DOI QR코드

DOI QR Code

The effect of action-observational physical training based on mirror neuron system on upper extremity function and activities of daily living in stroke patient

유비쿼터스 환경에서의 거울신경세포시스템에 근간한 동작관찰-신체훈련 (뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향)

  • Received : 2013.10.30
  • Accepted : 2014.01.13
  • Published : 2014.01.31

Abstract

The aim of this study was to determine the effect of action observational physical training on upper extremity function and activities of daily living in stroke patient. 19 hemiparetic patients participated in this study and were randomly selected into an experimental group and a control group. An experimental group observed performance actions of purposeful activity task through a video and imitated actions with the traditional occupational therapy, and a control group only observed actions with the traditional occupational therapy. Traing was performed 3 times a week and 30 min for each round for 4 weeks. WMFT were performed for an upper extremity function and MBI were performed for activities of daily living. As a result, WMFT and MBI showed significant difference between before and after in two groups but didn't show significant difference between two groups.

본 연구는 유비쿼터스 환경에서 동작관찰-신체훈련이 뇌졸중 환자의 상지기능과 일상생활활동에 어떠한 영향을 미치는 지 알아보고자 실시하였다. 연구 대상자는 19명이며 실험군 10명, 대조군 9명으로 나누었다. 실험군은 일반 작업치료와 동작관찰-신체훈련을 병행하였고, 대조군은 일반 작업치료와 동작관찰만을 시행하였다. 훈련 과정은 4주였으며, 주 3회, 회당 30분씩 훈련에 참여하였다. 대상자 선별 후 WMFT와 MBI 평가를 시행하였으며 전-후 평가를 실시하여 증진 정도를 보고자 하였다. 그 결과 대상자들의 상지기능과 일상생활활동은 두 그룹 모두중재 후 유의한 증진을 보였다(p<.05). 하지만 각 측정 시점간의 두 군의 차이는 유의한 차이를 보이지 않았다.

