The Journal of Korean Physical Therapy

  • 제24권5호
  • /
  • Pages.334-339
  • /
  • 2012
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

뇌졸중 환자의 머리회전 각도가 내.외측 균형에 미치는 영향

The Effect of Medio-lateral Balance to Head Rotation in Stroke Patient

  • 이관섭 (강병원 물리치료학과) ;
  • 김중선 (대구대학교 재활과학대학 물리치료학과)
  • Lee, Kwan-Sub (Department of Physical Therapy, Kang Hospital) ;
  • Kim, Chung-Sun (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 투고 : 2012.09.17
  • 심사 : 2012.10.17
  • 발행 : 2012.10.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted in order to compare the ability to control postural sway during perturbation when stroke patients received postural sway induced by head rotation. Methods: This study included 15 stroke patients and 15 healthy adults. Each group was measured by 3D motion analysis for determination of the angle of the neck in static position and by balance performance monitor for estimation of swaying angle in both neutral posture and head rotation position. These results were then analyzed in order to compare the healthy control group and the stroke patients group. Results: In both static posture ($60.7{\pm}4.81$) and dynamic posture ($51.46{\pm}6.87$, $70.8{\pm}6.55$), significant decreases were observed in the angle of head rotation of the patient group, compared to the healthy group (p<0.05), and significant decreases were observed in the sway angle of the patient group when in the neutral position ($3.62{\pm}7$, $24{\pm}0.60$) and head rotation ($3.04{\pm}0.80$, $51.46{\pm}6.87$), compared to the healthy group (p<0.05). Conclusion: According to these findings, patients with stroke tend to restrict the ROM of head rotation and swaying angle in dynamic posture and maintain their posture instability using limitation of head movement relative to the trunk and sway angle of area which is larger than that of affected side in unaffected side.

키워드

참고문헌

  1. Seo SK, Kim SH, Kim TY. Evaluation of static balance in postural tasks and visual cue in normal subjects. J Korean Soc Phys Ther. 2009;21(4):51-6.
  2. Leung J, Alais D, Carlile S. Compression of auditory space during rapid head turns. Proc Natl Acad Sci U S A. 2000;105(17):6492-7.
  3. Freitas SM, Duarte M, Latash ML. Two kinematic synergies in voluntary whole-body movements during standing. J Neurophysiol. 2006;95(2):636-45.
  4. Pozzo T, Ouamer M, Gentil C. Simulating mechanical consequences of voluntary movement upon whole-body equilibrium: the armraising paradigm revisited. Biol Cybern. 2001;85(1):39-49. https://doi.org/10.1007/PL00007995
  5. Keshner EA, Dhaher Y. Characterizing head motion in three planes during combined visual and base of support disturbances in healthy and visually sensitive subjects. Gait Posture. 2008;28(1):127-34. https://doi.org/10.1016/j.gaitpost.2007.11.003
  6. Gjelsvik BEB. The Bobath concept in adult neurology. Stuttgart, New York, Thieme, 2008:109.
  7. Ikai T, Kamikubo T, Takehara I et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):463-9.
  8. Shumway-Cook A, Horak FB. Rehabilitation strategies for patients with vestibular deficits. Neurol Clin. 1990;8(2):441-57.
  9. Kim SY, Lee HJ. Literature review on the association between a cervical dysfunction and the change of neuromuscular control activity. J Korean Soc Phys Ther. 2006;12(1):57-67.
  10. Lamontagne A, Paquet N, Fung J. Postural adjustments to voluntary head motions during standing are modified following stroke. Clin Biomech (Bristol, Avon). 2003;18(9):832-42. https://doi.org/10.1016/S0268-0033(03)00141-4
  11. Lee MH, Song JM, Kim JS. The effect of neck exercises on neck and shoulder posture and pain in high school students. J Korean Soc Phys Ther. 2011;23(1):29-35. https://doi.org/10.1589/jpts.23.29
  12. Marque P, Felez A, Puel M et al. Impairment and recovery of left motor function in patients with right hemiplegia. J Neurol Neurosurg Psychiatry. 1997;62(1):77-81. https://doi.org/10.1136/jnnp.62.1.77
  13. Neumann DA. Kinesiology of the musculoskeletal system. 2nd ed. Seoul, MedicalEDU, 2002:510-3.
  14. Lee J, Lee KN. Effects of single-leg stance training of the involved leg on standing balance and mobility in patients with subacute hemiplegia. J Korean Soc Phys Ther. 2011;23(4):1-6.
  15. de Haart M, Geurts 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. https://doi.org/10.1016/j.apmr.2003.05.012
  16. Garland SJ, Willems DA, Ivanova TD et al. Recovery of standing balance and functional mobility after stroke. Arch Phys Med Rehabil. 2003;84(12):1753-9. https://doi.org/10.1016/j.apmr.2003.03.002
  17. Latash ML, Ferreira SS, Wieczorek SA et al. Movement sway: changes in postural sway during voluntary shifts of the center of pressure. Exp Brain Res. 2003;150(3):314-24.
  18. Kim JH, Kim CS. Effects of virtual reality program on standing balance in chronic stroke patients. J Korean Soc Phys Ther. 2005;17(3):351-67.
  19. Nardone A, Godi M, Grasso M et al. Stabilometry is a predictor of gait performance in chronic hemiparetic stroke patients. Gait Posture. 2009;30(1):5-10. https://doi.org/10.1016/j.gaitpost.2009.02.006
  20. Kim JW, Kim SM, Park RJ. The effects of task-oriented functional training on standing balance in stroke patients. J Korean Soc Phys Ther. 2003;15(4):65-81.
  21. Piirtola M, Era P. Force platform measurements as predictors of falls among older people - a review. Gerontology. 2006;52(1):1-16. https://doi.org/10.1159/000089820
  22. Prieto TE, Myklebust JB, Hoffmann RG et al. Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng. 1996;43(9):956-66. https://doi.org/10.1109/10.532130
  23. Choi JH, Lee HS, Chang JS. Changes of postural sway and muscle activation while standing upright and performing a dual task. J Korean Soc Phys Ther. 2011;23(5):1-5.
  24. Geiger RA, Allen JB, O'Keefe J et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005.