대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제12권1호
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  • Pages.67-74
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  • 2017
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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관찰형태에 따른 동작관찰 훈련이 뇌졸중 환자의 안정성 한계와 동적보행능력에 미치는 영향

The Effect of Action Observation with Observation Type on Limits of Stability and Dynamic Gait Ability in Stroke Patients

  • 양용필 (동신대학교 물리치료학과) ;
  • 김수진 (씨티재활의학과요양병원 재활센터)
  • 투고 : 2016.11.05
  • 심사 : 2016.11.25
  • 발행 : 2017.02.28
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초록

PURPOSE: The purpose of this study was to determine the effect of action observation with observation type on the limits of stability and dynamic gait ability in stroke patients. METHODS: The 20 stroke patients who participated in this study were randomly divided into two experimental groups who underwent training three times a week for 4 weeks. Their balance was tested as the limit of stability with Biorescue. Their Dynamic gait ability was tested with the Dynamic Gait Index (DGI) before the intervention, and after 4 weeks. Independent and paired t-tests were used to analyze the results. RESULTS: The results confirmed the limit of stability on the moving areas of the paralyzed and non-paralyzed sides. The limit of stability and dynamic gait index measurements confirmed that the moving area showed a significant difference after the intervention in the whole movement observation group (p<.05), but the partial movement observation group showed no significant difference (p>.05). A significant difference was also noted for the comparison between the both groups after the interventions (p<.05). The functional walking ability showed a significant difference when compared to the ability before the intervention, as determined by the changes in scores obtained for the dynamic gait index (p<.05). CONCLUSION: Interventions utilizing whole movement confirm that training improves stability and functional walking ability in stroke patients with disabilities in balance and walking ability.

