DOI QR코드

DOI QR Code

Effect of Vibration Stimulation Training on Upper Extremity Function in Children with Cerebral Palsy

뇌성마비 아동의 진동 자극 훈련이 상지기능에 미치는 영향

  • Kang, Set-Byul (Dept. of Occupational Therapy, Graduate School, Konyang University) ;
  • Kim, Man-Je (Dept. of Occupational Therapy, Graduate School, Konyang University) ;
  • Yoo, Doo-Han (Dept. of Occupational Therapy, Konyang University)
  • 강셋별 (건양대학교 일반대학원 작업치료학과) ;
  • 김만제 (건양대학교 일반대학원 작업치료학과) ;
  • 유두한 (건양대학교 작업치료학과)
  • Received : 2023.01.09
  • Accepted : 2023.06.22
  • Published : 2023.06.30

Abstract

Objective : The purpose of this study is was to find ouetermine whether training to applying vibration stimulation to the biceps brachii of children in the late stages of spasticity hemiplegic cerebral palsy can helps to improve the function of the upper extremity. Methods : This The study was conducted on with three children with cerebral palsy, all between the ages of 13 and 15 years. Among the experimental research methods of used with individual subjects, an AB research design using multiple basic baseline individual experimental studies was used, and vibration stimulation was provided to the paralyzed hand during the intervention period. The An evaluation was conducted before and after each session used to measure the function of the upper extremity using was conducted after each session of the Rapael Smart Board and The Jebsen-Tayler hand function test and the Motor Activity Log (MAL) were conducted before and after the experiment. Results : As a result of measuring the smooth The average score and total scores of for using the Rapael Smart Board to measure the upper extremity function in following each therapeutic session using the Rafale smart pegboard showed that, Subject 3 did not showevidenced a no significant change in the average value, and but Subjects 1 and 2 did showed a significant changes in their average values. All three subjects showed significant changes in the Jepson-Taylor hand function test and in the Motor Activity Log test, as evaluated before and after the intervention. Conclusion : Training The using use of vibration stimulation showed a positive effect on in improving upper limb function and exercise in hemiplegia hemiplegic children with who had little experience on using their hemiplegic side.

목적 : 본 연구의 목적은 경직성 편마비 뇌성마비 후기 아동의 위팔두갈래근에 진동자극을 적용한 훈련이 상지의 기능을 향상시키는데 도움이 되는지를 알아보는 것이다. 연구방법 : 본 연구는 13세에서 15세 사이의 경직성 편마비를 가진 뇌성마비 아동 3명을 대상으로 하였다. 개별대상자 실험연구 방법 중 다중 기초선 개별실험연구를 이용한 AB 연구 설계를 사용하였으며, 중재기간 동안 진동자극은 마비측 손에 제공되었다. 상지의 기능을 측정하기 위하여 사용된 평가는 라파엘 스마트 보드는 매 회기 별 중재 후 평가를 실시하였고, 젭슨-테일러 손 기능 평가(Jebsen-Tayler hand function test)와 운동 활동 척도 검사(Motor Activity Log; MAL)를 실험 전, 후로 실시하였다. 결과 : 라파엘 스마트 보드로 매 회기 상지기능의 부드러움과 종합점수를 측정한 결과 대상자 3은 평균값의 변화에서 유의미한 결과가 없었고 대상자 1, 2는 평균값에서 유의한 변화가 있었다. 중재 전후로 평가한 젭슨-테일러 손 기능 평가 및 운동 활동 척도 검사에서는 대상자 모두 유의한 변화를 보였다. 결론 : 진동자극을 적용한 훈련이 마비측에 대한 경험이 적은 편마비를 가진 아동에게 상지 기능과 움직임을 증진시킬 수 있는 긍정적인 영향을 보였다.

