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Effects of White Noises on Gait Ability of Hemiplegic Patients during Circuit Balance Training

  • Received : 2011.11.09
  • Accepted : 2012.02.21
  • Published : 2012.03.31

Abstract

This study examines the effects of different environments on the application of hemiplegia patients circuit balance training. Group 1 performed circuit balance training without any auditory intervention Group 2 performed training in noiseless environments and Group 3 performed training in white noise environments. First, among lower extremity muscular strength evaluation items, maximum activity time(MAT) was not significantly different(p>.05). Maximum muscle strength(MMS) increased significantly in Group 3(p<.01), there was no significant difference in MMS among the groups. Average muscle strength(AMS) indexes also significantly increased in Group 3(p<.01), there was no significant difference in AMS among the groups. Second, among balancing ability evaluation items, Berg's balance scale(BBS) scores significantly increased in all groups(p<.05), BBS scores were significantly difference among the groups. Based on the results, Group 1, 2 and Group 1, 3 showed significant increases (p<.05). Functional reach test(FRT) values significantly increased in Group 2, 3(p<.05), and there was no significant difference in FRT values among the groups. Timed up and go(TUG) test values significantly decreased in Group 2, 3(p<.05), and there was no significant difference in TUG test values among the groups. Third, among walking speed evaluation items, the time required to walk 10m significantly decreased in all groups(p<.05), and there was no significant difference in the values among the groups. Average walking speeds showed significant increases in Group 1, 3(p<.05), and there was no significant difference in the values among the groups. Based on the results of this study, noise environments should be improved by either considering auditory interventions and noiseless environments, or by ensuring that white noise environments facilitate the enhancement of balancing ability.

Keywords

References

  1. Briggs RC, Gossman MR, Birch R, Drews JE, Shaddeau SA. Balance performance among noninstitutionalized elderly women. Phys Ther 1989; 69(9): 748-756. https://doi.org/10.1093/ptj/69.9.748
  2. Kim HS. Movement of Human Body. Seoul: Hyun Moon Sa 1992.
  3. Chandler JM, Ducan PW, Studenski SA. Balance performance on the postural stress test: Comparison of young adult, healthy elderly, and fallers. Phys Ther 1990; 70(7): 410-415. https://doi.org/10.1093/ptj/70.7.410
  4. Thaut MH. Rhythm, Music, and the Brain. Taylor & Francis Group LLC 2005.
  5. Thaut MH, Abiru M. Rhythmic auditory stimulation in rehabilitation of movement disorders: A review of current research. Music Perception 2010; 27(4): 263-269. https://doi.org/10.1525/mp.2010.27.4.263
  6. LaBerge D. Attentional control: brief and prolonged. Psychol Res 2002; 66: 220-233. https://doi.org/10.1007/s00426-002-0097-2
  7. Bensoussan L, Viton JM, Schieppati M, Collado H, Milhe V, Mesure S, Delarque A. Changes in postural control in hemiplegic patients after stroke performing a dual task. Arch Phys Med Rehabil 2007; 88: 1009-1015. https://doi.org/10.1016/j.apmr.2007.05.009
  8. Stapleton T, Ashburn A, Stack E. A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. Clin Rehabil 2001; 15: 437-444. https://doi.org/10.1191/026921501678310243
  9. Eschenbrenner AJ Jr. Effects of intermittent noise on the performance of a complex psychomotor task. Hum Factors 1971; 13(1): 59-63. https://doi.org/10.1177/001872087101300108
  10. Shummway-Cook A, Woollcott Marjorie H. Motor Control Trans Research Clin(4th edition). Lippincott Williams & Wilkins 2011.
  11. Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil 2002; 83(8): 1238-1144.
  12. Neil F Gordon, Meg Gulanick, Fernando Costa, Gerald Fletcher, Barry A Franklin, Elliot J Roth, Tim Shephard. Physical Activity and Exercise Recommendations for Stoke Survivors. J Am Heart Assoc 2011; 2031-2041.
  13. Dean CM, Richands CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil 2000; 81(4): 409-417. https://doi.org/10.1053/mr.2000.3839
  14. Yang YR, Wang RY, Lin KH, Chu MY, Chan RC. Task-oriented progressive resistance strengthen training improves muscle strength and functional performance in individuals with stroke. Clin Rehabil 2006; 20(10): 860-870. https://doi.org/10.1177/0269215506070701
  15. Salbach NM, Mayo NE, Wood-Dauphinee S, Hanley JA, Richards CL, Cote RA. Task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil 2004; 18(5): 509-519. https://doi.org/10.1191/0269215504cr763oa
  16. Kim JE, Lee SH. Study on the present condition of the Playrooms Environment. Kor J of Play Ther 2001; 4(1): 41-55.
  17. Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill. Butterworth-Heinemann. Oxford 2004.
  18. Richards CL, Malouin F, Wood-Dauphinee S, Willams JI, Bouchard JP, Brunet D. Task-specific physical therapy for optimization of gait recovery in acute stroke patients. Arch Phys Med Rehabil 1993; 74(6): 612-620. https://doi.org/10.1016/0003-9993(93)90159-8
  19. Richards CL, Malouin F, Wood-Dauphinee S, Willams JI, Bouchard JP, Brunet D. Task-specific physical therapy for optimization of gait recovery in acute stroke patients. Arch Phys Med Rehabil 1993; 74(6): 612-620. https://doi.org/10.1016/0003-9993(93)90159-8
  20. Monger C, Carr JH, Fowler V. Evaluation of a home-based exercise and training program to improve sit-to-stand in patients with chronic stroke. Clin Rehabil 2002; 16(4): 361-367. https://doi.org/10.1191/0269215502cr506oa
  21. Joo MJ. Effects of task-oriented on depression and motor function in stroke. Dongshin University, Korea 2010.
  22. Kim SM. The efficacy of PNF and circuit group exercise on improvement of motor function in disabled persons after stroke. Department of physical therapy graduate school of Daegu University 2004.
  23. Leroux A, Pinet H, Hadeaus S. Task-oriented intervention in chronic stroke; Changes in clinical and laboratory measures of balance and mobility. Am J Phys Med Rehabil 2006; 85(10): 820-830. https://doi.org/10.1097/01.phm.0000233179.64769.8c
  24. Lee HS, Kim MC. The effect of balance taskrelated circuit training on chronic stroke patients. J Kor Soc Phys Ther 2009; 21(4): 23-30. https://doi.org/10.1589/jpts.21.23
  25. Weiner DK, Bongiorni DR, Studenski SA, Duncan PW, Kochersberger GG. Does functional reach improve with rehabilitation?. Arch Phys Med Rehabil 1993; 74(8): 796-800. https://doi.org/10.1016/0003-9993(93)90003-S
  26. Thielman GT, Dean CM, Gentile AM. Rehabilitat ion of reaching after stroke: task-related training versus progressive resistive exercise. Arch Phys Med Rehabil 2004; 85(10): 1613-1618. https://doi.org/10.1016/j.apmr.2004.01.028
  27. Song WS, Park MC, Shim JM. The effect of the circuit exercise and conventional exercise on walking ability in chronic stroke. J Kor Sco Phys Ther 2010; 5(2): 193-201.
  28. Bogle Thorbahn LD, Newton RA. Use of the berg balance test to predict falls in elderly persons. Phys Ther 1996; 76(6): 576-583. https://doi.org/10.1093/ptj/76.6.576
  29. Song JM, Park RJ, Kim JS. The effect of vision and audition on balance performance according to age. J Kor Soc Phys Ther 1994; 6(1): 75-84.