Effects of Task-oriented Training on Upper Extremity During Functional Electrical Stimulation in Stroke Patients (기능적 전기자극 동안의 과제훈련이 뇌졸중 환자의 상지기능에 미치는 영향)

DooHan Yoo (유두한); Lee Jaeshin (이재신); 전병진; Kim Su Kyoung (김수경)

Effects of Task-oriented Training on Upper Extremity During Functional Electrical Stimulation in Stroke Patients

Korean Journal of Occupational Therapy
Abbr : Korean J of Occup Ther
2011, 19(4), pp.25~39
Publisher : Korean Society Of Occupational Therapy
Research Area : Medicine and Pharmacy > Working Therapeutics

DooHan Yoo ¹, Lee Jaeshin ², 전병진 ², Kim Su Kyoung ²

¹전북대학교병원
²건양대학교

Accredited

ABSTRACT

Objective : The purpose of this study is to assess effects of task-oriented training on upper extremity during functional electrical stimulation, and to confirm a causal relationship among the factors in stroke patients. Methods : Thirty-nine hemiplegia with stroke participated in this study. Experimental group conducted taskoriented training during functional electrical stimulation for fifteen patients. Control groupⅠ conducted functional electrical stimulation for thirteen patients and Control groupⅡ conducted task-oriented training on non-sounded upper extremity for eleven patients. Mean differences among the groups were analyzed by One-way ANOVA in six weeks. Hierarchical multiple regression analysis was performed to determine the factors effect function of upper extremity. Results : Hand muscle strength, hand function, motor activity log were compared in three groups, the experimental group showed a statistically significant improvement(p<0.05). These factors were highly correlated with each other. In particular, Hand strength and MAL, interventions were 37% of the variance for upper extremity functional recovery. QOM of MAL test and task-oriented training interventions during functional electrical stimulation in upper extremity function were the most influential variables. Conclusion : The experimental group that conducted task-oriented training during functional electrical stimulation showed positive effects more than the those of control groupⅠ & Ⅱ. Voluntary and repetitive training during functional electrical stimulation will be clinically useful in the field of occupational therapy.

KEYWORDS

Functional electrical stimulation, Stroke, Task-oriented training, Upper extremity function

Citation status

* References for papers published after 2023 are currently being built.

[thesis] 김지연 / 2002 / 기능적 전기자극이 편마비 환자의 손 기 능 회복에 미치는 효과 / 석사 / 단국대학교

[book] 김진호 / 2004 / 재활의학 / 군자출판사

[journal] 박규현 / 2001 / The Review of Functional Electrical Stimulation / 대한물리치료학회지 / 대한물리치료학회 13(2) : 399~405

[journal] 박창식 / 2005 / The Interrater and Intrarater Reliability of Koren Wolf Motor Function Test / Annals of Rehabilitation Medicine / 대한재활의학회 29(3) : 317~322

[book] 박창일 / 2007 / 재활의학 / 한미의학

[journal] 엄광문 / 2003 / 전기자극을 이용한 상실된 운동기능의 회복: 기능적 전기자극(FES) / 한국정밀공학회지 20(1) : 26~35

[journal] 유두한 / 2009 / 급성기 뇌졸중 편마비 환자의 FES 치료에서 자발적인 상지 움직임 훈련의 효과 / 대한보조공학기술학회지 1(2) : 21~30

[thesis] 이민영 / 2006 / 기능적 전기자극 동안 잡기과제훈련이 편마비환자의 손 기능에 미치는 영향 / 석사 / 가톨릭대학교

[journal] 이재신 / 2007 / The Development of Korean Activities of Daily Living Evaluation Tools for Persons With Stroke Out-patient by Using Rasch Analysis / 대한작업치료학회지 / 대한작업치료학회 15(1) : 1~12

[thesis] 정진 / 2004 / 되먹이기법을 이용한 기능적 전기자극이 편마비 환자의 상지기능 향상에 미치는 영향 / 석사 / 대구대학교

[thesis] 조인술 / 2008 / 근전도 유발 신경근 전기자극치료가 뇌 졸중 환자의 상지기능에 미치는 효과 / 석사 / 대구대학교

[journal] Alan, F. L. / 2007 / Functional electrical stimulation enhancement of upper extremity functional recovery during stroke rehabilitation: A pilot study / Neurorehabilitation and Neural Repair 21(3) : 207~215

[journal] Baker, L. L / 1986 / Neuromuscular electrical stimulation of the muscles surrounding the shoulder / Physical Therapy 66(12) : 1930~1937

[journal] Basmajian, J. V / 1982 / EMG feedback treatment of upper limb in hemiplegic stroke patients: A pilot study / Archives of Physical Medicine and Rehabilitation 63(12) : 613~616

[book] Bentzel, K / 1995 / Evaluation of sensation in Occupational therapy for physical dysfunction (4th ed) / Williams & Wilkins : 187~199

[journal] Bobath, B / 1959 / Observations on adult hemiplegia and suggestions for treatment / Physiotherapy 45 : 279~289

[journal] Bolton, D. A. / 2004 / Electromyogram-triggered neuromuscular stimulation and stroke motor recovery of arm /hand function: A meta-analysis / Journal of the Neurological Sciences 223(2) : 121~127

[book] Brunnstrom, S / 1970 / Movement therapy in hemiplegia: A neurophysiological Approach / Harper and Row

