effect of external-feedback weight-bearing training protecting a fall in hemiplegic patients. J Korean Soc Phys Med. 2007;2(2):143-50.
13 Song CH, Lee GC, Yoo JH, et al. The relation between postural sway and asymmetric weight-bearing for fall prevention in patients with stroke. J Korean Soc Phys Med. 2010;5(1):81-8.
14 Goldie PA, Matyas TA, Evans OM, et al. Maximum voluntary weight-bearing by the affected and unaffected legs in standing following stroke. Clin Biomech. 1996;11(6):333-42.   DOI
15 Simpson LA, Miller WC, Eng JJ. Effect of stroke on fall rate, location and predictors: a prospective comparison of older adults with and without stroke. Plos ONE. 2011;6(4):e19431.   DOI
16 Friedman SM, Munoz B, West SK, et al. Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Soc Geriatr Dent. 2002;50(8):1329-35.   DOI
17 Hwang YI, Kim KS. Effects of foot pressure using the elastic band with rings during sit-to-stand in persons with stroke. Phys Ther Rehabil Sci. 2017;6(4):159-63.   DOI
18 Kim JD, Cha YJ, Youn HJ. Effects of emphasized initial contact auditory feedback gait training on blaance and gait in stroke patients. J Korean Soc Phys Med. 2015;10(4):49-57.   DOI
19 Kim SK. The effects of rhythmic exercise program on gait function and balance ability of adolescents with cerebral palsy. Master's Degree. Seoul National Univerty. 2018.
20 Mirelman A, Patritti BL, Bonato P, et al. Effects of virtual reality training on gait biomechanics of individuals post-stroke. Gait Posture. 2010;31(4):433-7.   DOI
21 Choi WJ, Lee SW, Tak SJ, et al. The effect of the cognitive motor dual task using the auditory feedback on chronic stroke patients' gait and their attention. Journal of Special Education and Rehabilitation Science. 2011;50(3):483-504.
22 Whitall J, Waller SM. Does the use of auditory cue facilitate the motor control and contribute to the rehabilitation of upper extremity movements after stroke?. Music Ther Perspect. 2013;31(1):40-9.   DOI
23 Jun HJ, Lee JS, Kim KJ, et al. Effect of auditory biofeedback training and kicking training on weight-bearing ratio in patients with hemiplegia. J Korean Soc Phy Med. 2014;9(4):363-73.   DOI
24 Sackley CM, Baguley BI. Visual feedback after stroke with the balance performance monitor: two single-case studies. Clin Rehabil. 1993;7(3):189-95.   DOI
25 Youn SW. The effect of audiovisual biofeedback exercises on the balance and gait of chronic hemiplegia patients. Master's Degree. Eulji University. 2009.
26 Yu GH, Lee JS, Kim SK, et al. Effects of interactive metronome training on upper extremity function, ADL and QOL in stroke patients. NeuroRehabilitation. 2017;41(1):161-8.   DOI
27 Nelson LA, MacDonald M, Stall C et al. Effects of Interactive Metronome Therapy on Cognitive Functioning After Blast-Related Brain Injury: A Randomized Controlled Pilot Trial. Neuropsychology. 2013;27(6):666-79.   DOI
28 Kim AR. The effects of interactive metronome on, cognitive and upper extrimity function, balance for parkinson' disease. Master's Degree. Kwangju women's University. 2016.
29 Kim KM, Kim MS, Lee SM. The effects of interactive metronome on timing, attention, bilateral coordination and balance for adult with intellectual disabilities: single subject design. Journal of Special Education and Rehabilitation Science. 2015;54(3);349-64.   DOI
30 Reilly R. Theh effectiveness of interactive metronome as a tool to improve cognition and motor performance in healty older adults in eastern north carolina. Master's Degree. Carolina University. 2016.
31 Davies PM. Steps to follow: the comprehensive treatment of patients with hemiplegia(2th ed). Springer-Verlag Berlin Heidelberg. 2000. pp.322-75.
32 An SH, Seo YJ, Park CS. The relationship between postural control, ADL function, muscle tone, and functional imiprovement in chronic stroke patients. TPK. 2007;14(1):64-73