Keywords

References

  1. Y.-J. Oh and E.-K. Kim, "Implementation and Analysis of 3D Fish Encyclopedia for Children Education in Mobile Environment," J. of The Korea Institute of Electronic Communication Sciences, vol. 8, no. 2, 2013 https://doi.org/10.13067/JKIECS.2013.8.2.355
  2. C. A. Trombly and H. Ma, "A synthesis of the effects of occupational therapy for person with stroke, part I: Restoration of roles, tasks, and activities," The American J. of occupational therapy, vol. 56, no. 3, 2002, pp. 250-259. https://doi.org/10.5014/ajot.56.3.250
  3. C. Luke, K. J. Dodd, and K. Brock, "Outcomes of the Bobath concept on upper limb recovery following stroke," Clinical rehabilitation, vol. 18, no. 8, 2004, pp. 888-898. https://doi.org/10.1191/0269215504cr793oa
  4. A. Shumway-Cook and M. H. Woollacott, Motor Control: Translating Research Into Clinical Practice. Lippincott Williams&Wilki, 2007.
  5. A. S. Merians, D. Jack, R. Boian, M. Tremaine, G. C. Burdea, S. V. Adamovich, M. Recce, and H. Poizner, "Virtual reality-augmented rehabilitation for patients following stroke," Physical therapy, vol. 82, no. 9, 2002, pp. 898-915.
  6. B. H. Dobkin, "Training and exercise to drive poststroke recovery," Nature clinical practice neurology, vol. 4, no. 2, 2008, pp. 76-85.
  7. R. A. Schmidt and T. D. Lee, Motor Control and Learning - 4th : A Behavioral Emphasis. Human Kinetics, 2005.
  8. R. J. Nudo, "Retuning the misfiring brain," Proc. of the National Academy of Sciences of the United States of America, vol. 100, no. 13, 2003, pp. 7425-7427. https://doi.org/10.1073/pnas.1533210100
  9. J. Liepert, H. Bauder, W. H. Miltner, E. Taub, and C. Weiller, "Treatment-induced cortical reorganization after stroke in humans," Stroke; a J. of cerebral circulation, vol. 31, no. 6, 2000, pp. 1210-1216. https://doi.org/10.1161/01.STR.31.6.1210
  10. E. Taub, N. Miller, T. Novack, E. Cook 3rd, W. Fleming, C. Nepomuceno, J. Connell, and J. Crago, "Technique to improve chronic motor deficit after stroke," Archives of physical medicine and rehabilitation, vol. 74, no. 4, 1993, pp. 347.
  11. C. E. Levy, D. S. Nichols, P. M. Schmalbrock, P. Keller, and D. W. Chakeres, "Functional MRI evidence of cortical reorganization in upper limb stroke hemiplegia treated with constraint-induced movement therapy," American J. of physical medicine & rehabilitation, vol. 80, no. 1, 2001, pp. 4-12. https://doi.org/10.1097/00002060-200101000-00003
  12. L. W. Pedretti and M. B. Early, Occupational Therapy: Practice Skills for Physical Dysfunction. Mosby, 2001.
  13. M. Jeannerod, "Neural simulation of action: a unifying mechanism for motor cognition," Neuroimage, vol. 14, 2001, S103-S109. https://doi.org/10.1006/nimg.2001.0832
  14. V. Gallese, L. Fadiga, L. Fogassi, and G. Rizzolatti, "Action recognition in the premotor cortex," Brain, vol. 119, no. 2, 1996, pp. 593-609. https://doi.org/10.1093/brain/119.2.593
  15. G. Rizzolatti, L. Fadiga, V. Gallese, and L. Fogassi, "Premotor cortex and the recognition of motor actions," Cognitive brain research, vol. 3, no. 2, 1996, pp. 131-141. https://doi.org/10.1016/0926-6410(95)00038-0
  16. F. Binkofski and G. Buccino, "Motor functions of the Broca's region," Brain and Language, vol. 89, no. 2, 2004, pp. 362-369. https://doi.org/10.1016/S0093-934X(03)00358-4
  17. G. Rizzolatti and M. A. Arbib, "Language within our grasp," Trends in neurosciences, vol. 21, no. 5, 1998, pp. 188-194. https://doi.org/10.1016/S0166-2236(98)01260-0
  18. A. P. Strafella and T. Paus, "Modulation of cortical excitability during action observation: a transcranial magnetic stimulation study," Neuroreport, vol. 11, no. 10, 2000, pp. 2289-2292. https://doi.org/10.1097/00001756-200007140-00044
  19. C. Tremblay, M. Robert, A. Pascual-Leone, F. Lepore, D. K. Nguyen, L. Carmant, A. Bouthillier and H. Theoret, "Action observation and execution Intracranial recordings in a human subject," Neurology, vol. 63, no. 5, 2004, pp. 937-938. https://doi.org/10.1212/01.WNL.0000137111.16767.C6
  20. G. Buccino, F. Binkofski, G. R. Fink, L. Fadiga, L. Fogassi, V. Gallese, R. J. Seitz, K. Zilles, G. Rizzolatti, and H. J. Freund, "Action observation activates premotor and parietal areas in a somatotopic manner: an fMRI study," European J. of neuroscience, vol. 13, no. 2, 2001, pp. 400-404.
  21. G. Rizzolatti and L. Craighero, "THE MIRROR- NEURON SYSTEM," Annual review of neuroscience, vol. 27, no. 1, 2004, pp. 169-192. https://doi.org/10.1146/annurev.neuro.27.070203.144230
