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Dual-Task Training Effect on Cognitive and Body Function, β-amyloid Levels in Alzheimer’s Dementia Patients: A Randomized Controlled Trial 双任务训练对阿尔茨海默氏痴呆患者认知和身体功能、β-淀粉样蛋白水平的影响:一项随机对照试验
Pub Date : 2021-06-30 DOI: 10.18857/jkpt.2021.33.3.136
Seung-Min Nam, Seong-Gil Kim
Purpose: Dementia is a disease in which cognitive function declines, leading to deterioration of body functions and activities of daily living. The purpose of this study is to explore the effects of dual-task training, including cognitive tasks, on cognitive and body function and β -amyloid levels in Alzheimer’s dementia patients. Methods: 34 inpatients diagnosed with Alzheimer’s dementia at a nursing hospital located in South Korea. The patients were randomly divided into a dual-task group (n=16) and a single-task group (n=18). Each group was trained for 30 minutes three times a week for eight weeks. The MMSE-K was used to measure the patients’ cognitive function. To assess the patients’ static balance ability, their LOS was measured using BioRescue. while dynamic balance was measured using the BBS. The 10MWT were conducted to evaluate the patients’ walking ability. Blood analysis was performed to measure levels of β -amyloid. Results: Both groups exhibited statistically significant improvements in gait function after the training (p<0.05). The dual-task group exhibited statistically significant differences in cognitive function, static and dynamic balance function, and β -amyloid levels after training (p<0.05). A significant difference was observed between the two groups (p<0.05). Conclusion: Dual-task training were found to be effective in improving cognitive and bodily functioning and reducing β -amyloid levels in Alzheimer’s dementia patients. Thus, this may be suggested as an effective exercise method for the treatment and early prevention of Alzheimer’s dementia.
目的:痴呆症是一种认知功能下降,导致身体功能和日常生活活动恶化的疾病。本研究的目的是探讨双任务训练(包括认知任务)对阿尔茨海默氏痴呆症患者认知和身体功能以及β -淀粉样蛋白水平的影响。方法:韩国一家护理医院34例诊断为阿尔茨海默氏痴呆症的住院患者。将患者随机分为双任务组(n=16)和单任务组(n=18)。每组训练30分钟,每周三次,持续八周。采用MMSE-K量表测量患者的认知功能。为了评估患者的静态平衡能力,使用BioRescue测量他们的LOS。而动平衡是用BBS测量的。采用10MWT评价患者的行走能力。进行血液分析以测定β -淀粉样蛋白水平。结果:两组训练后步态功能改善均有统计学意义(p<0.05)。双任务组训练后认知功能、静态和动态平衡功能、β -淀粉样蛋白水平差异有统计学意义(p<0.05)。两组比较差异有统计学意义(p<0.05)。结论:双任务训练可有效改善阿尔茨海默氏痴呆症患者的认知和身体功能,降低β -淀粉样蛋白水平。因此,这可能是一种治疗和早期预防阿尔茨海默氏痴呆症的有效运动方法。
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引用次数: 1
Mental Health of Physical Therapy Students in Clinical Practice during the COVID-19 Pandemic: A Cross-sectional Survey in Gwangju and Jeollanam-do, South Korea COVID-19大流行期间临床实习物理治疗学生心理健康状况:韩国光州和全罗南道的横断面调查
Pub Date : 2021-06-30 DOI: 10.18857/jkpt.2021.33.3.131
Se Ju Park, Seong Geun Yeo, Byeong-Geun Kim
Purpose: The purpose of this study was to investigate the mental health of physical therapy students in clinical practice during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted during the pandemic and was completed by 100 physical therapy students in two universities in Gwangju and Jeollanam-do, South Korea. The Generalized Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) were used to evaluate their anxiety and depression status. A Chi-square test was conducted to evaluate the association of participant characteristics with the risk of having anxiety and depression. Logistic regression models were used to identify the general characteristic factors related to anxiety or depression. Results: Anxiety was found in 28 (28%) of the participants, and depression in 24 (24%). The risk of anxiety and depression in male physical therapy students was 0.189 and 0.211 times lower, respectively, than those female students (p<0.05). The risk of anxiety and depression in physical therapy students with a history of disease was 11.721 and 7.056 times higher, respectively, than those with a history of disease (p<0.05). The risk of anxiety in physical therapy students in clinical practice was 11.721 times higher than that in students who were not in clinical practice (p<0.05). Conclusion: The COVID-19 pandemic has led to a high risk of anxiety and depression among many physical therapy students. More attention and improvements are needed so that physical therapy students can study in a safe environment.
