This study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients' balance and determining whether it is applicable as a new therapeutic intervention. For this study, we sampled 38 chronic stroke patients, and divide...
This study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients' balance and determining whether it is applicable as a new therapeutic intervention. For this study, we sampled 38 chronic stroke patients, and divided them randomly into a motivation training group(n=20) and a control group(n=18). To the control group was applied neurological physiotherapy 5 times a week, and 30 minutes each time, and to the motivation training group was applied neurological physiotherapy and then, additionally, a Nintendo Wii-Fit program 3 times a week, and 30 minutes each time. Before and after the experiment, the subjects' dynamic balance was measured with functional reach test(FRT), timed up & go test(TUG), and 10m gait test, and their static balance was measured with the Romberger Test. When dynamic balance ability was compared between before and after the experiment and between the motivation training group and the control group, significant difference was observed in the results of FRT, TUG, and 10m walking test between before and after the intervention(p<.05). As to static balance, in addition, body balance movement distance was not significantly different. Therapeutic intervention using dynamic motivation was found to be more effective than the control group in improving dynamic balance.
This study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients' balance and determining whether it is applicable as a new therapeutic intervention. For this study, we sampled 38 chronic stroke patients, and divided them randomly into a motivation training group(n=20) and a control group(n=18). To the control group was applied neurological physiotherapy 5 times a week, and 30 minutes each time, and to the motivation training group was applied neurological physiotherapy and then, additionally, a Nintendo Wii-Fit program 3 times a week, and 30 minutes each time. Before and after the experiment, the subjects' dynamic balance was measured with functional reach test(FRT), timed up & go test(TUG), and 10m gait test, and their static balance was measured with the Romberger Test. When dynamic balance ability was compared between before and after the experiment and between the motivation training group and the control group, significant difference was observed in the results of FRT, TUG, and 10m walking test between before and after the intervention(p<.05). As to static balance, in addition, body balance movement distance was not significantly different. Therapeutic intervention using dynamic motivation was found to be more effective than the control group in improving dynamic balance.
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문제 정의
This study was conducted with patients who had been diagnosed with stroke caused by cerebral infarction or intracerebral bleeding through MRI or CT at J Hospital in D Metropolitan City and who agreed to participate in the research voluntarily with sufficient information given on the purpose and meaning of the study. The patients were assigned randomly to either the motivation training group (n=20) or the control group(n=18).
제안 방법
In order to examine the effect of rehabilitation exercise using virtual reality on brain damage patients’function restoration, this study used BBS and TUG for testing the effect of the training on dynamic balance ability.
In the experiment, we used Nintendo Wii-Fit and applied only neurological physiotherapy to the control group and both neurological physiotherapy and the motivation training program to the motivation training group, and examined the effect of the therapy on the patients’ function restoration and quality of life.
The inclusion criteria were: first, those who had been over 6 months after the diagnosis of stroke; second, those who were able to maintain independent standing balance; and third, those who were able to understand the researcher’s instructions and obtained 19 points or higher in Korean Mini-Mental State Examination (MMSE-K).
The training group had the same exercise as that of the control group and, in addition to that, they performed the balance programs 3 times a week, 10 minutes per program so a total of 30 minutes each time, and for 6 weeks in total.
The Romberger Test(RT) was conducted with a program of BioRescue(France, RM INGENIERIE). The patient looked ahead in an upright standing position with the feet open about 30 degree, and before starting the test, he/she was given an explanation about the experiment method through a video, and a demonstration. The patient tried to keep his/her balance for a minute in an open-eye posture and another minute in a closed-eye posture, and static stability was evaluated through measuring the total movement distance of the body center.
The patient looked ahead in an upright standing position with the feet open about 30 degree, and before starting the test, he/she was given an explanation about the experiment method through a video, and a demonstration. The patient tried to keep his/her balance for a minute in an open-eye posture and another minute in a closed-eye posture, and static stability was evaluated through measuring the total movement distance of the body center.
0 for Windows. In order to test difference in mean values between the groups after therapeutic intervention using motivation, independent t-test was done on the difference between the value before training and that after training.
In this study, dynamic balance was tested through FRT, TUG, and 10m gait test. In the motivation training group, FRT increased by 6.
데이터처리
The effect of therapeutic intervention using motivation on static balance according to the duration of training was tested through repeated measure ANOVA. The significance level αwas.
이론/모형
The Romberger Test(RT) was conducted with a program of BioRescue(France, RM INGENIERIE). The patient looked ahead in an upright standing position with the feet open about 30 degree, and before starting the test, he/she was given an explanation about the experiment method through a video, and a demonstration.
성능/효과
Thus, this study conducted 6 weeks’experiment with chronic stroke patients on motivation training, which was expected to enhance the therapeutic effect through increasing the patients’motive for treatment and to help the patients participate in the therapy in an easy and joyful way.
In the repeated measure ANOVA for testing difference in the effect of training according to interven tion period, the result of Mauchly’s sphericity test was p=0.069, verifying the sphericity hypothesis, and in the results of intra-individual effect test, significance probability according to period was p=0.184, so was not significant.
In order to examine the effect of rehabilitation exercise using virtual reality on brain damage patients’function restoration, this study used BBS and TUG for testing the effect of the training on dynamic balance ability. In the group using virtual reality, BBS increased by 5.3 points from 45.4 to 50.7, and TUG time decreased from 16.9 seconds to 13.9, showing improvement in their balance ability. In the control group, the results of BBS and TUG were similar between before and after the exercise or even indicated a decrease in ability(26).
82. In the control group as well, FRT increased by 2.59cm from 24.22cm before the intervention to 26.81cm after, TUG decreased by 2.62 seconds from 21.05 to 18.43, and the result of 10m gait test decreased by 1.66 seconds from 19.17 to 17.45, and all these differences were statistically significant.
According to the results of inter-group individual effect test, the motivation training group showed more significant differences than the control group, proving that the motivation training had a therapeutic effect. This is consistent with previous studies, suggesting that while performing dynamic tasks presented in virtual reality, the patients control their balance with monitoring their balance and movement in their own eyes and the visual feedback improves their balance control ability(27)(30)(31).
In this study, the intervention group showed a decrease in body center movement distance from 35.69㎠ to 22.27㎠ and to 20.62㎠, but the decreases were not statistically significant. In the control group, body center movement distance was changed little from 20.
후속연구
Thus, this study purposed to provide a scientific base for understanding the effect of therapeutic intervention using motivation on chronic stroke patients’balance and determining whether it is applicable as a new therapeutic intervention.
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