Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Intensive Neuro Rehabilitation Intervention on the Motor Function Recovery and Balance in Stroke Patients

  • Lee, Je-Hyeok (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Choi, Jong-Duk (Department of Physical Therapy, College of Health & Medical Science, Daejeon University)
  • Received : 2016.07.13
  • Accepted : 2016.08.19
  • Published : 2016.11.30
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Abstract

PURPOSE: The purpose of this study was to investigate the effects of differences in exercise time arrangement on the functional recovery of the lower limbs and balance of stroke patients. METHODS: The subjects of this study were 100 patients who were hospitalized in two hospitals located in Gyeonggi-do. Before the experiment, 60 of these patients who met the inclusion criteria and did not meet the exclusion criteria were randomly divided into an experimental group (n = 30), whose exercise time was concentrated, and a control group (n = 30), whose exercise time was diffuse. The two groups underwent six weeks of physical and occupational therapy four times a day for five days a week. One session of therapy took 30 minutes, including three sets of physical therapy and one set of occupational therapy. The rest time between the sessions was different for each group. The experimental group had five minutes of rest between each therapy session, and the control group had two hours of rest time between each session. The Fugl-Meyer assessment (FMA), an assessment of each patient's limit of stability (LOS), and a timed up and go test (TUG) were used as test tools. RESULTS: Both groups showed statistically significant increases in their FMA results, LOS measurements, and TUG results. The FMA results of the experimental group were significantly higher than those of the control group. CONCLUSION: Thus, concentrated exercise time was more effective than diffuse exercise time for the recovery of motor function.

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References

  1. Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill. UK. Butterworth-Heinemann Medical. 2003.
  2. Choi JY, Ahn KS, Chang SG, et al. Effects of Intensive Training on Electrocardiograms and Exercisc Performance in Competitive Swimmers: Including Differences between Swimmers and Non-Swimmers. Korean Circ J. 1991;21(2):1210-8. https://doi.org/10.4070/kcj.1991.21.6.1210
  3. Chinsongkram B, Chaikeeree N, Saengsirisuwan V, et al. Reliability and validity of the Balance Evaluation Systems Test (BESTest) in people with subacute stroke. Phys Ther. 2014;94(11):1632-43. https://doi.org/10.2522/ptj.20130558
  4. de Haan B, Stoll T, Karnath HO. Early sensory processing in right hemispheric stroke patients with and without extinction. Neuropsychologia. 2015;73:141-50. https://doi.org/10.1016/j.neuropsychologia.2015.05.011
  5. Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1: A method for evaluation of physical performance. Scand J Rehabil Med. 1975;7:13-31.
  6. Hass CJ, Feigenbaum MS, Franklin M. Prescription of resistance training for healthy populations. Sports Med. 2001;31(14):953-64. https://doi.org/10.2165/00007256-200131140-00001
  7. Jonsdottir J, Cattaneo D. Reliability and Validity of the Dynamic Gait Index in Persons With Chronic Stroke. Arch Phys Med Rehabil. 2007;88(11):1410-5. https://doi.org/10.1016/j.apmr.2007.08.109
  8. Jun HJ, Lee JS, Kim KJ, et al. Effect of auditory biofeedback training and kicking training on weight-bearing ratio in patients with hemiplegia. J Korean Soc Phys Med. 2014;9(4):363-73. https://doi.org/10.13066/kspm.2014.9.4.363
  9. Kim MC, Oh HJ. Effects on the Recovery of Motor Function, Change ECG and Troponin I According to Different Amounts Exercise in Ischemic Stroke Patients. J Korean Soc Phys Med. 2010;5(4):559-67.
  10. Kwakkel G, Wagenaar RC, Twisk JWR, et al. Intensity of leg and arm training after primary middle cerebral artery stroke. Lancet. 1999;354:191-6. https://doi.org/10.1016/S0140-6736(98)09477-X
  11. Kwon HR, Shin WS. The effects of visual direction control on balance and gait speed in patients with stroke. J Korean Soc Phys Med. 2013;8(3):425-31. https://doi.org/10.13066/kspm.2013.8.3.425
  12. Lee IH. The Effect of Intensive Mobility Training on the Gait Performance of Patients with Parkinson's Disease. J Korean Soc Phys Ther. 2014;26(3):196-201
  13. Lindinger MI. Origins of [H+] changes in exercising skeletal muscle. Can J Appl Physiol. 1995;20(3):357-68. https://doi.org/10.1139/h95-028
  14. Mehrpour M, Motamed MR, Aghaei M, et al. Unusual recovery of aphasia in a polyglot Iranian patient after ischemic stroke. Basic Clin Neurosci. 2014;5(2):173-5.
  15. Oh DG, Seong SC, Lee MK. Effects of therapeutic exercise for CNS-development on temporal-spatial gait parameters and balance ability in hemiplegic stroke patients. Korean J phys edu. 2013;52(4):491-502.
  16. Perry J, Slac Thorofare k, Davids JR. Gait analysis: normal and pathological function. J Pediatr Orthop. 1992;12(6):815.
  17. Shim HB, Cho HY, Choi WH. Effects of the trunk stabilization exercise on muscle activity in lumbar region and balance in the patients with hemiplegia. J Korean Soc Phys Ther. 2014;26(1):33-40.
  18. Teasell R, Bitensky J, Salter K, et al. The role of timing and intensity of rehabilitation therapies. Top Stroke Rehabil. 2005;12(3):46-57. https://doi.org/10.1310/ETDP-6DR4-D617-VMVF
  19. Yoon BC, Lee MW, Hong HJ. Effects of Exercise Program on Functional Improve of Hemiplegic Elderly Patients. J of Health Sci & Med Tech. 2000;9(1):45-53.
  20. Whang WW, Kim KJ. Change of blood lipid profiles and body composition following a different set interval during weight training in obese. Exerc Sci. 2004;13(1):87-100.
  21. Woodbury ML, Velozo CA, Richards LG, et al. Dimensionality and construct validity of the Fugl-Meyer Assessment of the upper extremity. Arch Phys Med Rehabil. 2007;88(6):715-23. https://doi.org/10.1016/j.apmr.2007.02.036

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  1. Effect of Mirror Therapy Combined with Lower Extremity Muscle Strength Exercise on Gait and Balance of Patients with Chronic Stroke vol.13, pp.1, 2018, https://doi.org/10.13066/kspm.2018.13.1.81