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http://dx.doi.org/10.15268/ksim.2019.7.3.117

Effects of Simultaneous Application of Focal Vibration Stimulation and Task-Oriented Training in the Improvement of Upper Extremity Motor Function after Stroke  

Kim, Sunho (Dept. of Occupational Therapy, Youngkwang Hospital)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.3, 2019 , pp. 117-125 More about this Journal
Abstract
Purpose : The purpose of this study was to determine the effects of simultaneous application of focal vibration stimulation and task-oriented training on the improvement in upper extremity motor function after stroke. Methods : The study period was from January to April 2019; 23 patients who fulfilled the study eligibility criteria were enrolled. The participants were divided into two groups: the experimental group with vibration stimulation and task-oriented training and the control group with only task-oriented training. Training was conducted in a total of 20 sessions, 5 times a week for 30 minutes a day for 4 weeks. The amount of use of the affected and unaffected side by accelerometers, and Box and Block test (BBT), Action Research Arm Test (ARAT) was measured with a pre-test, a post-test. Wilcoxon Signed Rank Test and Analysis of Covariance were used to compare and analyze the changes within and between the groups. Results : Both the groups showed statistically significant changes in the results of the BBT and the ARAT, as well as the amount of use of the affected and unaffected side. Regarding the use of the affected side, BBT results, and the grasp and gross movement item of the ARAT showed significant changes in the experimental group compared with the control group. Conclusion : We found that simultaneous application of focal vibration stimulation and task-oriented training was more effective than task-oriented training alone. A large-scale comparative study involving a group that is only given vibration stimulation should be conducted for more generalizable results.
Keywords
stroke; task-oriented training; upper extremity function; vibration stimulation;
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