Effects of A Combined Functional Electrical Stimulation with Action Observation Training for Balance and Gait Performance in Stroke Patients (동작관찰 신체훈련을 병행한 기능적 전기자극치료가 뇌졸중환자의 균형과 보행에 미치는 영향)

Kang Kwon Young (강권영); TAEYOON， KIM (김태윤)

Effects of A Combined Functional Electrical Stimulation with Action Observation Training for Balance and Gait Performance in Stroke Patients

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2016, 11(2), pp.93-102
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Kang Kwon Young ¹, TAEYOON， KIM ¹

¹원광보건대학교

Accredited

ABSTRACT

PURPOSE: The purpose of this study is to evaluate the functional effects of action observation plus functional electrical stimulation (FES) treatment on the weight distribution indexes (heel and toe; right and left), stability indexes, gait velocities, and stride lengths of stroke patients. METHODS: The subjects, who were all more than six months post stroke, were randomly divided into two groups of ten each: an experimental group and a control group. TETRAX (Tetrax Interactive Balance System) and GAITRite (GAITRite™ computerized gait analysis system) were measured at baseline, six weeks after treatment. Participants in both the groups received functional electrical stimulation treatment, but the experimental group was provided with additional action observation. Independent t-tests were used to compare the differences between the groups, and repeated measured two-way ANOVA was used to compare the interaction between the groups. RESULTS: The result of the interactions between the groups and the periods showed significant increases in the weight distribution indexes (heel and toe; right and left), stability indexes, gait velocities and stride lengths (p<0.05). However, a comparison between the groups showed no significance in the weight distribution indexes (heel and toe), stability indexes, and stride lengths (p>0.05). CONCLUSION: Action observation plus functional electrical stimulation treatment should be considered as a therapeutic method for physical therapy for stroke patients to improve the weight distribution indexes, stability indexes, gait velocities, and stride lengths.

KEYWORDS

Action observation, Balance, Gait, Stroke

Citation status

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

[journal] Aoyagi Y / 2004 / Therapeutic orthosis and electrical stimulation for upper extremity hemiplegia after stroke: a review of effectiveness based on evidence / Top Stroke Rehabil 11(3) : 9~15

[journal] Atienza FL / 1998 / Video modeling and imaging training on performance of tennis service of 9-to 12-year-old children / Percept Mot Skills 87(2) : 519~529

[journal] Bremner LA / 1992 / A clinical exercise system for paraplegics using functional electrical stimulation / Paraplegia 30(9) : 647~655

[journal] Buccino G / 2006 / Functions of the mirror neuron system: implications for neurorehabilitation / Cogn Behav Neurol 19(1) : 55~63

[journal] Burridge J / 1997 / Experience of clinical use of the Odstock dropped foot stimulator / Artif Organs 21(3) : 254~260

[journal] 조미숙 / 2011 / The Effect on Ankle Joint Movement by FES Application on Tibialis Anterior Muscle in Chronic Stroke Patients / 대한물리의학회지 / 대한물리의학회 6(3) : 277~286

[journal] 최진호 / 2009 / The Effect of Weight Shifting and Motor Imagery Training on the Ability of Weight Shifting Task and Functional Activity in Stroke Patients / 특수교육재활과학연구 / 특수교육재활과학연구소 48(4) : 169~182

[journal] Davis GM / 2008 / Cardiorespiratory, metabolic, and biomechanical responses during functional electrical stimulation leg exercise: health and fitness benefits / Artif Organs 32(8) : 625~629

[journal] Di Fabio RP / 1990 / Relationships of sensory organization to balance function in patients with hemiplegia / Phys Ther 70(9) : 542~548

[journal] Dijkerman HC / 2004 / Does motor imagery training improve hand function in chronic stroke patients? A pilot study / Clin Rehabil 18(5) : 538~549

[thesis] Han KJ / 2012 / The Effect of 3D Image Action Observation on the Mirror Neuron Activity of Normal Subjects and People with Chronic Stroke / Doctor / Seonam University

