Effects of Dual Task Balance Training on Balance and Activities of Daily Living in Stroke Patient

이중과제 균형 훈련이 뇌졸중 환자의 균형과 일상생활동작에 미치는 효과

  • Kim, Yeo-Jin (Department of Physical Therapy, Daegu Catholic University Hospital) ;
  • Son, Ho-Hee (Department of Physical Therapy, Daegu University) ;
  • Oh, Jung-Lim (Department of Physical Therapy, Daewon College) ;
  • Park, Rae-Joon (Department of Physical Therapy, Daegu University)
  • 김여진 (대구카톨릭대학교병원 물리치료실) ;
  • 손호희 (대구대학교 물리치료학과) ;
  • 오정림 (대원과학대학 물리치료과) ;
  • 박래준 (대구대학교 물리치료학과)
  • Received : 2010.10.04
  • Accepted : 2010.11.01
  • Published : 2011.02.28

Abstract

Purpose : The purpose of study was to investigate effects of dual task balance training on balance and activities of daily living(ADL) in Stroke patient. Methods : The purpose of study was to investigate effects of dual task balance training on balance and activities of daily living(ADL) in Stroke patient. Results : The results of this study were summarized as follows: There were significant improvement in balance and ADL following the training in experimental group. There were significant improvement in a part of balance following the training in control group, whereas there were no significant improvement in ADL following the training in control group. There were significant difference following training in both groups in balance and ADL. The level of statistical significance was <05. Conclusion : Based on the results of this study, dual task balance training have an effects on balance and ADL in stroke patients.

