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인지적 게임을 이용한 능동적 두경부 움직임 훈련이 뇌졸중 환자의 균형에 미치는 영향

Effects of Active Craniocervical Movement Training Using a Cognitive Game on Stroke Patients’ Balance

한국전문물리치료학회지 2021년 28권 1호 p.47 ~ 52
김미선, 최우성, 최종덕,
소속 상세정보
김미선 ( Kim Mi-Sun ) - Institute of Food and Drug Safety Evaluation Medical Device Evaluation Department Orthopedic and Restorative Device Division
최우성 ( Choi Woo-Sung ) - Chungnam National University Institute of Biomedical Engineering
최종덕 ( Choi Jong-Duk ) - Daejeon University College of Health and Medical Science Department of Physical Therapy

Abstract


Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance.

Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient’s cervical movement control ability, balance, and functional mobility.

Methods: The subject of this study were 29chronic stroke patients who were randomly allocated to either an experimental, cognitive game group (n = 15), or control group (n = 14), to which only neuro-developmental treatment (NDT) was applied. The intervention was conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test, respectively, were carried out in order to evaluate cervical movement control ability, static balance, dynamic balance, and functional mobility. Paired t-test was used in order to compare differences between prior to after the intervention, along with an independent-test in order to compare prior to and after-intervention differences between the two groups.

Results: After the craniocervical training with a body-driven cognitive game, the experimental group showed significant differences in flexion, extension, and lateral flexion on the affected side, and rotation on the affected side in the active angle reproduction test. The experimental group indicated significant differences in sway length both with eyes-open and with eyesclosed in the static stability test and in limits of stability test and TUG test. The control group to which NDT was applied had significant differences in flexion in the active angle reproduction test and in limits of stability test and TUG test.

Conclusion: The above results mean that craniocervical training using a body-driven cognitive game positively influences stroke patient’s cervical movement control ability and as a result their balance and functional mobility.

키워드

Cognition; Exercise therapy; Postural balance; Proprioception; Stroke

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