目的:了解新冠肺炎大流行期间临床实习物理治疗专业学生的心理健康状况。方法:在大流行期间对韩国光州和全罗南道两所大学的100名物理治疗专业学生进行了横断面调查。采用广泛性焦虑障碍-7 (GAD-7)量表和患者健康问卷-9 (PHQ-9)评估患者的焦虑和抑郁状况。采用卡方检验来评估参与者特征与患焦虑和抑郁风险之间的关系。采用Logistic回归模型确定与焦虑或抑郁相关的一般特征因素。结果:28人(28%)出现焦虑,24人(24%)出现抑郁。物理治疗组男生焦虑和抑郁风险分别比女生低0.189倍和0.211倍(p<0.05)。有疾病史的物理治疗学生焦虑、抑郁风险分别是有疾病史学生的11.721倍和7.056倍(p<0.05)。物理治疗学生临床实习的焦虑风险是未临床实习学生的11.721倍(p<0.05)。结论:新冠肺炎大流行导致许多物理治疗学生焦虑和抑郁的风险较高。需要更多的关注和改进,以便物理治疗学生能够在安全的环境中学习。
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引用次数: 2
Physical Therapists’ Awareness of Dementia and Attitude 物理治疗师对痴呆症的认识与态度
Pub Date : 2021-06-30 DOI: 10.18857/jkpt.2021.33.3.155
Ae-Lyeong Kwon, Young-Ho Choi, Ki-Jeon Kim
Purpose: The purpose of this study was to find out the personal characteristics of physical therapists, dementia awareness and dementia attitude, and to find out what relationship is there between personal characteristics and dementia awareness and dementia attitude. Methods: Participants in this study surveyed physical therapists who are members of the Association of Korean Physical Therapists on their awareness of dementia, and conducted online surveys from January 28 to February 27, 2021. The survey questions used in the survey consisted of 29 questions in total, including 9 general characteristics of the participant, 10 questions on perception of dementia, and 10 attitudes toward dementia. All 104 participants were surveyed, and 100 surveys were analyzed, excluding 4 surveys with insufficient responses. Results: In this study, the correct answer rate for all items in the dementia awareness sub-item was 65%, and the dementia attitude-related sub-items were generally positive. However, there was no significant correlation between personal characteristics such as gender, age, educational background, treatment target, treatment experience and dementia awareness, and no correlation with dementia attitude was significant. Conclusion: Regardless of personal characteristics such as gender, age, treatment target, and treatment experience, a positive attitude and correct recognition of dementia can improve the quality of treatment with dementia patients and increase the reliability of patients and caregivers.
