Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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The Effects of Home-Based Action Observation Training on Upper Extremity Function in Tumor-Induced Hemiparetic Patient : Single Case Study

동작관찰 훈련이 뇌종양으로 인한 편마비 환자의 상지기능과 삶의 질에 미치는 효과: 단일사례연구

  • Jung, Jun-Sik (Dep. of Occupational Therapy, Seoul Medical Center) ;
  • Park, Hae-Yean (Dep. of Occupational Therapy, College of Health Science, Yonsei University)
  • 정준식 (서울특별시 서울의료원 작업치료실) ;
  • 박혜연 (연세대학교 보건과학대학 작업치료학과)
  • Received : 2015.11.30
  • Accepted : 2016.01.31
  • Published : 2016.01.30
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Abstract

Objective : This study aimed to investigate the effects of home-based action observation training on upper extremity in brain tumor patient. Methods : Among the single case study design, this experiment used ABA' design. The evaluations were carried out 4 times during pre baseline period(A) and post baseline period(A') respectively. At the intervention period(B), a total of 25 times of action observation training and 10 times of evaluation were administered. Results : Study results indicate that 9-hole peg test, Box and Block Test, Manual Function Test were increased when compared to action observation intervention(B) to pre intervention baseline(A). Conclusion : Based on these results, home-based action observation training may be an effective upper extremity intervention strategy for tumor-induced hemiparetic patient.

목적 : 본 연구의 목적은 가정-기반 동작관찰 훈련이 뇌종양 환자의 상지기능에 미치는 영향을 알아보기 위함이다. 연구방법 : 단일사례연구 방법 중 ABA 디자인을 사용하였다. 기초선(A) 기간에 중재 없이 4회 평가를 실시하였고, 중재선(B) 기간에 총 25회의 훈련과 10회 평가를 실시하였으며 중재 후 회귀기초선(A') 기간에 중재 없이 4회 재평가를 실시하였다. 결과 : 9-홀 페그 테스트, 상자와 나무토막 검사, 뇌졸중 상지 기능검사에서 뇌종양 환자의 상지기능이 기초선과 회귀기초선(A와 A')보다 중재기(B)에 개선되었다. 세계보건기구 삶의 질 척도의 신체적 영역, 심리적 영역, 생활환경 영역에서 점수 향상이 있었다. 결론 : 본 연구 결과로 동작관찰 훈련이 뇌종양 환자에게 적용 가능한 중재 기법이고 상지 기능과 삶의 질을 향상시킨다는 것을 알 수 있었다.

