선택한 단어 수는 입니다.
최소 단어 이상 선택하여야 합니다.
최소 단어 이상 선택하여야 합니다.
선택한 단어 수는 30입니다.
최대 10 단어까지만 선택 가능합니다.
최대 10 단어까지만 선택 가능합니다.
문제 정의
- Thus, various programs that can supplement it must be developed. The current study aimed to investigate the effect of an augmented reality-based core stabilization exercise program on upper extremity function, postural control, and depression among patients with stroke.
제안 방법
- The Bioscan was applied with a 4-500 HZ band-pass filter. After applying 60, 120, 180 HZ Notch Filter to remove noise of the power supply, the RMS index, which reflects muscle activation, was calculated. The BBS, postural assessment scale for stroke, and the Korean version of the geriatric depression scale (K-TIS) were used to measure changes in postural control after the intervention.
- , Armonk, NY, USA). All participants were tested for normality, and the general characteristics of the participants were assessed using descriptive statistics. A paired t-test was performed to compare the scores of the experimental and control groups before and after the intervention.
- General physical therapy is a central nervous system development treatment performed as a 1:1 session with a physical therapist. Both groups received general physical therapy for 30 minutes, 5 times a week for 4 weeks according to the treatment plan. The exercise programs included stretching, joint movement, and strength training.
- The participants performed the trunk movement exercise according to the non-VR-based trunk center stabilization exercise program. Eight movements were performed in the same manner as in the VR-based trunk exercise, and after each movement was performed 6 times, the participants took a 1-minute break to minimize fatigue. The exercise was performed for 30 minutes, 3 times a week for 4 weeks.
- That is, it can easily reflect the recovery of upper limb function to a practical level, which is associated with activities of daily living, and it can be objectively implemented. In this study, the MFT test was performed to investigate changes in the upper and lower extremity functions of the VR-based core stabilization exercise group. The score of the VR-based exercise group increased from 14.
- 05). In this study, the muscles used for core stabilization exercise were postural muscles, which play an important role in stability and postural control of the trunk during whole-body exercises and provides stability to promote smooth limb movements. In relation to this, the upper limb function also improved due to increased trunk stability, and the range of motion significantly increased due to the utilization of large muscles, which are easy to use, at a higher frequency.
- [12], which comprised 5 minutes of warm-up exercise, 20 minutes of main exercise, and 5 minutes of cool down exercise, was also performed. In total, eight exercise programs, which comprised 5 minutes of warm-up exercise, 20 minutes of main exercise, and 5 minutes of cool down exercise, were performed in the VR environment (Table 1).
- The VR-based exercise program used in this study emphasized in real time how to accurately perform the movements, and the therapist provided immediate feedback in regards to incorrect performance. These training conditions led to an increase in task-related feedback, which is the most important element of exercise learning, and the effect improved with the increased amount of exercise learning.
- Eight movements were performed in the same manner as in the VR-based trunk exercise, and after each movement was performed 6 times, the participants took a 1-minute break to minimize fatigue. The exercise was performed for 30 minutes, 3 times a week for 4 weeks.
- Twenty-four participants were randomly divided into the VR-based core stabilization exercise group (n=12) and the control group (n=12). The participants in both groups received general physical therapy for 30 minutes, 3 times a week for 4 weeks, and the experimental group conducted VR-based trunk-centered stabilization exercise for 30 minutes, 3 times a week for 4 weeks. Trained physiotherapists facilitated the programs as they are highly familiar with the types of exercise and the possible side effects, and the same therapist conducted the program (Figure 1).
- The participants performed the trunk movement exercise according to the non-VR-based trunk center stabilization exercise program. Eight movements were performed in the same manner as in the VR-based trunk exercise, and after each movement was performed 6 times, the participants took a 1-minute break to minimize fatigue.
- This study provided a realistic VR-based exercise to the patient, which projects the stabilization movement of the body. After movement-related sensory information introduced through VR is integrated in the central nervous system, posture control ability and balance will improve by activating body movements via interactions in the cerebral region (motor cortex and sensory cortex), which is correlated to motor output.
- The box and block test (BBT) was used to investigate changes in upper extremity function after treatment. This test was performed by counting the number of blocks, measuring 1 inch, that were moved from one box to another within 1 minute. The participants were provided with a 15-s practice session and the values were measured afterwards.
대상 데이터
- Meanwhile, female experienced a higher level of anxiety, more physical symptoms, and early insomnia [25]. The participants in this study comprised mainly older female. In this study, there was no significant change in depression after the intervention.
- Twenty-four patients who presented with stroke 6 months prior to the study were included. All participants completely understood the content of the study and agreed to participate.
데이터처리
- All participants were tested for normality, and the general characteristics of the participants were assessed using descriptive statistics. A paired t-test was performed to compare the scores of the experimental and control groups before and after the intervention. An independent t-test was conducted to investigate the differences between the two groups according to intervention.
- A paired t-test was performed to compare the scores of the experimental and control groups before and after the intervention. An independent t-test was conducted to investigate the differences between the two groups according to intervention. The significance level was set at 0.
성능/효과
- For the BBS scores, the VR＋trunk stability group increased from 32.58 points to 37.58 points, and the control group increased from 33.50 points to 35.75 points. The comparison between groups showed a more significant difference in the VR＋trunk stability group.
- In addition, a significant difference was observed before and after the experiment in the control group, and this result showed that not only was the VR-based trunk-based exercise but also general core stabilization exercise are effective in improving balance among patients with stroke. These patients lose their balance due to impaired coordination and proprioception function caused by damage to the central nervous system [22].
- In this study, improvement in the BBT score indicates better overall manipulation function and upper limb movement. Considering that the average age of the participants was high, only a few blocks were used in the pre-evaluation, and results showed low hand activity with insufficient use.
- In this study, the BBS score of the VR-based core stabilization exercise group improved significantly from 32.58 to 40.25, which was consistent with the results of previous studies (p<0.05).
후속연구
- Moreover, the VR-based programs are suitable for patients with stroke. However, further studies with a long intervention period should be conducted to assess the effects of training programs on the recovery of stroke patients. Thus, the VR-based training in rehabilitation has a potential value for stroke patients, and the application of this method in clinical trials must be diversified.
- The VR-based core stabilization exercise was effective in improving upper limb function and posture control, and the use of K-TIS and K-GDS must be assessed in future studies.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.