Effects of Active Craniocervical Movement Training Using a Cognitive Game on Stroke Patients’ Balance
Background: Compared with normal people, stroke patients have decreased voluntary craniocervical motion, which affects their balance. Objects: This study was conducted in order to examine the effects of active craniocervical movement training using a cognitive game on stroke patient’s cervical mo...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Research Society of Physical Therapy
2021-02-01
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| Series: | Physical Therapy Korea |
| Subjects: |
| Summary: | Background: Compared with normal people, stroke patients have decreased voluntary craniocervical
motion, which affects their balance.
Objects: This study was conducted in order to examine the effects of active craniocervical
movement training using a cognitive game on stroke patient’s cervical movement control ability,
balance, and functional mobility.
Methods: The subject of this study were 29chronic stroke patients who were randomly allocated
to either an experimental, cognitive game group (n = 15), or control group (n =
14), to which only neuro-developmental treatment (NDT) was applied. The intervention was
conducted 5 times per week, 30 minutes per each time, for a total of 4 weeks. Active angle
reproduction test, static stability test, limits of stability test, and Time up and Go (TUG) test,
respectively, were carried out in order to evaluate cervical movement control ability, static balance,
dynamic balance, and functional mobility. Paired t-test was used in order to compare
differences between prior to after the intervention, along with an independent-test in order to
compare prior to and after-intervention differences between the two groups.
Results: After the craniocervical training with a body-driven cognitive game, the experimental
group showed significant differences in flexion, extension, and lateral flexion on the affected
side, and rotation on the affected side in the active angle reproduction test. The experimental
group indicated significant differences in sway length both with eyes-open and with eyesclosed
in the static stability test and in limits of stability test and TUG test. The control group to
which NDT was applied had significant differences in flexion in the active angle reproduction
test and in limits of stability test and TUG test.
Conclusion: The above results mean that craniocervical training using a body-driven cognitive
game positively influences stroke patient’s cervical movement control ability and as a
result their balance and functional mobility. |
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| ISSN: | 1225-8962 2287-982X |