Keywords

References

  1. Binkofski, F., & Buccino, G. (2006). The role of ventral premotor cortex in action execution and action understanding. Journal of Physiology-Paris, 99(4), 396-405. https://doi.org/10.1016/j.jphysparis.2006.03.005
  2. Buccino, G., Vogt, S., Ritzl, A., Fink, G. R., Zilles, K., Freund, H. J., & Rizzolatti, G. (2004). Neural circuits underlying imitation learning of hand actions: An event-related fMRI study. Neuron, 42(2), 323-334. https://doi.org/10.1016/S0896-6273(04)00181-3
  3. Calvo-Merino, B., Glaser, D. E., Grozes, J., Passingham, R. E., & Haggard, P. (2005). Action observation and acquired motor skills: An FMRI study with expert dancers. Cerebral Cortex, 15(8), 1243-1249. https://doi.org/10.1093/cercor/bhi007
  4. Fadiga, L., Fogassi, L., Pavesi, G., & Rizzolatti, G. (1995). Motor facilitation during action observation: a magnetic stimulation study. Journal of Neurophysiology, 73(6), 2608-2611. https://doi.org/10.1152/jn.1995.73.6.2608
  5. Feys, H. M., De Weerdt, W. J., Selz, B. E., Steck, G. A. C., Spichiger, R., Vereeck, L. E., ... & Van Hoydonck, G. A. (1998). Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke a single-blind, randomized, controlled multicenter trial. Stroke, 29(4), 785-792. https://doi.org/10.1161/01.STR.29.4.785
  6. Frederickson, M., & Cannon, N. L. (1995). The role of the rehabilitation physician in the postacute continuum. Archives of Physical Medicine and Rehabilitation, 76(12), SC5-SC9. https://doi.org/10.1016/S0003-9993(95)81396-9
  7. Freeman, E. A. (1997). Concept paper: Community based rehabilitation of the person with a severe brain injury. Brain injury, 11(2), 143-154. https://doi.org/10.1080/026990597123746
  8. Frey, S. H., Fogassi, L., Grafton, S., Picard, N., Rothwell, J. C., Schweighofer, N., ... & Fitzpatrick, S. M. (2011). Neurological principles and rehabilitation of action disorders computation, anatomy, and physiology (CAP) model. Neurorehabilitation and Neural Repair, 25(5 suppl), 6S-20S. doi: 10.1177/1545968311410942
  9. Greenberg, E., Treger, I., & Ring, H. (2006). Rehabilitation outcomes in patients with brain tumors and acute stroke: comparative study of inpatient rehabilitation. American Journal of Physical Medicine & Rehabilitation, 85(7), 568-573. https://doi.org/10.1097/01.phm.0000223218.38152.53
  10. Grezes, J., & Decety, J. (2001). Functional anatomy of execution, mental simulation, observation, and verb generation of actions: A meta-analysis. Human Brain Mapping, 12(1), 1-19. https://doi.org/10.1002/1097-0193(200101)12:1<1::AID-HBM10>3.0.CO;2-V
  11. Haut, M. W., Haut, J. S., & Bloomfield, S. S. (1991). Family issues in rehabilitation of patients with malignant brain tumors. Neurorehabilitation, 1, 39-47.
  12. Huang, M. E., Cifu, D. X., & Keyser-Marcus, L. (1998). Functional outcome after brain tumor and acute stroke: A comparative analysis. Archives of Physical Medicine and Rehabilitation, 79(11), 1386-1390. https://doi.org/10.1016/S0003-9993(98)90232-5
  13. Iacoboni, M., Molnar-Szakacs, I., Gallese, V., Buccino, G., Mazziotta, J. C., & Rizzolatti, G. (2005). Grasping the intentions of others with one's own mirror neuron system. PLS Biology, 3(3), e79. https://doi.org/10.1371/journal.pbio.0030079
  14. Kim, J. M., Yang, B. I., & Lee, M. K. (2010). The effect of action observational physical training on manual dexterity in stroke patients. Physical Therapy Korea, 17(2).
  15. Maeda, F., Mazziotta, J., & Iacoboni, M. (2002). Transcranial magnetic stimulation studies of the human mirror neuron system. In International Congress Series (Vol. 1232, pp. 889-894). Elsevier.
  16. Marciniak, C. M., Sliwa, J. A., Spill, G., Heinemann, A. W., & Semik, P. E. (1996). Functional outcome following rehabilitation of the cancer patient. Archives of Physical Medicine and Rehabilitation, 77(1), 54-57. https://doi.org/10.1016/S0003-9993(96)90220-8
  17. Mathiowetz, V., Volland, G., Kashman, N., & Weber, K. (1985). Adult norms for the Box and Block Test of manual dexterity. American Journal of Occupational Therapy, 39(6), 386-391. https://doi.org/10.5014/ajot.39.6.386
  18. Miyamoto, S., Kondo, T., Suzukamo, Y., Michimata, A., & Izumi, S. I. (2009). Reliability and validity of the Manual Function Test in patients with stroke. American Journal of Physical Medicine & Rehabilitation, 88(3), 247-255. doi: 10.1097/PHM.0b013e3181951133
  19. O'Dell, M. W., Barr, K., Spanier, D., & Warnick, R. E. (1998). Functional outcome of inpatient rehabilitation in persons with brain tumors. Archives of Physical Medicine and Rehabilitation, 79(12), 1530-1534. https://doi.org/10.1016/S0003-9993(98)90414-2
  20. Pace, G. M., Schlund, M. W., Hazard-Haupt, T., Christensen, J. R., Lashno, M., McIver, J., ... & Morgan, K. A. (1999). Characteristics and outcomes of a home and communitybased neurorehabilitation programme. Brain Injury, 13(7), 535-546. https://doi.org/10.1080/026990599121430
  21. Page, S. J. (2001). Mental practice: a promising restorative technique in stroke rehabilitation. Topics in Stroke Rehabilitation, 8(3), 54-63. https://doi.org/10.1310/7WDU-2P4U-V2EA-76F8
  22. Portnow, J., Kline, T., Daly, M. A., Peltier, S. M., Chin, C., & Miller, J. R. (1991). Multidisciplinary home rehabilitation. A practical model. Clinics in Geriatric Medicine, 7(4), 695-706. https://doi.org/10.1016/S0749-0690(18)30514-7
  23. Rizzolatti, G., & Craighero, L. (2004). The mirrorneuron system. Annu. Rev. Neurosci., 27, 169-192. https://doi.org/10.1146/annurev.neuro.27.070203.144230
  24. Sale, P., Bovolenta, F., Agosti, M., Clerici, P., & Franceschini, M. (2014). Short-term and long-term outcomes of serial robotic training for improving upper limb function in chronic stroke. International Journal of Rehabilitation Research, 37(1), 67-73. doi: 10.1097/MRR.0000000000000036
  25. Sale, P., & Franceschini, M. (2012). Action observation and mirror neuron network: a tool for motor stroke rehabilitation. European Journal of Physical and Rehabilitation Medicine, 48(2), 313-318.
  26. Statistics Korea. (2015). 2014 Cancer Registry Statistics. Retrieved from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117N_A00025&conn_path=I2
  27. Stonnington, H. H. (1997). Community based rehabilitation. Brain Injury, 11(2), 155-155. https://doi.org/10.1080/026990597123755
  28. Tang, V., Rathbone, M., Dorsay, J. P., Jiang, S., & Harvey, D. (2008). Rehabilitation in primary and metastatic brain tumours: Impact of functional outcomes on survival Journal of Neurology, 255(6), 820-827. https://doi.org/10.1007/s00415-008-0695-z
  29. The Korean Neurological Society. (2012). Neurosurgery(3th). Seoul: Joongang.
  30. Weisberg, L. A., & Nice, C. N. (1977). Intracranial tumors simulating the presentation of cerebrovascular syndromes: early detection with cerebral computed tomography (CCT). The American Journal of Medicine, 63(4), 517-524. https://doi.org/10.1016/0002-9343(77)90196-6