[journal] Jackson PL / 2001 / Potential role of mental practice using motor imagery in neurologic rehabilitation / Arch Phys Med Rehabil 82(8) : 1133~1141

[journal] Jenannerod M / 2001 / Neural simulation of action: a unifying mechanism for motor cognition / Neuroimage 14(1) : 103~109

[journal] Jin MR / 1995 / Changes of muscle strength after functional electrical stimulation in complete paraplegia / J Korean Acad Rehab Med 19(3) : 620~628

[journal] Johnson SH / 2000 / Imagining the impossible: intact motor representations in hemiplegics / Neuroreport 11(4) : 729~732

[journal] Joseph J. / 2000 / A Discussion of Cybersickness in Virtual Environments SIGCHI Bulletin / SIGCHI Bulletin 32(1) : 47~56

[journal] 강권영 / 2013 / Effects of Observed Action Gait Training on Spatio-temporal Parameter and Motivation of Rehabilitation in Stroke Patients / 대한물리의학회지 / 대한물리의학회 8(3) : 351~360

[book] Kim JM / 2011 / Neuroanatomy & neurophysiology / Jdmpub

[journal] 이규창 / 2010 / Effects of Motor Imagery Training on Balance Ability in Poststroke / 특수교육재활과학연구 / 특수교육재활과학연구소 49(1) : 113~131

[journal] 이문규 / 2011 / The Effect of Action Observational Training on Arm Function in People With Stroke / 한국전문물리치료학회지 / 한국전문물리치료학회 18(2) : 27~34

[journal] 이상열 / 2010 / The effects of action observation and motor imagery of serial reaction time task(SRTT) in mirror neuron activation / 대한물리의학회지 / 대한물리의학회 5(3) : 395~404

[journal] Lindquist AR / 2007 / Gait training combining partial body-weight support, a treadmill, and functional electrical stimulation: effects on poststroke gait / Phys Ther 87(9) : 1144~1154

[journal] Lotze M / 2006 / Volition and imagery in neurorehabilitation / Cogn Behav Neurol 19(3) : 135~140

[journal] Nichols DS / 1997 / Balance retraining after stroke using force platform biofeedback / Phys Ther 77(5) : 553~558

[journal] Olsson CJ / 2008 / Learning by Doing and Learning by Thinking: An fMRI Study of Combining Motor and Mental Training / Front Hum Neurosci 2(5) : 1~7

[journal] 박승하 / 2009 / The Influence of Motor Cortical Excitability on Visual Illusion using Mirror, Motor Imagery and Action Observation / 한국스포츠심리학회지 / 한국스포츠심리학회 20(3) : 211~222

[journal] Popovic MR / 2005 / Modular transcutaneous functional electrical stimulation system / Med Eng Phy 27(1) : 81~92

[journal] Rizzolatti G / 1996 / Premotor cortex and the recognition of motor actions / Brain Res Cogn Brain Res 3(2) : 131~141

[journal] Roure R / 1999 / Imagery quality estimated by autonomic response is correlated to sporting performance enhancement / Physiol Behav 66(1) : 63~72

[journal] Tombaugh TN / 1992 / The mini-mental state examination: a comprehensive review / J Am Geriatr Soc 40(9) : 922~935

[journal] Yan T / 2005 / Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke: a randomized placebo-controlled trial / Stroke 36(1) : 80~85

[journal] 양충용· / 2009 / The Effect of Functional Electrical Stimulation on the Motor Function of Lower Limb in Hemiplegic Patients / Annals of Rehabilitation Medicine / 대한재활의학회 33(1) : 29~35

[journal] 양영필 / 2012 / The Effect of Action Observation Training on Affected Side Upper Limb Dexterity in Stroke Patient : Single-subject research design / 대한물리의학회지 / 대한물리의학회 7(1) : 111~118

[journal] 윤정규 / 2005 / The Effects of Self-Controlled Learning on Balance in Hemiplegics / 한국전문물리치료학회지 / 한국전문물리치료학회 12(1) : 36~44

[journal] Ziemann U / 2004 / TMS induced plasticity in human cortex / Rev Neurosci 15(4) : 253~266

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