The Effects of Integrated Provision Action Observation and Synchronized Electrical Sensory Stimulation for Sit-to-stand in Stroke Patients Function
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...
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| Format: | Article |
| Language: | English |
| Published: |
Korean Research Society of Physical Therapy
2020-08-01
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| Series: | Physical Therapy Korea |
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| Summary: | 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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| ISSN: | 1225-8962 2287-982X |