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Effect of Proprioceptive Neuromuscular Facilitation Chopping Pattern on Neglect, Balance, and Activity of Daily Living of Stroke Patients with Hemi-Spatial Neglect: A randomized clinical trial

고유수용성신경근촉진법 내려치기 패턴 훈련이 편측무시가 있는 뇌졸중 환자의 편측무시, 균형능력 및 일상생활수행능력에 미치는 영향: 무작위 임상 시험

  • Kang, Tae-Woo (Department of Physical Therapy, College of Health and Welfare, Woosuk University) ;
  • Kim, Beom-Ryong (Department of Physical Therapy, Design Hospital)
  • 강태우 (우석대학교 보건복지대학 물리치료학과) ;
  • 김범룡 (대자인병원 재활센터)
  • Received : 2019.02.19
  • Accepted : 2019.03.12
  • Published : 2019.05.31

Abstract

PURPOSE: This study examined the effects of the chopping pattern of proprioceptive neuromuscular facilitation (PNF) on the neglect, balance ability, and activities of daily living in stroke patients with hemi-spatial neglect. METHODS: Twenty stroke patients with neglect volunteered for this study. The subjects were assigned randomly to either the experimental group (EG, n=10) or control group (CG, n=10). The chopping pattern of PNF and exercise therapy were applied in the EG and CG, respectively, for four weeks. Neglect, balance, and activities of daily living were evaluated at the pre-and post-intervention. The assessment tools included a line-bisection test, balance test using Space balance 3D, and modified Barthel index. The pre-and post-intervention values were compared in each group using a paired t-test and the between-group differences were assessed using an independent t-test. Statistical significance was set to ${\alpha}=.05$ for all variables. RESULTS: Significant differences were observed between the EG and CG in terms of neglect, balance, and activities of daily living (p<.05). Both groups showed significant improvement in neglect, balance, and activities of daily living (p<.05). CONCLUSION: These results suggest that the chopping pattern of PNF is effective in improving the hemi-spatial neglect, balance, and activities of daily living in stroke patients with neglect.