Keywords

References

  1. 김종만, 이정원, 이충휘. 편마비 환자의 균형 기능과 감각조직화. 한국 전문물리치료학회지. 1997;4(3):61-9.
  2. 박래준, 김재욱, 김수민. 과제 지향적 기능 훈련이 뇌졸중 환자의 균형에 미치는 영향. 대한물리치료학회지. 2003;15(4):65-81
  3. 안승헌, 서영종, 박창식. 만성뇌졸중 환자의 자세 조절과 일상생활동작, 근긴장도, 그리고 기능증진과의 관계. 한국전문물리치료학회지. 2007;14(1):64-73.
  4. 이성란. 뇌졸중 환자의 인지기능 점수가 일상생활활동에 미치는 영향. 대구대학교 재활과학대학원. 2003.
  5. 이영정, 이충휘, 권오윤. 뇌졸중 환자에서 Fugl-Meyer 평가척도와 보행 속도, Timed Up & Go 검사와의 상관관계. 한국전문물리치료학회지. 2004;11(1):1-17.
  6. 정순미. 노인의 단기집중 균형훈련이 하지수행능력에 미치는 영향. 인제대학교 보건대학원. 2006.
  7. 정한영, 박진희, 심재진 등. 한글화된 Berg 균형검사법의 신뢰도 분석. 대한재활의학회지. 2006;30(6):611-8.
  8. 최혜숙. 일상생활동작학. 계축문화사. 2004.
  9. 통계청. 사망원인 통계연보. 2006.
  10. 허혜경, 김미정, 조미옥 등. 노인의 신체적 균형, 일상생활활동과 우울증과의 관계. 한국노년학연구. 1997;6(12):3-18.
  11. Bensoussan L, Viton JM, Schieppati M et al. Changes in postural control in hemiplegic patients after stroke performing a dual task. Arch Phys Med Rehabil. 2007;88(8):1009-15. https://doi.org/10.1016/j.apmr.2007.05.009
  12. Berg KO, Maki BE, Williams JI et al. Clinical and laboratory measures of postural balance in an elderly populaton. Arch Phy Med Rehabil. 1992; 73(11):1073-80.
  13. Bohannon. RW. Strength of lower limb related to gait velocity and cadence in stroke patients. Physiother Can. 1986;38(4):204-6. https://doi.org/10.3138/ptc.38.4.204
  14. Bohannon RW, Leavy KM. Standing balance and function over the course of acute rehabilitation. Arch Phys Med Rehabil. 1995;76(11):994-6. https://doi.org/10.1016/S0003-9993(95)81035-8
  15. Bowen A, Wenman R, Mickelborough J et al. Dual-task effects of talking while walking on velocity and balance following a stroke. Age Ageing. 2001;30(4):319-23. https://doi.org/10.1093/ageing/30.4.319
  16. Carr JH, Shepherd RB, Nordholm L et al. Investigation of a new motor assessment scale for stroke patients. Phys Ther. 1985;65(2):175-80. https://doi.org/10.1093/ptj/65.2.175
  17. Cheng PT, Wu SH, Liau 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
  18. Cockburn J, Haggard P, Cock J et al. Changing patterns of cognitive-motor interference(CMI) over time during recovery from stroke. Clin Rehabil. 2003;17(2):167-73. https://doi.org/10.1191/0269215503cr597oa
  19. Davies, PM. Steps to follows: A guide to the treatment of adult hemiplegia. berlin. springer-verlag. 1985.
  20. Edwards, S. Neurological physiotherapy: a problem-solving approach. new york. churchill livingstone. 1996.
  21. Filiatrault J, Arsenault AB, Dutil E et al. Motor function and activities of daily living assessments: a study of three tests for persons with hemiplegia. Am J Occup Ther. 1991;45(9):806-10. https://doi.org/10.5014/ajot.45.9.806
  22. Granger CV, Albrecht GL, Hamilton BB. Outcome of comprehensive medical rehabilitation: measurement by PULSES profile and the barthel index. Arch Phy Med Rehabil. 1979;60(4):145-54.
  23. Haggard P, Cockburn J, Cock J et al. Interference between gait and cognitive tasks in a rehabilitating neurological population. J Neurol Neurosurg Phychiatry. 2000;69(4):479-86. https://doi.org/10.1136/jnnp.69.4.479
  24. Horak FB. Clinical measurement of postural control in adults. PhysTher. 1987;67(12):1981-5.
  25. Ikai T, Kamikubo T, Takenhara I et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):463-9.
  26. Leroux A, Pinet H, Nadeau S. Task-oriented intervention in chronic stroke: changes in clinical and laboratory measures of balance and mobility. Am J Phy Med Rehabil. 2006;85(10):820-30. https://doi.org/10.1097/01.phm.0000233179.64769.8c
  27. McNevin NH, Shea CH, Wulf G. Increasing the distance of an external focus of attention enhances learning. Psychol Res. 2003;67(1):22-9.
  28. Michael KM, Allen JK, Macko RF. Reduced ambulatory activity after stroke: The role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil. 2005;86(8):1552-6. https://doi.org/10.1016/j.apmr.2004.12.026
  29. Nashner LM, Mccollum G. The Organization of human postural movements: A formal basis and experimental synthesis. Behar Brain Sci. 1985;8 (1):135-50. https://doi.org/10.1017/S0140525X00020008
  30. O'sullivan SB, Schmitz, Thomas J. Physical rehabilitation assessment and treatment. Philadelphia. F.A. Davis. 1994.
  31. Patima Silsupadol, Ka-Chun Siu, Anne Shumway-Cook et al. Training of Balance Under Single and Dual-Task Conditions in OlderAdults With Balance Impairment. Phys Ther. 2006;86(2): 269-81.
  32. Ragnarsdottir, M. The concept of balance. Physiotherapy. 1996;82(6):368-75. https://doi.org/10.1016/S0031-9406(05)66484-X
  33. Riley MA, Stoffregen TA, Grocki MJ et al. Postural stabilization for the control of touching. Hum Mov Sci. 1999;18(6):795-817. https://doi.org/10.1016/S0167-9457(99)00041-X
  34. Sackley C.M, Baguley BI. Visual feedback after stroke with the balance performance monitor: Two single-case studies. Clin Rehabil. 1993;7(3): 189-95. https://doi.org/10.1177/026921559300700302
  35. Stoffregen TA, Pagulayan RJ, Bardy BG et al. Modulating postural control to facilitate visual performance. Hum Mov Sci. 2000;19(2):203-20. https://doi.org/10.1016/S0167-9457(00)00009-9
  36. Trombly, Catherine Anne. Occupational therapy for physical dysfunction. 1983.
  37. Tyson SF, Hanley M, Chillala J et al. Balance disability after stroke. Physical Therapy. 2006;86(1):30-8.
  38. Woollacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: Changes in sensory organization and muscular coordination. Int Aging Hum Dev. 1986;23(2):97-114. https://doi.org/10.2190/VXN3-N3RT-54JB-X16X
  39. Wulf G, Prinz W. Directing attention to movement effects enhances learning: A review. Psychon Bull Rev. 2001;8(4):648-60. https://doi.org/10.3758/BF03196201
  40. Yang YH, Wang RH, Chen YC et al. Dual-Task Exercise Improves Walking Ability in Chronic Stroke: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2007;88(10):1236-40. https://doi.org/10.1016/j.apmr.2007.06.762