Effects of Virtual Reality Program on Standing-Balance in Stroke with Sensory Deficit

가상현실 프로그램이 감각이상이 있는 뇌졸중 환자의 균형능력에 미치는 영향

  • Lee, Seong-Ran (Department of Occupational Therapy, Kyungnam College of Information and Technology) ;
  • Bae, Sung-Soo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 이성란 (경남정보대학 작업치료과) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2010.01.17
  • Accepted : 2010.02.24
  • Published : 2010.02.28


Purpose : The purpose of this study was to investigate the effects of virtual reality(VR) program on standing balance in stroke with sensory deficit. Methods : Subjects were assigned randomly to either VR group (n=28) or the control group (n=31) when study began. Both groups were conducted electricity therapy, exercise therapy 5 times per week during six weeks, and a group who have VR group 3 times per week during six weeks. Both groups assessed for standing balance before and after virtual reality program. Results : In standing balance, the virtual reality program which have sensory deficit in stroke group, open eyes from the center area of the body and center line significantly reduced the training period(p<.05). The virtual reality program to instantly move the weight through maximum voluntary safety limits to sensory deficit of virtual reality program(p<.05). Conclusion : Stroke patients with sensory deficit affects the recovery of the standing balance. In addition, virtual reality program was stroke patients with sensory deficit affects the recovery of standing balance.



  1. 구봉오, 배성수, 김한수 등. 안구운동이 성인 편마비환자의 마비측에 따른 균형증진에 미치는 영향.대한물리치료학회. 2002;14(4):1-14.
  2. 박래준, 김상수, 김용건 등. 수중운동이 노인여성의 한발 서기 균형능력에 미치는 영향. 대한물리치료학회. 2002;14(1):89-98.
  3. 박유형. 발목 관절 고유수용성 운동조절 프로그램이 뇌졸중 환자의 균형 및 보행에 미치는 효과. 삼육대 대학원. 석사학위 논문. 2009.
  4. 이건철, 윤정규. 시지각적 되먹임 훈련이 뇌졸중 환자의 동적자세 균형에 미치는 영향. 대한물리치료학회. 2002;9(2):17-26.
  5. 이동진, 조유미, 이완희. 과제 관련 훈련이 뇌졸중환자의 정적 균형과 보행에 미치는 영향. 한국스포츠리서치. 2007;18(6):61-70.
  6. 통계청. 사망원인 통계연보. 통계청. 2008.
  7. Belgen B, Beninato M, Sullivan PE et al. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Arch Phys Med Rehabil. 2006;87(4):554-61. https://doi.org/10.1016/j.apmr.2005.12.027
  8. Broeren J, Rydmark M, Sunnerhagen KS. Virtual reality and haptics as a training device for movement rehabilitation after stroke: a single-case study. Arch Phys Med Rehabil. 2004;85(8):1247-50. https://doi.org/10.1016/j.apmr.2003.09.020
  9. Carrie M Hall. Therapeutic Exercise: Moving Toward Function. 2nd. LIPPINCOTT WILLIAMS & WILKINS. 2004.
  10. Cheng PT, Wu SH, Liaw MY et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001;82(12):1650-4. https://doi.org/10.1053/apmr.2001.26256
  11. 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
  12. Dickstein R, Abulaffio N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparetic patients. Arch Phys Med Rehabil. 2000;81(3):364-7. https://doi.org/10.1016/S0003-9993(00)90085-6
  13. Eng JJ, Chu KS. Reliability and comparison of weigh-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44. https://doi.org/10.1053/apmr.2002.33644
  14. Geurts ACH, de Haart M, van Nes IJW et al. A review of standing balance recovery from stroke. Gait Posture. 2005;22(3):267-81. https://doi.org/10.1016/j.gaitpost.2004.10.002
  15. Gillette JC, Stevermer CA, Quick NE et al. Alternative foot placements for individuals with spinal cord injuries standing with the assistance of functional neuromuscular stimulation. Gait Posture. 2008;27(2): 280-5. https://doi.org/10.1016/j.gaitpost.2007.04.005
  16. Jack D, Boian R, Merians AS et al. Virtual realityenhanced stroke rehabilitation. IEEE Trans Rehabil Eng. 2001;9(3):308-18. https://doi.org/10.1109/7333.948460
  17. Liaw MY, Chen CL, Pei YC et al. Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. Chang Gung Med J. 2009;32(3):297-304.
  18. Lin JH, Hsueh IP, Sheu CH et al. Psychometric properties of the sensory scale of the Fugl-Meyer Assessment in stroke patients. Clin Rehabil. 2004;18(4):391-7. https://doi.org/10.1191/0269215504cr737oa
  19. Masani K, Vette AH, Kawashima N et al. Neuromusculoskeletal torque-generation process has a large destabilizing effect on the control mechanism of quiet standing. J Neurophysiol. 2008;100(3): 1465-75. https://doi.org/10.1152/jn.00801.2007
  20. Matjacic Z, Hesse S, Sinkjaer, T. Balance retrainer: a new standing-balance training apparatus and methods applied to a chronic hemiparetic subject with a neglect syndrome. Neuro Rehabilitation. 2003;18(3):251-9.
  21. Peterka RJ. Sensorimotor integration in human postural control. J Neurophysiol. 2002;88:1097- 118.
  22. Shumway-Cook A, Wollacott M. Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci. 2000;55(1):10-6.
  23. Smania N, Montagnana B, Faccioli S et al. Rehabilitation of somatic sensation and related deficit of motor control in patients with pure sensory stroke. Arch Phys Med Rehabil. 2003;84 (11):1692-702. https://doi.org/10.1053/S0003-9993(03)00277-6
  24. Teasdale N, Simoneau M. Attentional demands for postural control: the effects of aging and sensory reintegration. Gait Posture. 2001;14(3):203-10. https://doi.org/10.1016/S0966-6362(01)00134-5
  25. Tyson SF, Hanley M, Chillala J et al. Balance disability after stroke. Phys Ther. 2006;86(1):30-8.
  26. Winward CE, Halligan PW, Wade DT. The Rivermead Assessment of Somatosensory Performance(RASP): standardization and reliability data. Clin Rehabil. 2002;16(5):523-33. https://doi.org/10.1191/0269215502cr522oa
  27. Wolfe CD. The impact of stroke. Br Med Bull. 2000;56(2):275-86. https://doi.org/10.1258/0007142001903120
  28. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16(1):1-14. https://doi.org/10.1016/S0966-6362(01)00156-4
  29. Zhang L, Abreu BC, Masel B et al. Virtual reality in the assessment of selected cognitive function after brain injury. Am J Phys Med Rehabil. 2001; 80(8):597-604. https://doi.org/10.1097/00002060-200108000-00010