| 저자 |
Seong Hoon Lim1*†, Eun Kyu Ji1, Hae Hyun Wang1, Sung June Jung1, Joon Sung Kim1, Bo Young Hong1, Kyoung Bo Lee1, Hyehoon Choi1 |
Purpose: Although several occupational therapy for the motor recovery of upper limb in patients with chronic stroke have been investigated, most of all treatments might be focused on treatment of hospital or clinic setting. Thus, we investigated the effect of graded motor imagery (GMI) training on motor recovery of upper limb and activities of daily living (ADL) in patients with stroke, as home exercise program with randomized controlled trial.
Methods: Forty subjects with chronic stroke, over than 3 months after onset, by supratentorial first-ever stroke, were recruited. A total of 8 weeks of GMI program with 30 min at home was educated and was done by himself at home for intervention group. All patients in intervention or control groups, had been taken conventional occupational therapy (OT) for 1 hour, twice per week throughout all intervention period. The primary outcome measure was the change of motor function, assessed by manual function test (MFT), Fugl-Meyer assessment (FMA) from baseline to 8 weeks. Secondary outcome measure was the changes of ADL, assessed by modified Bathel Index (MBI).
Results: Of the 40 subjects, 37 completed the 8-week follow-up (17 in the GMI group and 20 in the control group). All subjects showed significant improvement for MFT, FMA and MBI with time and conventional OT (p<.05). The improvement of total score for MFT, FMA and MBI in GMI group did not differ from those in control group. The score of proximal upper limb of intervention group was significantly improved than control group (p<.05).
Conclusion: The home exercise program with GMI induced the improvement for proximal muscle function of upper limb in patients with chronic stroke, over than 3 months after onset. The GMI home program may be an adjunctive treatment with conventional rehabilitation treatment for chronic stroke. These results may be useful for planning rehabilitation strategies for motor function of upper limb in patients with chronic stroke. |
