Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Action Observational Physical Training with Rhythmic Auditory Stimulation on Muscle Activity of the Lower Extremity and Gait Ability in Patients with Chronic Stroke

리듬청각자극을 동반한 동작관찰 신체훈련이 만성 뇌졸중 환자의 하지 근활성도와 보행능력에 미치는 영향

  • Song, Su-Young (Major in Physical Therapy, Dept. of Rehabilitation Science, Graduate School of Honam University) ;
  • Song, Yo-Han (Major in Physical Therapy, Dept. of Rehabilitation Science, Graduate School of Honam University) ;
  • Lee, Hyun-Min (Dept. of Physical Therapy, Honam University)
  • 송수영 (호남대학교 대학원 재활과학과 물리치료전공) ;
  • 송요한 (호남대학교 대학원 재활과학과 물리치료전공) ;
  • 이현민 (호남대학교 물리치료학과)
  • Received : 2018.04.19
  • Accepted : 2018.05.09
  • Published : 2018.05.31
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Abstract

PURPOSE: The purpose of this study was to investigate the effect of action observational physical training with rhythmic auditory stimulation on muscle activity and gait ability in patients with stroke. METHODS: Twenty-six chronic stroke patients participated in this study were assigned into three groups, experimental group 1 (10% faster tempo rhythmic auditory stimulation with action observation training) n=8, experimental group 2 (average tempo rhythmic auditory stimulation with action observation training) n=9, and control group (action observation training) n=9. In this experiment, the corresponding exercise were applied into the subjects of three group for 30 minute a day, 3 time a week during 4 weeks. All participants were measured to muscle activity of lower limb, 10 meter walking test, Figure of 8 walk test, Dynamic gait Index. The collected data were analyzed by using SPSS (version 18.0 for window) and verified that each data was a normal distribution based on Shapiro-Wilk test. Between-group and within-group comparison was analyzed by using One-way ANOVA test, Paired t-test respectively. In all statistical analyses, significance level, ${\alpha}$ was set by .05. RESULTS: The above results revealed that the all experimental group 1 and experimental group 2 and control group were all effective to improve the lower limb muscle activities, gait ability. However more positive effects shown action observational physical training with rhythmic auditory stimulation experimental group. CONCLUSION: This study suggest that action observation physical training with rhythmic auditory stimulation is effective intervention for improvement of muscle activity and walking ability in chronic stroke patients.