目的:本研究的目的是了解物理治疗师的个人特征、痴呆意识和痴呆态度,以及个人特征与痴呆意识和痴呆态度之间的关系。方法:本研究的参与者对韩国物理治疗师协会会员的物理治疗师对痴呆症的认识进行了调查,并于2021年1月28日至2月27日进行了在线调查。调查中使用的调查问题共有29个问题,其中包括9个参与者的一般特征问题、10个对痴呆症的认知问题、10个对痴呆症的态度问题。共调查了104名参与者,对100份调查进行了分析,剔除了4份回答不充分的调查。结果:在本研究中,痴呆意识分项的正确率为65%,痴呆态度相关分项的正确率普遍为正。而性别、年龄、学历、治疗对象、治疗经历等个人特征与痴呆认知无显著相关,与痴呆态度无显著相关。结论:无论性别、年龄、治疗对象、治疗经历等个人特征如何,积极的态度和对痴呆的正确认识可以提高痴呆患者的治疗质量,增加患者和护理人员的可靠性。
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引用次数: 0
The Effect of Kinesio Taping on Pain, Muscle Strength and Balance Control Ability by Age Group: A Literature Review 肌内效贴敷对不同年龄组疼痛、肌肉力量和平衡控制能力的影响:文献综述
Pub Date : 2021-06-30 DOI: 10.18857/jkpt.2021.33.3.142
So‐Jeong Lee, DongYeop Lee, Ji-Heon Hong, Jaeho Yu, JinSeop Kim, Seong-Gil Kim
Purpose: The purpose of this study is to objectively and systematically investigate the effect of Kinesio taping by organizing and analyzing the research results using effect size. Methods: A total of 1,000 papers was searched, and 100 of them were selected the first time. Afterward, the effects of taping were analyzed and classified papers that studied balance, muscle strength, and pain, and finally 34 papers were selected. The effect size was calculated using the Effect Size Calculators (University of Colorado, USA) program. Statistical analysis was performed by using PASW Statistics software version 23.0 (IBM Co., Armonk, NY, USA). Descriptive statistics were used to obtain the effect size and confidence interval for each group. Results: In a study related to balance control ability, the effect size was 1.519 in the young subjects group (20-39 years old), and the effect size in the elderly group (65 years or older) was 0.360. In a study related to muscle strength, the effect size was 0.469 in the group of young subjects and 0.250 in the middle-aged group (40-65 years old), and the effect size of the elderly group was 0.848. In the study related to pain control, the effect size was 0.469 in the young group, the effect size of the middle-aged group was 0.972, and the effect size of the elderly group was 1.040. Conclusion: Kinesio taping differed in the degree of effect according to the age group of the subjects, but it was effective in balance control ability, muscle strength, and pain.
目的:运用效应量法对研究结果进行整理和分析,客观、系统地探讨肌内效贴敷的效果。方法:共检索论文1000篇,其中首次入选100篇。然后,对胶带的效果进行分析,并对研究平衡、肌肉力量和疼痛的论文进行分类,最终选出34篇论文。使用效应大小计算器(美国科罗拉多大学)程序计算效应大小。采用PASW统计软件23.0版(IBM Co., Armonk, NY, USA)进行统计分析。采用描述性统计获得各组的效应量和置信区间。结果:在一项与平衡控制能力相关的研究中,年轻被试组(20-39岁)的效应量为1.519,老年人组(65岁及以上)的效应量为0.360。在一项与肌肉力量相关的研究中,青年组的效应量为0.469,中年组(40-65岁)的效应量为0.250,老年人组的效应量为0.848。在与疼痛控制相关的研究中,青年组的效应量为0.469,中年组的效应量为0.972,老年组的效应量为1.040。结论:肌内效贴敷在不同年龄组的受试者中效果不同,但在平衡控制能力、肌力、疼痛等方面均有效。
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引用次数: 3
Effects of Snoezelen Therapy on Stress, Anxiety, Depression, and Quality of Life of College Students with Game Addiction Snoezelen治疗对游戏成瘾大学生压力、焦虑、抑郁及生活质量的影响
Pub Date : 2021-06-30 DOI: 10.18857/jkpt.2021.33.3.123
Ji-Yun Lim, Jong-hoon Kim, Seul-Mi Lee, Woo-Hyuk Jang
Korea Purpose: Despite the existence of Snoezelen method, there is no case of researching the effects on game addiction. Therefore, this study aims to investigate the effects of Snoezelen therapy on stress, depression, anxiety and quality of life of college students who overuse computer games or mobile phone games. Methods: Eight students who responded to spend more than 30 hours of computer or mobile phone games in the selection questionnaire were recruited (The total respondents were 224 students). Students were randomly assigned to either the study group (4 students) or the control group (4 students). Stress (Korean version of Perceived Stress Scale, K-PSS), depression (Korean Screening Tool for Depression Disorders, K-DEP), Anxiety (Korean Beck Anxiety Inventory, K-BAI) and