Browse > Article
http://dx.doi.org/10.15207/JKCS.2021.12.2.095

The Effect of Convergence Intervention of Focal Vibration Stimulation and Bilateral Upper Extremity Training on Recovery of Upper Limb Function in Stroke Patients  

Kim, Sun-Ho (Department, Dept. of Occupational Therapy, Won-Ju Young Kwang Hospital)
Publication Information
Journal of the Korea Convergence Society / v.12, no.2, 2021 , pp. 95-101 More about this Journal
Abstract
The purpose of this study was to investigate the convergence effect of focal vibration stimulation and bilateral upper limb training on the recovery of upper limb function when applied to stroke patients. For 20 stroke patients, divided into an experimental group that performed convergence intervention with focal vibration stimulation and bilateral upper limb training, and a control group who performed only bilateral upper limb training. It was conducted 20 times for 4 weeks, 30 minutes per session. Vibration stimulation was applied to the affected side of the experimental group for 30 minutes during training. Results were measured for the degree of recovery of the affected upper limb function, amount of use on the affected and unaffected sides, the quality and satisfaction in performance on use of both upper limbs. Comparisons were made within groups using a paired-sample t-test and between groups using covariance analysis. As a result of the study, the experimental group showed a significant difference in dexterity and the amount of use on the affected than the control group. The effect size was more than the small effect size in all evaluation items. Through this study, it is thought that the convergence intervention of focal vibration stimulation and bilateral upper limb trainingcan be used clinically as an effective intervention for the recovery of arm function in stroke patients.
Keywords
Convergence; Focal Vibration Stimulation; Bilateral Upper Limb Training; Stroke; Upper Limb Function;
Citations & Related Records
연도 인용수 순위
  • Reference
1 S. J. Page, S. A. Sisto & P. Levine, (2002). Modified constraint-induced therapy in chronic stroke. American Journal of Physical Medicine and Rehabilitation, 81(11), 870-875. DOI:10.1097/00002060-200211000-00013   DOI
2 J. H. Cauraugh, N. Lodha, S. K. Naik & J. J. Summers, (2009). Bilateral movement training and stroke motor recovery progress: A structured review and meta-analysis. Human Movement Science, 29(5), 853-870. DOI:10.1016/j.humov.2009.09.004   DOI
3 J. J. Summers, F. A. Kagerer, M. I. Garry, C. Y. Hiraga, A. Loftus & J. H. Cauraugh. (2007). Bilateral and unilateral movement training on upper limb function in chronic stroke patients: A TMS study. Journal of the Neurological Sciences, 252(1), 76-82. DOI:10.1016/j.jns.2006.10.011   DOI
4 M. K. Fleming, I. O. Sorinola, S. F. Roberts-Lewis, C. D. Wolfe, I. Wellwood & D. J. Newham. (2015). The effect of combined somatosensory stimulation and task-specific training on upper limb function in chronic stroke: A double-blind randomized controlled trial. Neurorehabilitation and Neural Repair, 29(2), 143-152. DOI: 10.1177/1545968314533613   DOI
5 S. H. Kim. (2019). Effects of simultaneous application of focal vibration stimulation and task-oriented training in the improvement of upper extremity motor function after stroke. Journal of The Korean Society of Integrative Medicine, 17(3), 117-125. DOI:10.15268/ksim.2019.7.3.117   DOI
6 M. Roelants, S. Verschueren, C. Delecluse, O. Levin & V. Stijnen, (2006). Whole-body-vibration-induced increase in leg muscle activity during different squat exercises. Journal of Strength and Conditioning Research, 20(1), 124-129. DOI: 10.1519/R-16674.1   DOI
7 R. S. Calabro, A. Naro, M. Russo, D. Milardi, A. Leo, S. Filoni, A. Trinchera & P. Bramanti. (2017). Is two better than one? Muscle vibration plus robotic rehabilitation to improve upper limb spasticity and function: A pilot randomized controlled trial. PloS one, 12(10), e0185936. DOI:10.1371/journal.pone.0185936   DOI