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References

  1. Alpert GF, Hein G, Tsai N, et al. Temporal characteristics of audiovisual information processing. Journal of neuroscience. 2008;28(20):5344-9. https://doi.org/10.1523/JNEUROSCI.5039-07.2008
  2. Arias P, Cudeiro J. Effects of rhythmic sensory stimulation (auditory, visual) on gait in Parkinson’s disease patients. Experimental Brain Research. 2008;186(4): 589-601 https://doi.org/10.1007/s00221-007-1263-y
  3. Bang DH, Shin WS, Kim SY, et al. The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial. Clinical rehabilitation. 2013;27(12):1118-25. https://doi.org/10.1177/0269215513501528
  4. Bohannon RW, Andrews AW, Smith MB. Rehabilitation goals of patients with hemiplegia. International Journal of Rehabilitation Research. 1988;11(2):181-4. https://doi.org/10.1097/00004356-198806000-00012
  5. Bolgla LA, Uhl TL. Reliability of electromyographic normalization methods for evaluating the hip musculature. Journal of electromyography and kinesiology. 2007;17(1):102-11. https://doi.org/10.1016/j.jelekin.2005.11.007
  6. Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill. Butterworth-Heinemann Medical. 2003.
  7. Cicinelli P, Marconi B, Zaccagnini M, et al. Imagery-induced cortical excitability changes in stroke: a transcranial magnetic stimulation study. Cerebral Cortex. 2005; 16(2):247-53. https://doi.org/10.1093/cercor/bhi103
  8. Criswell E. Cram's introduction to surface electromyography. Jones & Bartlett Publishers. 2010.
  9. De Vries S, Mulder T. Motor imagery and stroke rehabilitation: a critical discussion. Journal of rehabilitation medicine. 2007;39(1):5-13. https://doi.org/10.2340/16501977-0020
  10. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Archives of physical medicine and rehabilitation. 2000;81(4): 409-17. https://doi.org/10.1053/mr.2000.3839
  11. Dunsky A, Dickstein R, Marcovitz E, et al. Home-based motor imagery training for gait rehabilitation of people with chronic poststroke hemiparesis. Archives of physical medicine and rehabilitation. 2008;89(8):1580-8. https://doi.org/10.1016/j.apmr.2007.12.039
  12. Fernandez-del-Olmo M, Cudeiro Mazaira FJ. A simple procedure using auditory stimuli to improve movement in Parkinson's disease: a pilot study. 2003.
  13. Gentili R, Papaxanthis C, Pozzo T. Improvement and generalization of arm motor performance through motor imagery practice. Neuroscience. 2006;137(3): 761-72. https://doi.org/10.1016/j.neuroscience.2005.10.013
  14. Goldshtrom Y, Knorr G, Goldshtrom I. Rhythmic exercises in rehabilitation of TBI patients: a case report. Journal of bodywork and movement therapies. 2010;14(4): 336-45. https://doi.org/10.1016/j.jbmt.2009.06.002
  15. Hayden R, Clair AA, Johnson G, et al. The effect of rhythmic auditory stimulation (RAS) on physical therapy outcomes for patients in gait training following stroke: a feasibility study. International Journal of Neuroscience. 2009;119(12):2183-95. https://doi.org/10.3109/00207450903152609
  16. Hess RJ, Brach JS, Piva SR, et al. Walking skill can be assessed in older adults: validity of the Figure-of-8 Walk Test. Physical therapy. 2010;90(1):89-99. https://doi.org/10.2522/ptj.20080121
  17. Higginson J, Zajac F, Neptune R, et al. Muscle contributions to support during gait in an individual with post-stroke hemiparesis. Journal of Biomechanics. 2006;39(10): 1769-77. https://doi.org/10.1016/j.jbiomech.2005.05.032
  18. Hummelsheim H. Rationales for improving motor function. Current opinion in Neurology. 1999;12(6):697-701. https://doi.org/10.1097/00019052-199912000-00007
  19. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Archives of physical medicine and rehabilitation. 2007;88(11): 1410-5. https://doi.org/10.1016/j.apmr.2007.08.109
  20. Ju YM, Kim JH. Temporal and Spatial Characteristics of Visual and Somatosensory Integration in Normal Adult Brain. Journal of Korean Society of Sensory Integration Therapists. 2010;8(1):41-50.
  21. Kautz SA, Patten C. Interlimb influences on paretic leg function in poststroke hemiparesis. Journal of neurophysiology. 2005;93(5):2460-73. https://doi.org/10.1152/jn.00963.2004
  22. Kim HM, Son SM. Effect of Action Observation Training with Auditory Feedback for Gait Function of Stroke Patients with Hemiparesis. The Journal of Korean Physical Therapy. 2017;29(5):246-54. https://doi.org/10.18857/jkpt.2017.29.5.246
  23. Kim JC, Lee HM. The effect of action observation training on sit to walk with chronic stroke patients. The Journal of Korean Physical Therapy. 2015;27(6):413-18. https://doi.org/10.18857/jkpt.2015.27.6.413
  24. Kwakkel G, van Peppen R, Wagenaar RC, et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke. 2004;35(11):2529-39. https://doi.org/10.1161/01.STR.0000143153.76460.7d
  25. Mulder T, Hochstenbach J, Van Heuvelen M, et al. Motor imagery: the relation between age and imagery capacity. Human Movement Science. 2007;26(2): 203-11. https://doi.org/10.1016/j.humov.2007.01.001
  26. Park HR, Kim JM, Lee MK, et al. Clinical feasibility of action observation training for walking function of patients with post-stroke hemiparesis: a randomized controlled trial. Clinical rehabilitation. 2014;28(8):794-803. https://doi.org/10.1177/0269215514523145
  27. Pelton TA, Johannsen L, Chen H, et al. Hemiparetic stepping to the beat: asymmetric response to metronome phase shift during treadmill gait. Neurorehabil Neural Repair. 2010;24(5):428-34. https://doi.org/10.1177/1545968309353608
  28. Prassas S, Thaut M, McIntosh G, et al. Effect of auditory rhythmic cuing on gait kinematic parameters of stroke patients. Gait & Posture. 1997;6(3):218-23. https://doi.org/10.1016/S0966-6362(97)00010-6
  29. Roerdink M, Lamoth CJ, Kwakkel G, et al. Gait coordination after stroke: benefits of acoustically paced treadmill walking. Physical Therapy. 2007;87(8):1009-22. https://doi.org/10.2522/ptj.20050394
  30. Song Yh, Lee Hm. The Effect of Treadmill Training Applied Simultaneously with Action Observation on Walking Ability in Chronic Stroke Patients. The Journal of Korean Physical Therapy. 2016;28(3):176-82. https://doi.org/10.18857/jkpt.2016.28.3.176
  31. Thaut MH, McIntosh G, Rice R. Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. Journal of the neurological sciences. 1997;151(2):207-12. https://doi.org/10.1016/S0022-510X(97)00146-9
  32. Thaut MH, Stephan KM, Wunderlich G, et al. Distinct cortico-cerebellar activations in rhythmic auditory motor synchronization. cortex. 2009;45(1):44-53. https://doi.org/10.1016/j.cortex.2007.09.009
  33. Van Peppen RP, Kwakkel G, Wood-Dauphinee S, et al. The impact of physical therapy on functional outcomes after stroke: what’s the evidence? Clinical rehabilitation. 2004;18(8):833-62. https://doi.org/10.1191/0269215504cr843oa
  34. Willems AM, Nieuwboer A, Chavret F, et al. Turning in Parkinson’s disease patients and controls: the effect of auditory cues. Movement disorders. 2007;22(13): 1871-8. https://doi.org/10.1002/mds.21445
  35. Yi MY, Shin WS, Kim KH, et al. The Effects of Action Observational Training on Muscle Onset Time and Asymmetry to Stand Up in with Stroke Patients. Journal of Korea Proprioceptive Neuromuscular Facilitation Association. 2014;12(1):19-25.