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참고문헌

  1. Ashford D, Bennett SJ, Davids K. Observational modeling effects for movement dynamics and movement outcome measures across differing task constraints: A meta-analysis. J Mot Behav. 2006;38(3):185-205. https://doi.org/10.3200/JMBR.38.3.185-205
  2. Brass M, Bekkering H, Wohlschlager A, et al. Compatibility between observed and executed finger movements: Comparing symbolic, spatial, and imitative cues. Brain Cogn. 2000;44(2):124-43. https://doi.org/10.1006/brcg.2000.1225
  3. Celnik P, Webster B, Glasser DM, et al. Effects of action observation on physical training after stroke. Stroke. 2008;39(6):1814-20. https://doi.org/10.1161/STROKEAHA.107.508184
  4. Eng JJ, Chu KS, Dawson AS, et al. Functional walk tests in individuals with stroke: Relation to perceived exertion and myocardial exertion. Stroke. 2002;33(3): 756-61. https://doi.org/10.1161/hs0302.104195
  5. Gallese V, Fadiga L, Fogassi L, et al. Action recognition in the premotor cortex. Brain. 1996;119(2):593-609. https://doi.org/10.1093/brain/119.2.593
  6. Hiyamizu M, Maeoka H, Matsuo A, et al. Effects of self-action observation on standing balance learning: A change of brain activity detected using functional nearinfrared spectroscopy. NeuroRehabilitation. 2014; 35(3):579-85.
  7. Hyndman D, Ashburn A, Stack E. Fall events among people with stroke living in the community: Circumstances of falls and characteristics of fallers. Arch Phys Med Rehabil. 2002;83(2):165-70. https://doi.org/10.1053/apmr.2002.28030
  8. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1410-5. https://doi.org/10.1016/j.apmr.2007.08.109
  9. Jeong WS, Yun TW, Choi YJ, et al. The effect of action observation on motor function of paretic upper extremity in stroke patients: Single subject study. J korean soc phys med. 2013;8(2):271-80. https://doi.org/10.13066/kspm.2013.8.2.271
  10. Kim JH. The effect of action observation training on dynamic balance, gait function and eeg for patient with stroke. Master's Degree. Sahmyook University. 2012.
  11. Kim JY, Han KJ, Seo TW. The Effects of Action Observational Training and Visualization Training on Balance and Gait in Stroke Patients. Journal of the Korea Entertainment Industry Association. 2012;6(4):305- 12. https://doi.org/10.21184/jkeia.2012.12.6.4.305
  12. Kim JS. The effect of action observation on balance in patients with chronic stoke. Master's Degree. Dongshin University. 2012a.
  13. Kim JS. Effect of motor imagery training and action observation training on gait and balance in post stroke patients. Doctor's Degree. Daegu University. 2012b.
  14. Kim TH, Park SB. Changes in the electroencephalogram patterns during motor imagery and action observation of elbow flexion and extension. Journal of Sport and Leisure Studies. 2007;31(11):987-99.
  15. Koch G, Versace V, Bonni S, et al. Resonance of cortico-cortical connections of the motor system with the observation of goal directed grasping movements. Neuropsychologia. 2010;48(12):3513-20. https://doi.org/10.1016/j.neuropsychologia.2010.07.037
  16. Kwakkel G, van Peppen R, Wagenaar RC, et al. Effects of augmented exercise therapy time after stroke: A meta-analysis. Stroke. 2004;35(11):2529-39. https://doi.org/10.1161/01.STR.0000143153.76460.7d
  17. Lee MK, Kim JM. The effect of action observation training on arm function in people with stroke. Phys Ther Korea. 2011;18(2):27-34.
  18. Lee HM, Lee JA. The effects of dual-task action observation physical training on the walking ability and activities of daily living in chronic stroke patients. J korean soc phys med. 2016;11(2):83-91. https://doi.org/10.13066/kspm.2016.11.2.83
  19. Leonard G, Tremblay F. Corticomotor facilitation associated with observation, imagery and imitation of hand actions: A comparative study in young and old adults. Exp Brain Res. 2007;177(2):167-75. https://doi.org/10.1007/s00221-006-0657-6
  20. Lim J, Reiser RA, Olina Z. The effects of part-task and whole-task instructional approaches on acquisition and transfer of a complex cognitive skill. Educational Technology Research and Development. 2009;57(1):61-77. https://doi.org/10.1007/s11423-007-9085-y
  21. Nashner LM. Sensory, neuromuscular, and biomechanical contributions to human balance, in Proceedings From the American Physical Therapy Association Forum. Nashville. Tenn. USA. 1989.
  22. Noh HJ. The Effect of Action Observation Training on Sit to Stand Performance and Balance Ability in Chronic Stroke Patients. Master's Degree. Seonam University. 2011.
  23. Perry J, Garrett M, Gronley JK, et al. Classification of walking handicap in the stroke population. Stroke. 1995;26(6): 982-9. https://doi.org/10.1161/01.STR.26.6.982
  24. Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. J Korean Soc Phys Med. 2016;11:45-52. https://doi.org/10.13066/kspm.2016.11.1.45
  25. Stefan K, Cohen LG, Duque J, et al. Formation of a motor memory by action observation. J Neurosci. 2005;25 (41):9339-46. https://doi.org/10.1523/JNEUROSCI.2282-05.2005
  26. Van Merrienboer JJ, Ayres P. Research on cognitive load theory and its design implications for e-learning. Educational Technology Research and Development. 2005;53(3):5-13. https://doi.org/10.1007/BF02504793
  27. Van Merrienboer JJ, Kester L, Paas F. Teaching complex rather than simple tasks: Balancing intrinsic and germane load to enhance transfer of learning. Applied Cognitive Psychology. 2006;20(3):343-52. https://doi.org/10.1002/acp.1250

피인용 문헌

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  2. 동작관찰 과제지향훈련이 만성 뇌졸중환자의 균형 및 보행능력에 미치는 효과 vol.6, pp.2, 2017, https://doi.org/10.15268/ksim.2018.6.2.045
  3. Effect of Action Observational Training on Gait in People with Stroke vol.32, pp.1, 2020, https://doi.org/10.18857/jkpt.2020.32.1.1
  4. Comparison of the effects of action observation training of community ambulation with different observational views on walking function in patients with chronic stroke: single-subject experimental stu vol.23, pp.2, 2017, https://doi.org/10.1080/21679169.2019.1645881