quality of life (Short Form Health Survey version 2 [SF-36]) were assessed three times (before intervention [pre], post-3 weeks [post 1], post-6 weeks [post 2]). Results: First, the study group (-4.75±3.86) and control group (1.00±2.71) showed significant difference (p<0.05) in the analysis of score changes between pre-test and test at 6 weeks (post 2) for K-DEP. Next, pre-test and test at 3 weeks of intervention (post 1) for K-BAI showed significant difference (p<0.05) in the study group (-2.50±1.91) and control group (2.25±2.99). In addition, pre-test and test at 6 weeks (post 2) showed significant difference (p<0.05) for the study group (-3.00±1.51) and control group (4.75±6.24). Conclusion: The study confirmed the possibility of Snoezelen therapy as a therapy method to induce effective responses in stress, depression, anxiety, and quality of life of college students with game
目的:虽然Snoezelen方法存在,但目前还没有研究其对游戏成瘾影响的案例。因此,本研究旨在探讨Snoezelen疗法对过度使用电脑游戏或手机游戏的大学生的压力、抑郁、焦虑和生活质量的影响。方法:选取在选择问卷中回答玩电脑或手机游戏时间超过30小时的学生8名(共224名)。学生被随机分配到研究组(4名学生)和对照组(4名学生)。对压力(韩文压力感知量表,K-PSS)、抑郁(韩文抑郁障碍筛查工具,K-DEP)、焦虑(韩文贝克焦虑量表,K-BAI)和生活质量(简表健康调查第二版[SF-36])进行三次评估(干预前[前]、干预后3周[后1]、干预后6周[后2])。结果:第一,研究组(-4.75±3.86)与对照组(1.00±2.71)在K-DEP前测与6周(后2周)测评分变化分析中差异有统计学意义(p<0.05)。干预前测和干预3周后测K-BAI,研究组(-2.50±1.91)与对照组(2.25±2.99)差异有统计学意义(p<0.05)。研究组(-3.00±1.51)与对照组(4.75±6.24)的前测和6周(后2周)测差异有统计学意义(p<0.05)。结论:本研究证实了Snoezelen疗法可作为一种有效的治疗方法,诱导大学生对游戏的压力、抑郁、焦虑和生活质量产生有效的反应
{"title":"Effects of Snoezelen Therapy on Stress, Anxiety, Depression, and Quality of Life of College Students with Game Addiction","authors":"Ji-Yun Lim, Jong-hoon Kim, Seul-Mi Lee, Woo-Hyuk Jang","doi":"10.18857/jkpt.2021.33.3.123","DOIUrl":"https://doi.org/10.18857/jkpt.2021.33.3.123","url":null,"abstract":"Korea Purpose: Despite the existence of Snoezelen method, there is no case of researching the effects on game addiction. Therefore, this study aims to investigate the effects of Snoezelen therapy on stress, depression, anxiety and quality of life of college students who overuse computer games or mobile phone games. Methods: Eight students who responded to spend more than 30 hours of computer or mobile phone games in the selection questionnaire were recruited (The total respondents were 224 students). Students were randomly assigned to either the study group (4 students) or the control group (4 students). Stress (Korean version of Perceived Stress Scale, K-PSS), depression (Korean Screening Tool for Depression Disorders, K-DEP), Anxiety (Korean Beck Anxiety Inventory, K-BAI) and quality of life (Short Form Health Survey version 2 [SF-36]) were assessed three times (before intervention [pre], post-3 weeks [post 1], post-6 weeks [post 2]). Results: First, the study group (-4.75±3.86) and control group (1.00±2.71) showed significant difference (p<0.05) in the analysis of score changes between pre-test and test at 6 weeks (post 2) for K-DEP. Next, pre-test and test at 3 weeks of intervention (post 1) for K-BAI showed significant difference (p<0.05) in the study group (-2.50±1.91) and control group (2.25±2.99). In addition, pre-test and test at 6 weeks (post 2) showed significant difference (p<0.05) for the study group (-3.00±1.51) and control group (4.75±6.24). Conclusion: The study confirmed the possibility of Snoezelen therapy as a therapy method to induce effective responses in stress, depression, anxiety, and quality of life of college students with game","PeriodicalId":433277,"journal":{"name":"The Journal of Korean Physical Therapy","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127105252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Social Distancing in COVID-19: What Are the Implications for Musculoskeletal Problems and the Quality of Life? COVID-19中的社交距离:对肌肉骨骼问题和生活质量的影响是什么?
