KMID : 0608320200270030191
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Physical Therapy Korea 2020 Volume.27 No. 3 p.191 ~ p.198
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The Effects of Integrated Provision Action Observation and Synchronized Electrical Sensory Stimulation for Sit-to-stand in Stroke Patients Function
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Moon Young
Choi Jong-Duk
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Abstract
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Background: Stroke patients experience multiple dysfunctions that include motor and sensory impairments. Therefore, new intervention methods require a gradational approach depending on functional levels of a stroke patient¡¯s activity and should include cognition treatment to allow for a patient¡¯s active participation in rehabilitation.
Objects: This study investigates the effect of integrated revision of electrical sensory stimulation, which stimulates somatosensory and action observation training, which is synchronized cognition intervention method on stroke patients¡¯ functions.
Methods: Twenty-one stroke patients were randomized into two groups. The two groups underwent twenty minutes of intervention five times a week for three weeks. This study used an electromyogram to evaluate symmetric muscle activation of lower extremities and muscle onset time when performing sit to stand before and after intervention. A weight-bearing ratio was used to evaluate the weight-bearing of the affected side in a sit to standing. To evaluate sit to stand performance ability, this study performed five timed sit to stand tests.
Results: The two groups both showed statistically significant improvement in muscle onset time of lower extremity, static balance ability in a standing position, and sit to stand performance after the intervention (p < 0.05). In addition, the action observation and synchronized electrical sensory stimulation group showed significant improvement in symmetric muscle activation of lower extremities and weight?bearing ratio of the affected side (p < 0.05).
Conclusion: action observation and synchronized electrical sensory stimulation (AOT with ESS) can have positive effects on a stroke patient¡¯s sit to stand performance, and the intervention method that provides integrated AOT with ESS can be used as new nervous system intervention program.
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KEYWORD
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Action observation training , Electrical stimulation, Stroke
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