8 C. Costantino, L. Galuppo & D. Romiti, (2017). Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 53(1), 32-40. DOI:10.23736/S1973-9087.16.04211-8   DOI
9 H. J. Hong, H. Y. Park, J. R. Kim, & J. H. Park. (2020). Effects of bimanual intensive training on upper extremity function in stroke patients. Therapeutic Science for Rehabilitation, 9(2), 119-135. DOI:.10.22683/tsnr.2020.9.2.119   DOI
10 V. Mathiowetz, G. Volland, N. Kashman & K. Weber. (1985). Adult norms for the box and block test of manual dexterity. American Journal of Occupational Therapy, 39(6), 386-391. DOI:10.5014/ajot.39.6.386   DOI
11 S. J. Page, G. D. Fulk & P. Boyne, (2012). Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke. Physical Therapy, 92(6), 791-798. DOI: 10.2522/ptj.20110009   DOI
12 M. Noorkoiv, H. Rodgers & C. I. Price. (2014). Accelerometer measurement of upper extremity movement after stroke: A systematic review of clinical studies. Journal of NeuroEngineering and Rehabilitation, 11(1), 144-154. DOI:10.1186/1743-0003-11-144   DOI
13 J. H. Lee, I. P. Hong, J. H. Park & J. H. Shin. (2020). Validation of yonsei-bilateral activity test (Y-BAT)-bilateral upper extremity inventory using rasch analysis. OTJR: Occupation, Participation and Health, 40(4), 277-286. DOI: 10.1177/1539449220920732   DOI
14 M. Christova, S. Golaszewski, A. Ischebeck, A. Kunz, D. Rafolt, R. Nardone & E. Gallasch. (2013). Mechanical flutter stimulation induces a lasting response in the sensorimotor cortex as revealed with BOLD fMRI. Human brain mapping, 34(11), 2767-2774. DOI: 10.1002/hbm.22102   DOI
15 J. H. Cauraugh, S. A. Coombes, N. Lodha, S. K. Naik & J. J. Summers. (2009). Upper extremity improvements in chronic stroke: coupled bilateral load training. Restorative Neurology And Neuroscience, 27(1), 17-25. DOI: 10.3233/RNN-2009-0455   DOI
16 O. Donchin, A. Gribova, O. Steinberg, A. R. Mitz, H. Bergman & E. Vaadia. (2002). Single-unit activity related to bimanual arm movements in the primary and supplementary motor cortices. Journal of Neurophysiology, 88(6), 3498-3517. DOI: 10.1152/jn.00335.2001   DOI
17 C. Y. Wu, Y. W. Hsieh, K. C. Lin, L. L. Chuang, Y. F. Chang, H. L. Liu, C. L. Chen, K. H. Lin & Y. Y. Wai. (2010). Brain reorganization after bilateral arm training and distributed constraint-induced therapy in stroke patients: a preliminary functional magnetic resonance imaging study. Chang Gung Medical Journal, 33(6), 628-638.
18 B. Marconi, G. M. Filippi, G. Koch, V. Giacobbe, C. Pecchioli, V. Versace, F. Camerota, V. M. Saraceni, C. Caltagirone & C. Caltagirone. (2011). Long-term effects on cortical excitability and motor recovery induced by repeated muscle vibration in chronic stroke patients. Neurorehabilitation and neural repair, 25(1), 48-60. DOI: 10.1177/1545968310376757   DOI
19 R. Casale, C. Damiani, R. Maestri, C. Fundaro, P. Chimento & C. Foti. (2014). Localized 100 Hz vibration improves function and reduces upper limb spasticity: A double-blind controlled study. European Journal of Physical and Rehabilitation Medicine, 50(5), 495-504.
20 K. A. DeCelles & M. I. Norton, (2016). Physical and situational inequality on airplanes predicts air rage. Proceedings of National Academy of Science, 113(20), 5588-5591. DOI:10.1073/pnas.1521727113   DOI
21 B. Elsner, J. Kugler & J. Mehrhol. (2018). Transcranial direct current stimulation (tDCS) for upper limb rehabilitation after stroke: future directions. Journal of NeuroEngineering and Rehabilitation, 15(106), 1-4. DOI: 10.1186/s12984-018-0459-7   DOI
22 M. E. Cohen & R. W. Schemm. (2007). Clint-centered occupational therapy for individuals with spinal cord injury. Occupational Therapy in Health Care, 21(3), 1-15. DOI: 10.1300/J003v21n03_01   DOI
23 D. K. Rose & C. J. Winstein. (2004). Bimanual training after stroke: are two hands better than one? Topics in Stroke Rehabilitation, 11(4), 20-30. DOI: 10.1310/NCB1-JWAA-09QE-7TXB   DOI