  22. M. Iacoboni, "Cortical Mechanisms of Human Imitation," Science, vol. 286, no. 5449, 1999, pp. 2526-2528. https://doi.org/10.1126/science.286.5449.2526
  23. M. A. Umilta, E. Kohler, V. Gallese, L. Fogassi, L. Fadiga, C. Keysers and G. Rizzolatti, "I know what you are doing: A neurophysiological study," Neuron, vol. 31, no. 1, 2001, pp. 155-166. https://doi.org/10.1016/S0896-6273(01)00337-3
  24. K. A. Garrison, C. J. Winstein and L. Aziz- Zadeh, "The Mirror Neuron System: A Neural Substrate for Methods in Stroke Rehabilitation," Neurorehabilitation and Neural Repair, vol. 24, no. 5, 2010, pp. 404-412. https://doi.org/10.1177/1545968309354536
  25. L. M. Ewan, K. Kinmond and P. S. Holmes, "An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke," Disability & Rehabilitation, vol. 32, no. 25, 2010, pp. 2097-2106. https://doi.org/10.3109/09638288.2010.481345
  26. M. Lee, J. Kim, and B. Yang. "The Effect of Action Observational Physical Training on Manual Dexterity in Stroke Patients," Physical Therapy Korea, vol. 17, no. 2, 2010, pp. 17-24.
  27. E. Pelosin, L. Avanzino, M. Bove, P. Stramesi, A. Nieuwboer, and G. Abbruzzese, "Action Observation Improves Freezing of Gait in Patients With Parkinson & apos;s Disease," Neurorehabilitation and Neural Repair, vol. 24, no. 8, 2010, pp. 746-752. https://doi.org/10.1177/1545968310368685
  28. G. Bellelli, G. Buccino, B. Bernardini, A. Padovani and M. Trabucchi, "Action Observation Treatment Improves Recovery of Postsurgical Orthopedic Patients: Evidence for a Top-Down Effect?," YAPMR, vol. 91, no. 10, 2010, pp. 1489-1494.
  29. L. M. Oberman, E. M. Hubbard, J. P. McCleery, E. L. Altschuler, V. S. Ramachandran, and J. A. Pineda, "EEG evidence for mirror neuron dysfunction in autism spectrum disorders," Cognitive Brain Research, vol. 24, no. 2, 2005, pp. 190-198. https://doi.org/10.1016/j.cogbrainres.2005.01.014
  30. G. Buccino and L. Riggio, "The role of the mirror neuron system in motor learning," Kinesiology, vol. 38, no. 1, 2006, pp. 5-15.
  31. K. Stefan, L. G. Cohen, J. Duque, R. Mazzocchio, P. Celnik, L. Sawaki, L. Ungerleider, and J. Classen, "Formation of a motor memory by action observation," The J. of Neuroscience, vol. 25, no. 41, 2005, pp. 9339-9346. https://doi.org/10.1523/JNEUROSCI.2282-05.2005
  32. S. L. Wolf, D. E. Lecraw, L. A. Barton, and B. B. Jann, "Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients," Experimental neurology, vol. 104, no. 2, 1989, pp. 125-132. https://doi.org/10.1016/S0014-4886(89)80005-6
  33. S. L. Wolf, P. A. Catlin, M. Ellis, A. L. Archer, B. Morgan and A. Piacentino, "Assessing Wolf motor function test as outcome measure for research in patients after stroke," Stroke; a J. of cerebral circulation, vol. 32, no. 7, 2001, pp. 1635-1639. https://doi.org/10.1161/01.STR.32.7.1635
  34. D. M. Morris, G. Uswatte, J. E. Crago, E. W. Cook, and E. Taub, "The reliability of the Wolf Motor Function Test for assessing upper extremity function after stroke," Archives of physical medicine and rehabilitation, vol. 82, no. 6, 2001, pp. 750-755. https://doi.org/10.1053/apmr.2001.23183
  35. J. H. Lin, M. J. Hsu, C. F. Sheu, T. S. Wu, R. T. Lin, C. H. Chen, and C. L. Hsieh, "Psychometric comparisons of 4 measures for assessing upper-extremity function in people with stroke," Physical Therapy, vol. 89, no. 8, 2009, pp. 840-850. https://doi.org/10.2522/ptj.20080285
  36. S. Shah, F. Vanclay, and B. Cooper, "Improving the sensitivity of the Barthel Index for stroke rehabilitation," J. of clinical epidemiology, vol. 42, no. 8, 1989, pp. 703-709. https://doi.org/10.1016/0895-4356(89)90065-6
  37. D Ertelt, S Small, A Solodkin, C Dettmers, A McNamara, F Binkofski, and G Buccino, "Action observation has a positive impact on rehabilitation of motor deficits after stroke," Neuroimage, vol. 36, 2007, T164-T173. https://doi.org/10.1016/j.neuroimage.2007.03.043
  38. J Zhu, J Chong, and K-C Kim, "The Recognition and Distance Estimation of a Golf Ball using a WebCam," J. of The Korea Institute of Electronic Communication Science, vol. 8, no. 12, 2013, pp. 1833-1839. https://doi.org/10.13067/JKIECS.2013.8.11.1833
  39. K. Kim, S. Han, and J. Park, "A Distortion Correction Method of Wide-Angle Camera Images through the Estimation and Validation of a Camera Model," J. of The Korea Institute of Electronic Communication Science, vol. 8, no. 12, 2013, pp. 1923-1931. https://doi.org/10.13067/JKIECS.2013.8.11.1923