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Effects of sensory stimulation on upper limb strength, active joint range of motion and function in chronic stroke virtual reality training

Physical Therapy Rehabilitation Science 2020년 9권 3호 p.171 ~ 177
김동훈, 이석민,
소속 상세정보
김동훈 ( Kim Dong-Hoon ) - Gimcheon University Department of Physical Therapy
이석민 ( Lee Suk-Min ) - Sahmyook University College of Health Science and Social Welfare Department of Physical Therapy

Abstract


Objective: This study aimed to investigate the upper limb strength, active joint range of motion (AROM), and upper limb function in persons with chronic stroke using virtual reality training in combination with upper limb sensory stimulation.

Design: Two-group pretest-posttest design.

Methods: 20 subjects were divided into two groups of 10, the sensory motor stimulation and virtual reality training (SMVR) and virtual reality training (VR) groups. The training was conducted for 30 minutes per session, three times a week for 8 weeks.The participants’ upper limb strength was measured via the hand-held dynamometer, joint angle AROM was measured via dual inclinometer, function was measured using the Jebson-Taylor hand function test and the manual function test.

Results: Significant differences were observed in all groups before and after the training for upper extremity strength, AROM, and function (p<0.05). Between the two groups, the SMVR group showed significant improvement in muscle strength, AROM, and Jebsen-Taylor hand function test scores compared with the VR groups (p<0.05).

Conclusions: In this study, we confirmed that sensory stimulation and VR had positive effects on upper extremity strength, AROM, and function of persons with chronic stroke. The results suggest that in the future, VR in combination with sensory stimulation of the upper limb is likely to become an effective method (a rehabilitation training program) to improve the upper limb function of persons with chronic stroke.

키워드

Function; Range of motion; Sensory; Stroke; Virtual reality

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