Pub Date : 2021-04-30 DOI: 10.18857/JKPT.2021.33.2.84
Tae-Hyeong Kim, H. Jee, Chan-Woo Bae, Sil-ah Choi
Purpose: This study examined the effects of social distancing in COVID-19 on musculoskeletal problems and the quality of life. Methods: One hundred and thirty-five subjects participated in this study and responded to an online survey on stress from the social distancing in COVID-19, computer and smartphone usages, musculoskeletal pain, and quality of life. The stress from social distancing was assessed by a Visual Analogue Scale (VAS). The Neck Disability Index (NDI), Oswestry Disability Index (ODI), and Boston Carpal Tunnel Questionnaire (BCTQ) were provided to assess the musculoskeletal pain, and Short Form-36 (SF-36) was provided to assess the quality of life. Frequency analysis, descriptive statistics, Pearson’s correlation coefficient, and independent t-test were used for data analysis. Results: Statistically significant, but low positive correlation stress from the social distancing (VAS) and NDI (r=0.19, p<0.05) and ODI (r=0.18, p<0.05), and negative correlation between stress from the social distancing (VAS) and SF-36 (r=-0.17, p<0.05). The NDI score was significantly greater in the group with high stress than in the group with low stress from social distancing (p<0.05). Conclusion: This study is meaningful in that it evaluated, through the physical therapy approaches, the potential side-effects on physical and mental health in various social changes caused by COVID-19. The results of this study may be used as basic data in future studies related to COVID-19.
目的:本研究探讨COVID-19患者保持社交距离对肌肉骨骼问题和生活质量的影响。方法:135名受试者参与了本研究,并对COVID-19社交距离压力、电脑和智能手机使用、肌肉骨骼疼痛和生活质量进行了在线调查。采用视觉模拟量表(VAS)评估社交距离压力。采用颈部失能指数(NDI)、Oswestry失能指数(ODI)和波士顿腕管问卷(BCTQ)评估肌肉骨骼疼痛,采用SF-36量表评估生活质量。采用频率分析、描述性统计、Pearson相关系数和独立t检验进行数据分析。结果:社交距离应激(VAS)与NDI (r=0.19, p<0.05)、ODI (r=0.18, p<0.05)呈低正相关,社交距离应激(VAS)与SF-36呈负相关(r=-0.17, p<0.05)。社交距离高压力组的NDI得分显著高于社交距离低压力组(p<0.05)。结论:本研究通过物理治疗方法评估新冠肺炎引起的各种社会变化对身心健康的潜在副作用,具有重要意义。本研究结果可作为未来COVID-19相关研究的基础数据。
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引用次数: 11
Effects of Pilates Reformer Exercise on Standing Postural Alignment 普拉提运动对站立姿势调整的影响
Pub Date : 2021-04-30 DOI: 10.18857/JKPT.2021.33.2.76
G. Sim, Ho-Jin Shin, S. Kim
Purpose: This study examined the effects of applying the Pilates reformer exercise to 17 adult women on the alignment of the standing posture.Methods: The subjects performed a Pilates reformer exercise for 60 minutes a day, three times a week, for a total of eight weeks. The Pilates reformer exercise consisted of five types: 1) lower and lift, 2) hundred, 3) plow, 4) airplane, and 5) twist. The standing posture alignment in the sagittal and frontal planes was measured using exbody 9100MOMI musculoskeletal analysis equipment.Results: A comparison of before and after the exercise using paired t-test revealed a significant decrease in the difference between the horizontal inclination and the vertical height that approached zero after the intervention in the frontal plane of anterior and posterior standing postures (p<0.05), and the lateral standing posture in the sagittal plane. In addition, the difference between the horizontal inclination and the vertical height decreased and approached zero after the intervention (p<0.05).Conclusion: The Pilates reformer exercise had a positive effect on the alignment of the standing posture.