Keywords

References

  1. Urbanski M, De Schotten MT, Rodrigo S, et al. DTI-MR tractography of white matter damage in stroke patients with neglect. Exp Brain Res. 2011;208(4):491-505. https://doi.org/10.1007/s00221-010-2496-8
  2. Halligan PW, Fink GR, Marshall JC, et al. Spatial cognition: evidence from visual neglect. Trends Cogn Sci. 2003;7(3):125-33. https://doi.org/10.1016/S1364-6613(03)00032-9
  3. Cherney LR, Halper AS, Kwasnica CM, et al. Recovery of functional status after right hemisphere stroke: relationship with unilateral neglect. Arch Phys Med Rehabil. 2001;82(3):322-8. https://doi.org/10.1053/apmr.2001.21511
  4. Spaulding SJ, McPherson JJ, Strachota E, et al. Jebsen hand function test: performance of the uninvolved hand in hemiplegia and of right-handed, right and left hemiplegic persons. Arch Phys Med Rehabil. 1988;69(6):419-22.
  5. Tanaka S, Hachisuka K, Ogata H. Muscle strength of trunk flexion-extension in post-stroke hemiplegic patients. Am J Phys Med Rehabil. 1998;77(4):288-90. https://doi.org/10.1097/00002060-199807000-00005
  6. Van Nes IJ, Van der Linden S, Hendricks HT, et al. Is visuospatial hemineglect really a determinant of postural control following stroke? An acute-phase study. Neurorehabil Neural Repair. 2009;23(6):609-14. https://doi.org/10.1177/1545968308328731
  7. De Seze M, Wiart L, Bon-Saint-Come A, et al. Rehabilitation of postural disturbances of hemiplegic patients by using trunk control retraining during exploratory exercises. Arch Phys Med Rehabil. 2001;82(6):793-800. https://doi.org/10.1053/apmr.2001.0820793
  8. Campbell FM, Ashburn AM, Pickering RM, et al. Head and pelvic movements during a dynamic reaching task in sitting: implications for physical therapists. Arch Phys Med Rehabil. 2001;82(12):1655-60. https://doi.org/10.1053/apmr.2001.26818
  9. Rosen E, Sunnerhagen KS, Kreuter M. Fear of falling, balance, and gait velocity in patients with stroke. Physiother Theory Pract. 2005;21(2):113-20. https://doi.org/10.1080/09593980590922299
  10. Kerkhoff G. Rehabilitation of visuospatial cognition and visual exploration in neglect: a cross-over study. Restor Neurol Neurosci. 1998;12(1):27-40.
  11. Robertson IH, Hogg K, Mc Millan TM. Rehabilitation of unilateral neglect: improving function by contralesional limb activation. Neuropsychol Rehabil. 1998;8(1):19-29. https://doi.org/10.1080/713755556
  12. Paci M, Nannetti L. Physiotherapy for pusher behaviour in a patient with post-stroke hemiplegia. J Rehabil Med. 2004;36(4):183-5. https://doi.org/10.1080/16501970410029762
  13. Anders C, Brose G, Hofmann GO, et al. Evaluation of the EMG-force relationship of trunk muscles during whole body tilt. J Biomech. 2008;41(2):333-9. https://doi.org/10.1016/j.jbiomech.2007.09.008
  14. Perennou DA, Amblard B, Laassel EM, et al. Understanding the pusher behavior of some stroke patients with spatial deficits: a pilot study. Arch Phys Med Rehabil. 2002;83(4):570-5. https://doi.org/10.1053/apmr.2002.31198
  15. Adler SS, Beckers D. Buck M.PNF in practice: an illustrated guide. Springer. 2007.
  16. Kendall F, Wadsworth G. Muscles, testing and function. Baltimore. Williams and Wilkins. 1983.
  17. Jeon HJ, Lee MH. The effects of PNF technique versus trunk exercise program on the pain, disability and balance in chronic LBP patients. J Korea Con Assoc. 2009;9(12):665-73. https://doi.org/10.5392/JKCA.2009.9.12.665
  18. Voight ML, Hoogenboom BJ, Cook G. The chop and lift reconsidered: integrating neuromuscular principles into orthopedic and sports rehabilitation. N Am J Sports Phys Ther. 2008;3(3):151-9.
  19. Lee HO, Bae WS, Shin JW. A comparison of the trunk muscle activity according to the direction of upper extremity lifting using elastic band. J Korean Soc Phys Med. 2016;11(2):25-31. https://doi.org/10.13066/kspm.2016.11.2.25
  20. Ji SG, Cha HG, Lee DG. The effects of trunk pattern training in proprioceptive neuromuscular facilitation on muscle activity of lower extremity and static balance in stroke patients. J Korea Acad Coop Soc. 2013;14(11):5730-6.
  21. Kim BR, Lee HJ. Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. J Exerc Rehabil. 2017;13(4):486-90. https://doi.org/10.12965/jer.1735030.515
  22. Kim BR, Kang TW. The effects of proprioceptive neuromuscular facilitation lower-leg taping and treadmill training on mobility in patients with stroke. Int J Rehabil Res. 2018;41(4):343-8. https://doi.org/10.1097/MRR.0000000000000309
  23. Park JH, Kwon YC. Modification of the mini-mental state examination for use in the elderly in a non-western society. Part 1. Development of korean version of minimental state examination. Int J Geriatr Psychiatry. 1990;5(6):381-7. https://doi.org/10.1002/gps.930050606
  24. Schenkenberg T, Bradford DC, Ajax ET. Line bisection and unilateral visual neglect in patients with neurologic impairment. Neurology. 1980;30(5):509-17. https://doi.org/10.1212/WNL.30.5.509
  25. Zoltan B, Siev E. Vision, perception, and cognition: a manual for the evaluation and treatment of the neurologically impaired adult. Slack Incorporated. 1996.
  26. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. https://doi.org/10.1016/0895-4356(89)90065-6
  27. Hobart JC, Thompson AJ. The five item Barthel index. J Neurol Neurosurg Psychiatry. 2001;71(2):225-30. https://doi.org/10.1136/jnnp.71.2.225
  28. Bailey MJ, Riddoch MJ, Crome P. Treatment of visual neglect in elderly patients with stroke: a single-subject series using either a scanning and cueing strategy or a left-limb activation strategy. Phys Ther. 2002;82(8):782-97. https://doi.org/10.1093/ptj/82.8.782
  29. Rode G, Tiliket C, Boisson D. Predominance of postural imbalance in left hemiparetic patients. Scand J Rehabil Med. 1997;29(1):11-6.
  30. Luyat M, Gentaz E, Corte TR, et al. Reference frames and haptic perception of orientation: body and head tilt effects on the oblique effect. Percept Psychophys. 2001;63(3):541-54. https://doi.org/10.3758/BF03194419
  31. Antonucci G, Guariglia C, Judica A, et al. Effectiveness of neglect rehabilitation in a randomized group study. J Clin Exp Neuropsychol. 1995;17(3):383-9. https://doi.org/10.1080/01688639508405131
  32. Chen SMJ, Henderson A, Cermak SA. Patterns of visual spatial inattention and their functional significance in stroke patients. Arch Phys Med Rehabil. 1993;74(4):355-60.
  33. Heilman KM, Valenstein E, Watson RT. Neglect and related disorders. Semin Neurol. 2000;20(4):463-70. https://doi.org/10.1055/s-2000-13179
  34. Robertson IH, North NT. One hand is better than two: motor extinction of left hand advantage in unilateral neglect. Neuropsychologia. 1994;32(1):1-11 https://doi.org/10.1016/0028-3932(94)90064-7
  35. Wiart L, Come AB, Debelleix X, et al. Unilateral neglect syndrome rehabilitation by trunk rotation and scanning training. Arch Phys Med Rehabil. 1997;78(4):424-9. https://doi.org/10.1016/S0003-9993(97)90236-7
  36. Fong KN, Chan MK, Ng PP, et al. The effect of voluntary trunk rotation and half-field eye-patching for patients with unilateral neglect in stroke: a randomized controlled trial. Clin Rehabil. 2007;21(8):729-41. https://doi.org/10.1177/0269215507076391
  37. Kim DH, Bae HW, Kwon JD, et al. The effect of the application of proprioceptive neuromuscular facilitation to non-affected upper extremity on the muscle activation and body balance of the contralateral lower extremity for hemiplegia patients. Korea J Sports Sci. 2010;19(3):1047-57.
  38. Saevarsson S, Kristjansson A, Hjaltason H. Unilateral neglect: a review of causes, anatomical localization, theories and interventions. Laeknabladid. 2009;95(1):27-33.
  39. Punt TD, Riddoch MJ. Motor neglect: implications for movement and rehabilitation following stroke. Disabil Rehabil. 2006;28(13-14):857-64. https://doi.org/10.1080/09638280500535025
  40. Van der Lee JH, Wagenaar RC, Lankhorst GJ, et al. Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial. Stroke. 1999;30(11):2369-75. https://doi.org/10.1161/01.STR.30.11.2369
  41. Kim JH, Kwon HC, Kim H, et al. Effects of contralesional neck extensor muscle vibration on neglect and ability to perform activities of daily living in patients with stroke. J Spec Educ Rehabil Sci. 2013;52(2):341-58.

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