DOI QR코드

DOI QR Code

Effects of a Group Exercise Program for the Upper Extremities on Sensory and Motor Function and Activities of Daily Living in Chronic Stroke Patients: A Case Series

  • Ko, Myung-Sook (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jeon, Yong-Jin (Dept. of Physical Therapy, School of Medical & Public Health, Kyungdong University)
  • Received : 2015.04.02
  • Accepted : 2015.05.02
  • Published : 2015.05.21

Abstract

The purpose of this study was to identify the effects of an upper extremities group exercise program based on motor learning in chronic stroke patients and to assess improvements in upper sensory motor function and activities of daily living (ADL). Five chronic stroke patients participated for the duration of 25 weeks. On the assessment of motor and process skills, there was a statistically significant improvement in motor area functioning in 4 of the subjects. In process area functioning, there was a statistically significant change in 3 of the subjects. Therefore, further studies are needed to assess sensorimotor area and ADL changes in chronic stroke patients to reduce medical cost and assess for positive psychological changes.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea

References

  1. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2010 update: A report from the American Heart Association. Circulation. 2010;121(7):e46-e215.
  2. Bressel E, McNair PJ. The effect of prolonged static and cyclic stretching on ankle joint stiffness, torque relaxation, and gait in people with stroke. Phys Ther. 2002;82(9):880-887.
  3. Carr JH, Shepherd RB. Enhancing physical activity and brain reorganization after stroke. Neruol Res Int. 2011;2011:515938.
  4. Choi SJ, Shin WS. The effect of patient-selected, task-oriented training on activities of daily living, quality of life, and depression in stroke patients. J Korean Soc Phys Med. 2014;9(2): 213-222. https://doi.org/10.13066/kspm.2014.9.2.213
  5. Conforto AB, Ferreiro KN, Tomasi C, et al. Effect of somatosensory stimulation on motor function after subacuted stroke. Neurorehabil Neural Repair. 2010;24(3):263-272.
  6. Dean CM, Richards 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
  7. de Diego C, Puig S, Navarro X. A sensorimotor stimulation program for rehabilitation of chronic stroke patients. Restor Neurol Neurosci. 2013;31 (4):361-371. http://dx.doi.org/10.3233/RNN-120250
  8. Desveaux L, Beauchamp M, Goldstein R, et al. Community-based exercise programs as a strategy to optimize function in chronic disease: A systematic review. Med Care. 2014;52(3):216-226. http://dx.doi.org/10.1097/MLR.0000000000000065
  9. Duncan PW. Synthesis of intervention trials to improve motor recovery following stroke. Top Stroke Rehibil. 1997;3:1-20. https://doi.org/10.1080/10749357.1997.11754126
  10. Fisher AG. Multifaceted measurement of daily life task performance: Conceptualizing a test of instrumental ADL and validating the addition of personal ADL tasks. Phys Med Rehabil State Art Rev. 1997;11:293-303.
  11. Floel A, Nagorsen U, Werhahn KJ, et al. Influence of somatosensory input on motor function in patients with chronic stroke. Ann Neurol. 2004; 56(2):206-212. https://doi.org/10.1002/ana.20170
  12. Gialanella B, Santoro R, Ferlucci C. Predicting outcome after stroke: The role of basic activities of daily living predicting outcome after stroke. Eur J Phys Rehabil Med. 2013;49(5):629-637.
  13. Hayner K, Gibson G, Giles GM. Comparison of constraint- induced movement therapy and bilateral treatment of equal intensity in people with chronic upper-extremity dysfunction after cerebrovascular accident. Am J Occup Ther. 2010;64 (4):528-539.
  14. Kim DH, Oh MH, Park GA, et al. Effect of stroke patient's ADL and self-esteem on the caregiving burden of caregivers. Journal of Rehabilitation Research. 2014;18(2):247-266.