目的:本研究考察了应用普拉提改革运动对17名成年女性站立姿势对齐的影响。方法:受试者进行普拉提改革练习,每天60分钟,每周三次,共8周。Pi后期改革练习包括五种类型:1)降低和提升,2)100,3)犁,4)飞机,5)扭转。使用exbody 9100MOMI肌肉骨骼分析设备测量矢状面和额平面的站立姿势对齐。结果:经配对t检验,运动前后水平倾斜与垂直高度的差异显著减小(p<0.05),前后站立姿势额角面水平倾斜与垂直高度的差异趋近于零(p<0.05),侧面站立姿势矢状面水平倾斜与垂直高度的差异显著减小(p<0.05)。此外,倾斜水平与垂直高度的差异在干预后逐渐减小,趋近于零(p<0.05)。结论:普拉提运动对站立姿势的调整有积极作用。
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引用次数: 1
Effect of Action Observation Physical Training for Chronic Stroke Patients on the Stairs Walking Ability and Self-Efficacy 动作观察性体能训练对慢性脑卒中患者楼梯行走能力及自我效能的影响
Pub Date : 2021-04-30 DOI: 10.18857/JKPT.2021.33.2.53
Geun-hong Park, Hyun-Min Lee
Korea Purpose: This study examined the impacts of action observational physical training related to stair walking on the stair walking ability and self-efficacy of chronic stroke patients. Methods: This study was conducted on 24 chronic stroke patients, who were assigned randomly to an action observational physical training group (12 persons) and a landscape observation physical training group (12 persons). To the action-observational physical training group, five videos related to stair walking were presented, and after observing them, physical training was carried out. The landscape observation physical training group observed the videos consisting of landscape, where there were no humans and animals, and then underwent physical training. This study measured the rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius to examine the muscle activity of the lower limb. A timed up and go and step test was performed to examine the balance ability, and a timed stair test was conducted to examine their stair walking ability. A self-efficacy scale was measured to examine the degree of their confidence of performing stair walking. The assessment was conducted three times in total: pre-, post-, and follow-up surveys. Results: As a result of this study, the action observational physical training group significant improvement after the intervention than in the landscape observation physical training group. Moreover, the follow-up study four weeks after the intervention showed significant improvements in the action observational physical training group (p<0.05). Conclusion: These results show that the action observational physical training had a positive impact on the stair walking ability and self-efficacy of chronic stroke
目的:本研究探讨与走楼梯相关的动作观察性体能训练对慢性脑卒中患者走楼梯能力和自我效能的影响。方法:对24例慢性脑卒中患者进行研究,随机分为动作观察性体能训练组(12人)和景观观察性体能训练组(12人)。动作观察型体能训练组,先播放5段与走楼梯相关的视频,观察后进行体能训练。景观观察体能训练组观看由景观组成的视频,视频中没有人和动物,然后进行体能训练。本研究测量了股直肌、股二头肌、胫骨前肌和腓肠肌,以检查下肢的肌肉活动。通过定时上、下和台阶测试来测试他们的平衡能力,通过定时楼梯测试来测试他们的楼梯行走能力。采用自我效能量表来考察他们对走楼梯的信心程度。评估共进行了三次:前、后和随访调查。结果:本研究结果表明,行动观察性体能训练组干预后较景观观察性体能训练组有显著改善。干预4周后的随访研究显示,动作观察性体能训练组的改善有显著性意义(p<0.05)。结论:动作观察性体能训练对慢性脑卒中患者的楼梯行走能力和自我效能感有积极影响
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引用次数: 10
Effect of Mirror Therapy on the Balance, Gait and Motor Function in Patients with Subacute Stroke 镜像疗法对亚急性脑卒中患者平衡、步态和运动功能的影响
Pub Date : 2021-04-30 DOI: 10.18857/JKPT.2021.33.2.62
Min-Su Song, Soon-Hee Kang
Purpose: This study examined whether mirror therapy could improve the balance, gait, and motor function of patients with subacute stroke. Methods: Thirty-three patients with subacute stroke were divided randomly into three groups: experimental group1, experimental group2, and the control group. The patients in experimental group1 performed a mirror therapy program on the unaffected side of the lower extremities, and the patients in experimental group2 performed mirror therapy on the affected side of the lower extremities. Both groups performed the exercise for 30 minutes per session, five times a week for four weeks. The control group did not receive mirror therapy. BBS, POMA, 10MWT, and the BRS were used to evaluate the balance, the quality of gait, gait speed, and the motor function before and after the intervention. Results: The gait speed increased significantly in the experimental groups1 and 2 after the intervention. The control group showed no significant difference in the gait speed after the intervention. The change in gait speed before and after the intervention showed a significant difference among the groups. Experimental group1 showed a significant increase in the gait speed compared to that of the control group. Conclusion: This study suggests that mirror therapy could be an effective intervention to improve the gait speed of patients with subacute stroke. On the other hand, there was no difference in the effectiveness of mirror therapy and therapeutic exercise on the balance, gait, and motor function.
