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The Effects of Dual-task Action Observation Physical Training on the Walking Ability and Activities of Daily Living in Chronic Stroke Patients
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The Effects of Dual-task Action Observation Physical Training on the Walking Ability and Activities of Daily Living in Chronic Stroke Patients
Lee, Hyun-Min; Lee, Jeong-A;
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PURPOSE: The purpose of this study was to determine the efficacy of dual-task action observation training (AOT) and single-task AOT related with daily living task on walking ability and ADL performance in chronic stroke patients. METHODS: Twenty-seven chronic stroke subjects were included in the study. They were randomly assigned to three task categorieds as follows: whole dual-task AOT or partial dual-task AOT or single-task AOT rehabilitation. Whole dual-task AOT observed the movement at once and partial dual-task AOT observed the movement divided into 4 parts related functional gait and activities of daily living task for 2 minutes 30 seconds. Single-task AOT observed the movement related functional gait for 2 minutes 30 seconds. Both groups had physical training session for 12 minutes 30 seconds. The study was conducted for four weeks, with three training sessions a week, for twelve weeks. All subjects were evaluated for their walking ability and activities of daily living through devices, 10m walking test (10MWT), dynamic gait index (DGI), and Korea-Modified Barthel Index (K-MBI). RESULTS: A significant improvement of walking ability and ADL performance happened among dual-task AOT subjects, compared with a single-task AOT subjects, during the 4-weeks course treatment. The results of the study showed statistically significant differences in 10MWT (p<0.05) and DGI (p<0.05), and K-MBI (p<0.05). CONCLUSION: Our results indicated that dual-task AOT has a positive additional impact on recovery of walking ability and ADL performance in chronic stroke patients.
Action Observation;Activities of daily living;Dual-task;Gait;Stroke;
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The Effect of Action Observation with Observation Type on Limits of Stability and Dynamic Gait Ability in Stroke Patients, Journal of The Korean Society of Physical Medicine, 2017, 12, 1, 67  crossref(new windwow)
Bae SY, Kuk EJ. The Effects of Action Observation Physical Training on the Upper Extremity Function and Activity of Daily Living of Chronic Hemiplegic Patients. Kor J Neural Rehabil. 2012;2(2):1-9.

Buccino G, Binkofski F, Fink GR et al. Action observation activates premotor and parietal areas in a somatotopic manner: an fMRI study. Eur J Neurosci. 2001;13(2): 400-4.

Buccino G, Solodkin A, Small SL. Functions of the mirror neuron system: implications for neurorehabilitation. Cogn Behav Neurol. 2006;19(1):55-63. crossref(new window)

Celnik P, Webster B, Glasser DM et al. Effects of action observation on physical training after stroke. Stroke. 2008;39(6):1814-20. crossref(new window)

Chen G, Patten C. Treadmill training with harness support: selection of parameters for individuals with poststroke hemiparesis. J Rehabil Res Dev. 2006;43(4):485. crossref(new window)

Dobkin BH. Rehabilitation after stroke. N Engl J Med. 2005;352(16):1677-84. crossref(new window)

Ewan LM, Kinmond K, Holmes PS. An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke. Disabil Rehabil. 2010;32(25):2097-106. crossref(new window)

Franceschini M, Agosti M, Cantagallo A et al. Mirror neurons: action observation treatment as a tool in stroke rehabilitation. Eur J Phys Rehabil Med. 2010;46(4): 517-23.

Fulk GD, Echternach JL. Test-retest reliability and minimal detectable change of gait speed in individuals undergoing rehabilitation after stroke. J Neurol Phys Ther. 2008;32(1):8-13. crossref(new window)

Gatti R, Tettamanti A, Gough P et al. Action observation versus motor imagery in learning a complex motor task: a short review of literature and a kinematics study. Neurosci Lett. 2013;540:37-42. crossref(new window)

Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the Barthel Index. Arch Phys Med Rehabil. 1979;60(4):145-54.