[book] Carr, J. H. / 2003 / Stroke Rehabilitation / Butterworth- Helenemann

[journal] Castro, M. J. / 2000 / Influence of complete spinal cord injury on skeletal muscle mechanics within the first 6 months of injury / European Journal of Applied Physiology 81(1) : 128~131

[journal] Cauraugh, J / 2000 / Chronic motor dysfunction after stroke: Recovering wrist and finger extension by electromyography-triggered neuromuscular stimulation / Stroke 80 : 935~941

[journal] Chae, J. / 2000 / Functional neuromuscular stimulation in spinal cord injury / Physical Medicine and Rehabilitation Clinics of North America 11 : 209~226

[journal] Chantraine, A / 1999 / Shoulder pain and dysfunction in hemiplegia: Effects of functional electrical stimulation / Archives of Physical Medicine and Rehabilitation 80(3) : 328~331

[book] Copper, C / 2006 / Evaluation of sensation and intervention for sensory dysfunction in Pedretti's occupational therapy practice skills for physical dysfunction (6th ed) / Mosby : 513~531

[book] Dunn, W / 1991 / Assessing sensory performance enablers in Occupational therapy: Overcoming human performance deficits / Slack Inc : 471~505

[journal] Faghri, P. D. / 1994 / The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients / Archives of Physical Medicine and Rehabilitation 75(12) : 73~79

[journal] Flanagan, E. M / 1967 / Methods for facilitation and inhibition of motor activity / American Journal of Physical Medicine 46(1) : 1006~1011

[journal] Flick, C. L / 1999 / Stroke rehabilitation. 4. Stroke outcome and psychological consequences / Archives of Physical Medicine and Rehabilitation 80(5) : 21~26

[journal] Francisco, G / 1998 / Electr omyogram-triggered neuromuscular stimulation for improving the arm function of acute stroke survivors: A randomized pilot study / Archives of Physical Medicine and Rehabilitation 79(5) : 570~575

[journal] Gerardin, E / 2000 / Partially overlapping neural networks for real and imagined hand movements / Cerebral Cortex 10(11) : 1093~1104

[journal] Granger, C. V / 1979 / Outcome of comprehensive medical rehabilitation: Measurement by PULSES profile and the Barthel Index / Archives of Physical Medicine and Rehabilitation 60(4) : 145~154

[journal] Hudlicka, O / 1982 / The effect of different patterns of long term stimulation on contractile properties and myosin light chains in rabbit fast muscle / European Journal of Physiology 393(2) : 164~170

[journal] Kamper, D. G / 2003 / Relative contributions of neural mechanisms versus muscle mechanics in promoting finger extension deficits following stroke / Muscle Nerve 28(3) : 309~318

[book] Knott, M / 1968 / Proprioceptive neuromuscular facilitation: Patterns and techniques. (2th ed.) / Harper and Row

[journal] Langlois, S / 1991 / The effects of splinting on the spastic hemiplegic hand: Report of a feasibility study / Canadian Journal of Occupational Therapy 58(1) : 17~25

[journal] Lourenção, M. I. / 2005 / Analysis of the result of functional electrical stimulation on hemiplegic patients’upper extremities using the Minnesota manual dexterity test / International Journal of Rehabilitation Research 28(1) : 25~31

[journal] Mangold, S / 2009 / Motor training of upper extremity with functional electrical stimulation in early stroke rehabilitation / Neurorehabilitation and Neural Repair 23(2) : 184~190

[journal] Nakayama, H / 1994 / Compensation in recovery of upper extremity function after stroke: The Copenhagen stroke study / American Journal of Physical Medicine 75(8) : 852~857

[journal] Nelles, G / 2001 / Arm training induced brain plasticity in stroke studied with serial position emission tomography / Neuroimage 13(6) : 1146~1154

[book] Pedretti, L. W / 1996 / Evaluation of sensation and treatment of sensory dysfunction in Occupational therapy. Practice skills for physical dysfunction (4th ed) / Mosby : 422~443

[journal] Powell, J. / 1999 / Electrical stimulation of wrist extension in poststroke hemiplegia / Stroke 30(7) : 1384~1389

[journal] Rushton, D. N / 2003 / Functional electrical stimulation and rehabilitation: An hypothesis / Medical Engineering and Physics 25 : 75~78

[journal] Solomonow, M / 1984 / External control of the neuromuscular system / IEEE Transaction on Bio- Medical Engineering 31(12) : 752~763

[journal] Taub, E. / 1993 / Technique to improve chronic motor deficity after stroke / Archives of Physical Medicine and Rehabilitation 74 : 347~354

[book] Trombly, C. A / 1989 / Occupational therapy for physical dysfunction (3rd ed.) / Williams & Wilkins

[journal] Uswatte, G. / 2006 / The Motor Activity Log-28: Assessing daily use of the hemiparetic arm after stroke / Neurology 67(7) : 1189~1194

[journal] Van der - Lee, J. H / 2004 / Clinimetric properties of the motor activity log for the assessment of arm use in hemiparetic patients / Stroke 35(6) : 1410~1414

[journal] Wilder, R. P / 2002 / Functional electrical stimulation for a dropped foot / Journal of Long- Term Effects of Medical Implants 12(3) : 149~159

[journal] Wolf, S. L / 2001 / Assessing Wolf Motor Function Test as outcome measure for research in patients after stroke / Stroke 32(7) : 1635~1639

[journal] Wolf, S. L / 1989 / Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients / Experimental Neurology 104(2) : 125~132

KJCKorea
Journal Central

Korean Journal of Occupational Therapy 2023 KCI Impact Factor : 0.81