  15. Kirkley KN, Fisher AG. Alternate forms reliability of the assessment of motor and process skills. J Outcome Meas. 1999;3(1):53-70.
  16. Klingels K, De Cock P, Molenaers G, et al. Upper limb motor and sensory impairments in children with hemiplegic cerebral palsy. Can they be measured reliably? Disabil Rehabil. 2010;32(5): 409-416. http://dx.doi.org/10.3109/09638280903171469
  17. Krakauer JW. Motor learning: Its relevance to stroke recovery and neurorehabilitation. Curr Opin Neurol. 2006;19(1):84-90. https://doi.org/10.1097/01.wco.0000200544.29915.cc
  18. Kwakkel G. Impact of intensity of practice after stroke: Issues for consideration. Disabil Rehabil. 2006;28(13-14):823-830. https://doi.org/10.1080/09638280500534861
  19. Langhammer B, Stanghelle JK. Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: A randomized controlled study. Clin Rehabil. 2000;14(4):361-369. https://doi.org/10.1191/0269215500cr338oa
  20. Leroux A. Exercise training to improve motor performance in chronic stroke: Effects of a community- based exercise program. Int J Rehabil Res. 2005;28(1):17-23. https://doi.org/10.1097/00004356-200503000-00003
  21. Mark VW, Taub E. Constraint-induced movement therapy for chronic stroke hemiparesis and other disabilities. Restor Neurol Neurosci. 2004;22(3-5): 317-336.
  22. Miyamoto S, Kondo T, Suzukamo Y, et al. Reliability and validity of the manual function test in patients with stroke. Am J Phys Med Rehabil. 2009;88(3):247-255. http://dx.doi.org/10.1097/PHM.0b013e3181951133
  23. Page SJ, Levine P, Leonard AC. Effects of mental practice on affected limb use and function in chronic stroke. Arch Phys Med Rehabil. 2005;86 (3):399-402. https://doi.org/10.1016/j.apmr.2004.10.002
  24. Pang MY, Harris JE, Eng JJ. A community-based upper-extremity group exercise program improves motor function and performance of functional activities in chronic stroke: A randomized controlled trial. Arch Phys Med Rehabil. 2006;87 (1):1-9. https://doi.org/10.1016/S0003-9993(05)01445-0
  25. Pomeroy VM, King L, Pollock A, et al. Electrostimulation for promoting recovery of movement or functional ability after stroke. Cochrane Database Syst Rev. 2006;19(2): CD003241.
  26. Steultjens EM, Dekker J, Bouter LM, et al. Occupational therapy for stroke patients: A systematic review. Stroke. 2003;34(3):676-687. https://doi.org/10.1161/01.STR.0000057576.77308.30
  27. Stoykov ME, Lewis GN, Corcos DM. Comparison of bilateral and unilateral training for upper extremity hemiparesis in stroke. Neurorehabil Neural Repair. 2009;23(9):945-953. http://dx.doi.org/10.1177/1545968309338190
  28. van de Port IG, Wevers LE, Lindeman E, et al. Effects of circuit training as alternative to usual physiotherapy after stroke: Randomised controlled trial. BMJ. 2012;344:e2672. http://dx.doi. org/10.1136/bmj.e2672
  29. Winstein C, Lewthwaite R, Blanton SR, et al. Infusing motor learning research into neurorehabilitation practice: A historical perspective with case exemplar from the accelerated skill acquisition program. J Neurol Phys Ther. 2014;38(3):190-200. http://dx.doi.org/10.1097/NPT.0000000000000046
  30. Wittenberg GF, Chen R, Ishii K, et al. Constraint-induced therapy in stroke: Magnetic-stimulation motor maps and cerebral activation. Neurorehabil Neural Repair. 2003;17(1):48-57. https://doi.org/10.1177/0888439002250456
  31. Wu CY, Hu HY, Huang N, et al. Determinants of long-term care services among the elderly: A population-based study in Taiwan. PLoS One. 2014;9(2):e89213. http://dx.doi.org/10.1371/journal. pone.0089213
  32. Yoo DH, Hong DG, Choi SY. Effect of virtual reality- based task training on upper extremity function and activities of daily living in stroke patients. Journal of Rehabilitation Research. 2014;18(2):289-308.