Hickok G. Eight problems for the mirror neuron theory of action understanding in monkeys and humans. J Cogn Neurosci. 2009;21(7):1229-43. crossref(new window)

Hill K, Ellis P, Bernhardt J et al. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother. 1997;43(3):173-80. crossref(new window)

Horak FB. Assumptions underlying motor control for neurologic rehabilitation. In M. J. Lister, Contemporary Management of Motor Control Problems: Proceedings of II STEP conference(pp.11-27). Alexandria: Foundation of Physical Therapy. 1991.

Iacoboni M, Molnar-Szakacs I, Gallese V et al. Grasping the intentions of others with one's own mirror neuron system. PLoS Biol. 2005;3(3):e79. crossref(new window)

Jonsdottir J, Gattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1410-5. crossref(new window)

Jorgensen HS, Nakayama H, Raaschou HO et al. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995;76(1): 27-32. crossref(new window)

Kandel ER, Schwartz JH, Jessell TM. Principles of neural science. McGraw-hill New York, 2000.

Kang KY. Effects of Observed Action Gait Training on Spatio-temporal Parameter and Motivation of Rehabilitation in Stroke Patients. J Korean Soc Phys Med. 2013;8(3):351-60. crossref(new window)

Keysers C, Gazzola V. Social neuroscience: mirror neurons recorded in humans. Curr Biol. 2010;20(8):R353-4. crossref(new window)

Kim JK, Lee HM. The Effect of Action Observation Training on Sit to Walk with Chronic Stroke Patients. J Kor Phys Ther. 2015;27(6):413-8. crossref(new window)

Kim SM. Neural anatomy and physiology. Seoul: Jungdammedia Publishing Company, 2010.

Kizony R, Levin MF, Hughey L et al. Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment. Phys Ther. 2010;90(2):252-60. crossref(new window)

Martineau J, Andersson F, Barthelemy C et al. Atypical activation of the mirror neuron system during perception of hand motion in autism. Brain Res. 2010;1320:168-75. crossref(new window)

Miller EL, Murray L, Richards L et al. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient a scientific statement from the American Heart Association. Stroke. 2010;41(10): 2402-48. crossref(new window)

O'Shea S, Morris ME, Iansek R. Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks. Phys The. 2002; 82(9):888-97.

Page SJ, Levine P, Sisto S et al. A randomized efficacy and feasibility study of imagery in acute stroke. Clin Rehabil. 2001;15(3):233-40. crossref(new window)

Park HR, Kim JM, Lee MK et al. Clinical feasibility of action observation training for walking function of patients with post-stroke hemiparesis: a randomized controlled trial. Clin Rehabil. 2014;28(8):794-803. crossref(new window)

Pohl M, Mehrholz J, Ritschel C et al. Speed-Dependent Treadmill Training in Ambulatory Hemiparetic Stroke Patients A Randomized Controlled Trial. Stroke. 2002;33(2):553-8. crossref(new window)

Rizzolatti G, Craighero L. The mirror-neuron system. Annu Rev Neurosci. 2004;27:169-92. crossref(new window)

Rizzolatti G, Fogassi L, Gallese V. Neurophysiological mechanisms underlying the understanding and imitation of action. Nat Rev Neurosci. 2001;2(9): 661-70. crossref(new window)

Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemio. 1989;42(8):703-9. crossref(new window)

Van Merrienboer JJG, Ayres P. Research on cognitive load theory and its design implication for E-learning. Edu Technol Res Dev. 2005;53(3):5-13.

Yang YP, Kim JY, Han MR et al. The Effect of Action Observation Training on Affected Side Upper Limb Dexterity in Stroke Patient: Single-subject research design. J Korean Soc Phys Med. 2012;7(1):111-8. crossref(new window)

Yang YR, Chen YC, Lee CS et al. Dual-task-related gait changes in individuals with stroke. Gait posture. 2007; 25(2):185-90. crossref(new window)