비침습적 전기자극과 결합한 몸통 안정화 운동이 뇌졸중 환자의 균형 및 낙상 효능감에 미치는 영향 = Effects of noninvasive electrical stimulation combined trunk stabilization exercise on balance and fall risk in stroke patients

다국어 초록 (Multilingual Abstract)

Background: This study aimed to investigate the effects of noninvasive electrical stimulation combined with trunk stabilization exercise on balance and fall risk in patients with stroke.
Methods: Twenty-two patients with stroke were enrolled in the study and randomly divided into experimental and control groups, each with 11 patients. noninvasive electrical stimulation combined with trunk stabilization training was applied to the experimental group, and sham noninvasive electrical stimulation combined with trunk stabilization training, to the control group. Both groups were treated for 6 weeks, five times a week for 30 min each time; the balance and fall risk of patients with stroke were measured before and after treatment, and the changes in the two groups were compared and analyzed.
Results: The experimental group's left and right weight-bearing indices (affect and non-affect sides) and the front and rear weight-bearing indices, were significantly improved (p<.05, p<.001). when the changes in balance ability between groups were compared before and after treatment. The total fall efficacy score in the experimental group was substantially lower than that in the control group when the changes in fall efficacy score were compared between groups following treatment (p<.001).
Conclusion: The improvement in balance and fall risk in patients with stroke can be attributed to using noninvasive electrical stimulation in combination with trunk stabilization training. This clinically helpful treatment method for patients with stroke warrants further promotion and implementation in the clinic.

참고문헌 (Reference)

1 김제호, "전신진동운동이 뇌졸중 환자의 다리 근활성도와 보행능력에 미치는 영향" 대한정형도수물리치료학회 26 (26): 35-42, 2020

2 양대중 ; 이용선, "로봇-보조 팔 훈련이 뇌졸중 환자의 팔에 근활성도와 체중지지에 미치는 영향" 대한정형도수물리치료학회 28 (28): 71-80, 2022

3 김희 ; 정민예, "뇌졸중 성인의 낙상 감소를 위한 1대 1 낙상 예방 교육의 효과" 한국콘텐츠학회 15 (15): 426-435, 2015

4 이영훈 ; 조용호, "뇌졸중 노인에게 PNF의 안정적 반전과 율동적 안정화 기법을 이용한 몸통 안정화 훈련이 몸통 근력과 호흡기능에 미치는 영향" 대한고유수용성신경근촉진법학회 19 (19): 105-113, 2021

5 김상모 ; 김영민, "기능적 전기자극치료를 동반한 양측 하지의 고유수용성 신경근 촉진운동이 뇌졸중 환자의 균형과 보행에 미치는 영향" 대한물리의학회 15 (15): 123-132, 2020

6 정대인 ; 서태화 ; 고대식, "가상현실 체험형 운동과 요부안정화운동에 따른 뇌졸중환자의 낙상관련 신체․심리적 비교 분석" 한국콘텐츠학회 12 (12): 274-282, 2012

7 Cabanas VR, "Trunk training exercises approaches for improving trunk performance and functional sitting balance in patients with stroke : A systematic review" 33 (33): 575-592, 2013

8 Kaminski E, "Transcranial direct current stimulation(tDCS)over primary motor cortex leg area promotes dynamic balance task performance" 127 (127): 2455-2462, 2016

9 Rungseethanakul S, "Task oriented training activities post stroke will produce measurable alterations in brain plasticity concurrent with skill improvement" 29 (29): 241-254, 2022

10 Santos FI, "Searching for the optimal tDCS target for motor rehabilitation" 16 : 90-, 2019

11 Sato Y, "Relationship between trunk muscle mass and activities of daily living at discharge in acute stroke patients" 103 (103): 111833-, 2022

12 Nguyen PT, "Proprioceptive neuromuscular facilitation-Based physical therapy on the improvement of balance and gait in patients with chronic stroke : A systematic review and meta-analysis" 12 (12): 882-, 2022

13 Saunders DH, "Physical fitness training for stroke patients" 2020 (2020): CD003316-, 2020

14 강태우 ; 함규하, "PNF의 안정적 반전과 율동적 안정화 기법을 이용한 체간 안정화 훈련이 뇌졸중 환자의 체간 근력과 균형 능력에 미치는 영향" 대한고유수용성신경근촉진법학회 12 (12): 63-69, 2014

15 Learmonth G, "Non-invasive brain stimulation in stroke patients(NIBS) : A prospective randomized open blinded end-point(PROBE)feasibility trial using transcranial direct current stimulation(tDCS)in post-stroke hemispatial neglect" 31 (31): 1163-1189, 2021

16 Broderick P, "Mirror therapy for improving lower limb motor function and mobility after stroke : A systematic review and meta-analysis" 63 : 208-220, 2018

17 Hankey GJ, "Is it a stroke?" 350 (350): h56-h56, 2015

18 Lefaucheur JP, "Evidence-based guidelines on the therapeutic use of repetitive transcranial magnetic stimulation(rTMS) : An update(2014-2018)" 131 (131): 474-528, 2020

19 Tanaka S, "Enhancement of pinch force in the lower leg by anodal transcranial direct current stimulation" 196 (196): 459-465, 2009

20 Zhang MK, "Effects of whole-body vibration training on lower limb motor function and neural plasticity in patients with stroke : protocol for a randomised controlled clinical trial" 12 (12): e060796-, 2022

21 Navarro-Lopez V, "Effects of transcranial direct current stimulation combined with physiotherapy on gait pattern, balance, and functionality in stroke patients. A systematic review" 11 (11): 656-, 2021

22 Cayco CS, "Effects of proprioceptive neuromuscular facilitation on balance, strength, and mobility of an older adult with chronic stroke : A case report" 21 (21): 767-774, 2017

23 Alisar DC, "Effects of bihemispheric transcranial direct current stimulation on upper extremity function in stroke Patients : A randomized double-Blind sham-controlled study" 29 (29): 104454-, 2020

24 Shim J, "Effects of EMG-triggered FES during trunk pattern in PNF on balance and gait performance in persons with stroke" 38 (38): 141-150, 2020

25 Diaz-Arribas MJ, "Effectiveness of the Bobath concept in the treatment of stroke : A systematic review" 42 (42): 1636-1649, 2020

26 Onal B, "Effect of plantar vibration on static and dynamic balance in stroke patients : A randomised controlled study" 116 : 1-8, 2022

27 Bai X, "Different therapeutic effects of transcranial direct current stimulation on upper and lower limb recovery of stroke patients with motor dysfunction : A meta-analysis" 2019 : 1372138-, 2019

28 Corbetta D, "Constraint-induced movement therapy for upper extremities in people with stroke" (10) : CD004433-, 2015

29 Sacco RL, "An updated definition of stroke for the 21st century : A statement for healthcare professionals from the American heart association/American stroke association" 44 (44): 2064-2089, 2013

30 Woods AJ, "A technical guide to tDCS, and related non-invasive brain stimulation tools" 127 (127): 1031-1048, 2016

31 Karthikbabu S, "A review on assessment and treatment of the trunk in stroke : A need or luxury" 7 (7): 1974-1977, 2012

32 Geurts ACH, "A review of standing balance recovery from stroke" 22 (22): 267-281, 2005