目的:本研究探讨镜像疗法是否能改善亚急性脑卒中患者的平衡、步态和运动功能。方法:将33例亚急性脑卒中患者随机分为实验1组、实验2组和对照组。实验组1患者对未患侧下肢进行镜像治疗,实验组2患者对患侧下肢进行镜像治疗。两组人每次都进行30分钟的锻炼,每周五次,持续四周。对照组不接受镜像治疗。采用BBS、POMA、10MWT和BRS评价干预前后的平衡性、步态质量、步态速度和运动功能。结果:实验组1和实验组2干预后步态速度明显提高。对照组干预后步态速度无显著差异。干预前后步态速度的变化在组间有显著差异。与对照组相比,实验组1的步态速度明显增加。结论:镜像疗法是改善亚急性脑卒中患者步态速度的有效干预手段。另一方面,镜像疗法和治疗性运动在平衡、步态和运动功能方面的效果没有差异。
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引用次数: 0
Effects of Action Observation Training and Mirror Therapy on the Electroencephalograms of Stroke Patients 动作观察训练与镜像疗法对脑卒中患者脑电图的影响
Pub Date : 2021-04-30 DOI: 10.18857/JKPT.2021.33.2.106
H. Lee, J. Lee, YoungMi Kim
Purpose: This study examined the effectiveness of action observation training (AOT) and mirror therapy in improving the electroencephalograms (EEG) of stroke patients. Methods: Patients were allocated randomly to three groups: an action observation training with activity (AOTA) group (n=12), a mirror therapy with activity (MTA) group (n=11), and an AOT-only group (n=12). All groups received conventional physiotherapy in five 60-minute sessions over six weeks. The AOTA, MTA, and AOT groups practiced AOTA, MTA, and AOT, respectively, in three 30-minute sessions over six weeks. The differences between the pre- and post-treatment EEGs were assessed using a paired t-test. Comparisons between the groups were performed using one-way ANOVA. Results: The participants in the AOTA and MTA groups showed significant improvement in the EEG. AOTA improved the alpha waves of the prefrontal, temporal, and parietal lobes significantly (p<0.05). MTA improved the alpha waves of the temporal lobe significantly (p<0.05). AOT did not result in significant improvement Conclusion: AOTA and MTA improve stroke patients’ EEGs. Mirror neuron activation combined with conventional stroke physiotherapy promotes motor recovery and functioning. The effect is enhanced when the actions are executed after observation. Further research into mirror neuron activation will be needed to develop methods to improve the EEGs of stroke patients.
目的:探讨动作观察训练(AOT)和镜像疗法对脑卒中患者脑电图(EEG)的改善效果。方法:将患者随机分为动作观察训练伴活动(AOTA)组(n=12)、镜像治疗伴活动(MTA)组(n=11)和单纯aot组(n=12)。所有组在六周内接受五次60分钟的常规物理治疗。AOTA组、MTA组和AOT组分别进行AOTA、MTA和AOT,每次30分钟,持续6周。使用配对t检验评估治疗前后脑电图的差异。组间比较采用单因素方差分析。结果:AOTA组和MTA组脑电图有明显改善。AOTA能显著改善前额叶、颞叶和顶叶的α波(p<0.05)。MTA能显著改善颞叶α波(p<0.05)。结论:AOTA和MTA可改善脑卒中患者的脑电图。镜像神经元激活结合常规中风物理治疗促进运动恢复和功能。当动作在观察后执行时,效果会增强。需要对镜像神经元激活进行进一步研究,以开发改善中风患者脑电图的方法。
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引用次数: 1
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The Journal of Korean Physical Therapy
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