Keywords

References

  1. Ahn, J. Y., You, S. J., & Kim, J. Y. (2011). An effect of quality of life on affected side upper extremity performance ability after a cerebrovascular accident: A study of the relationship between MAL and SS-QOL. Journal of Korean Association Occupational Therapy Policy for Aged Industry, 3(1), 2092-9455.
  2. Bae, S. H., & Kim, K. Y. (2011). Effects of vibration stimulation method on upper limbs spasticity in patients with brain lesion. Journal of the Korea Academia-Industrial cooperation Society, 12(7), 3109-3116. https://doi.org/10.5762/KAIS.2011.12.7.3109
  3. Caliandro, P., Celletti, C., Padua, L., Minciotti, I., Russo, G., Granata, G., Conceicao (2012). Focal muscle vibration in the treatment of upper limb spasticity: A pilot randomized controlled trial in patients with chronic stroke. Archives of Physical Medicine and Rehabilitation, 93(9), 1656-1661. doi:10.1016/j.apmr.2012.04.002
  4. Celletti, C., & Camerota, F. (2011). Preliminary evidence of focal muscle vibration effects on spasticity due to cerebral palsy in a small sample of Italian children. Clinical Therapeutics, 162(5), e125-8.
  5. Chon, S. C., & Oh, D. W. (2010). The effects of submerged constraint-induced movement therapy on upper limb function and activities of daily living for children with hemiplegic cerebral palsy. Journal of Korean Society of Occupational Therapy, 18(2), 121-131.
  6. Jebsen, R. H. (1969). An objective and standardized test of hand function. Archives of Physical Medicine and Rehabilitation, 50(6), 311-319.
  7. Jeon, S. H., Jang, Y. R., Shin, S. Y., & Shin, T. M. (2016). A study on local vibration stimulus effect on muscle activation during exercise. Journal of Korean Institute of Communications and Information Sciences, 933-934.
  8. Jung, J. H., & Kim, S. K. (2013). The effects of interactive metronome on bilateral coordination, balance, and upper extremity function for children with hemiplegic cerebral palsy: Single-subject research. Journal of Korean Society of Occupational Therapy, 21(2), 37-48.
  9. Kim, S. H. (2021). The effect of convergence intervention of focal vibration stimulation and bilateral upper extremity training on recovery of upper limb function in stroke patients. Journal of the Korea Convergence Society, 12(2), 95-101. https://doi.org/10.15207/JKCS.2021.12.2.095
  10. Kwon, H. Y. (2017). The effects of weighted vest during task-oriented training on gross motor performance and balance abilities of children with spastic diplegia: A randomized clinical trial study. Journal of Korean Academy of Sensory Integration, 15(2), 46-65. doi:10.18064/JKASI.2017.15.2.046
  11. Lee, H. Y., Kim, H., Kwon, H. C., Cho, Y. N., & Lee, S. W. (2016). Effects of the distant action-observation training program on function restorations of chronic stroke patients. Korean Journal of Occupational Therapy, 24(1), 1-13. doi:10.14519/jksot.2016.24.1.01
  12. Lee, W. B., Lee, H. S., Park, S. W., & Yoo, J. K. (2019). Effects of whole body vibration training on lower limb muscle thickness and gross motor function in children with spastic cerebral palsy. Journal of the Korean Society of Physical Medicine, 14(4), 195-201. doi:10.13066/kspm.2019.14.4.195
  13. Ministry of Health and Welfare. (2022. 4. 25). Statistics on results of disabled registration status. 25 April, 2022. Retrieved from https://www.index.go.kr
  14. Na, C. H., Jung, S. M., & Choi, W. H. (2019). The effect of repeated vibration stimulation on wrist and elbow flexor muscle on hand dexterit, grip strength and activity daily living in patients with chronic stroke. Neurotherapy, 23(2), 27-33. doi:10.17817/2019.06.05.111415
  15. Neofect. (2021. 7. 2). Raphael smart board. 2 July, 2021. Retrieved from https://www.neofect.com/kr/smart-board
  16. Noh, D. H., Cha, Y. J., Jo, E. J., Jeong, I. S., Cho, H. B., & Kim, K. Y. (2021). Effects of the timing of hand rehabilitation on hand function in patients with hand injury owing to work-related injuries: A retrospective cohort study. Korean Journal of Occupational Therapy, 29(4), 181-193. doi:10.14519/kjot.2021.29.4.12
  17. Noma, T., Matsumoto, S., Etoh, S., Shimodozono, M., & Kawahira, K. (2009). Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients. Brain Injury, 23(7-8), 623-631. doi:10.1080/02699050902997896
  18. Nourbakhsh, M. R., & Ottenbacher, K. J. (1994). The statistical analysis of single-subject data: A comparative examination. Physical Therapy, 74(8), 768-776. https://doi.org/10.1093/ptj/74.8.768
  19. Park, J. H., & Park, J. H. (2016). The effects of vibration stimulation on unilateral neglect in patients after a stroke: A single-subject design. Korean Journal of Occupational Therapy, 24(1), 15-25. doi:10.14519/jksot.2016.24.1.02
  20. Ritzmann, R., Stark, C., & Krause, A. (2018). Vibration therapy in patients with cerebral palsy: A systematic review. Neuropsychiatric Disease and Treatment, 14, 1607.
  21. Sadowska, M., Sarecka-Hujar, B., & Kopyta, I. (2020). Cerebral palsy: Current opinions on definition, epidemiology, risk factors, classification and treatment options. Neuropsychiatric Disease and Treatment, 16, 1505. doi:10.2147/NDT.S235165
  22. Saggini, R., Bellomo, R. G., & Cosenza, L. (2017). Vibration in neurorehabilitation: A narrative review. Medical Research Archives, 5(11). doi:10.18103/mra.v5i11.1563
  23. Saquetto, M., Carvalho, V., Silva, C., Conceicao, C., & Gomes-Neto, M. (2015). The effects of whole body vibration on mobility and balance in children with cerebral palsy: A systematic review with meta-analysis. Journal of Musculoskeletal & Neuronal Interactions, 15(2), 137.
  24. Sim, S. M., Oh, D. W., & Ki, K. I. (2013). Effects of vibration stimulation on electromyographic activity of flexor digitorum superficialis and hand dexterity in patients after a chronic stroke. Korean Journal of Occupational Therapy, 21(2), 91-102. https://doi.org/10.14519/jksot.2013.21.4.08
  25. Taub, E., McCulloch, K., Uswatte, G., Morris, D. M., Bowman, M., & Crago, J. (2011). Motor activity log (mal) manual. UAB Training for CI Therapy, 1, 18.
  26. Taub, E., Miller, N. E., Novack, T. A., Cook, E. W., Fleming, W. C., Nepomuceno, C. S., Crago, J. E. (1993). Technique to improve chronic motor deficit after stroke. Archives of Physical Medicine and Rehabilitation, 74(4), 347-354.
  27. Tavernese, E., Paoloni, M., Mangone, M., Mandic, V., Sale, P., Franceschini, M., ... Santilli, V. (2013). Segmental muscle vibration improves reaching movement in patients with chronic stroke. A randomized controlled trial. NeuroRehabilitation, 32(3), 591-599. doi:10.3233/NRE-130881
  28. Won, K. A., & Park, J. H. (2018). Effectiveness of focal muscle vibration on upper extremity spasticity and function for stroke patients: A systematic review. Therapeutic Science for Rehabilitation, 7(3), 23-33. doi:10.22683/tsnr.2018.7.3.023
  29. Yoo, E. Y., Park, J. H., Kwon, J. S., Cho, S. Y., Lee, B. M., Kim, Y. J., ... Kim, S. H. (2018). Kinematic analysis in reaching depending on the localized vibration duration in persons with hemiparetic stroke. Therapeutic Science for Rehabilitation, 7(3), 79-88. doi:10.22683/tsnr.2018.7.3.079