Clinical feasibility of action observation training for walking function of patients with post-stroke hemiparesis: a randomized controlled trial

Park, Hye-Ryoung; Kim, Jong-Man; Lee, Moon-Kyu; Oh, Duck-Won

doi:10.1177/0269215514523145

Cited by 46 publications

(75 citation statements)

References 37 publications

(53 reference statements)

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“…Park et al 29 reported an increase of DGI score from 12.09 ± 5.15 to 16.18± 5.17 in the action observation followed by physical training group. This result can be explained by the fact that the participants observed various states of walking motions that are easily accessed during daily activities, and then practiced walking under task-specific situations.…”

Section: Changes Before and After The Experiments Between Groups Chanmentioning

confidence: 95%

“…26,27 Other studies have also supported the effectiveness of action observation training for the improvement of walking ability and balance ability in stroke patients. [28][29][30] When healthy subjects were observed while walking and crossing over obstacles on a treadmill, the anterior tibialis and soleus muscles showed the same reflex control as crossing over actual obstacles.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Treadmill Training Applied Simultaneously with Action Observation on Walking Ability in Chronic Stroke Patients

Song¹,

Lee²

2016

J Kor Phys Ther

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Purpose:To investigate the effect of treadmill training applied simultaneously with gait related action observation on walking ability in chronic stroke patients. Methods: Sixteen chronic stroke patients participated in this study. Participants were randomly allocated into either the treadmill applied simultaneously with action observation training group (TAG) or treadmill applied simultaneously with landscape observation training group (TLG). The participants in both group underwent treadmill training for four weeks (a total of twelve minute, once a day, three times weekly for a four week period). All participants were measured to gait speed (10 m walking test, 10 MWT), gait endurance (6 minute walk distance, 6 MWD), dynamic gait index (DGI). In order to assure the statistical significance of the results, we used for SPSS 15.0 for windows. The Wilcoxon signed ranks test was used to compare pre-test and post-test result, and the Mann-Whitney U-test was employed for comparison between groups. Results: The 10 MWT, 6 MWD, DGI was significantly different between the TAG and the TLG group. Conclusion: According the results of this study, treadmill applied simultaneously with action observation (TAG) is effective intervention for improvement of walking ability in chronic stroke patient.

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Section: Changes Before and After The Experiments Between Groups Chanmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

The Effect of Treadmill Training Applied Simultaneously with Action Observation on Walking Ability in Chronic Stroke Patients

Song¹,

Lee²

2016

J Kor Phys Ther

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“…Observation with intent to imitate the observed action is fundamental for priming the motor system for execution (Brass, Bekkering, Wohlschläger, & Prinz, 2000). In chronic and acute stroke, AOT coupled with physical practice may enhance use-dependent plasticity by activating spared areas of the MNS and, improving upper- and lower-limb motor function (e.g., walking) (Franceschini et al, 2012; Park, Kim, Lee, & Oh, 2014). …”

Section: Sensory-based Strategies To Enhance Post-stroke Motor Recmentioning

confidence: 99%

The sensory side of post-stroke motor rehabilitation

Bolognini

Russo

Edwards

2016

RNN

158

136

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Contemporary strategies to promote motor recovery following stroke focus on repetitive voluntary movements. Although successful movement relies on efficient sensorimotor integration, functional outcomes often bias motor therapy toward motor-related impairments such as weakness, spasticity and synergies; sensory therapy and reintegration is implied, but seldom targeted. However, the planning and execution of voluntary movement requires that the brain extracts sensory information regarding body position and predicts future positions, by integrating a variety of sensory inputs with ongoing and planned motor activity. Neurological patients who have lost one or more of their senses may show profoundly affected motor functions, even if muscle strength remains unaffected. Following stroke, motor recovery can be dictated by the degree of sensory disruption. Consequently, a thorough account of sensory function might be both prognostic and prescriptive in neurorehabilitation. This review outlines the key sensory components of human voluntary movement, describes how sensory disruption can influence prognosis and expected outcomes in stroke patients, reports on current sensory-based approaches in post-stroke motor rehabilitation, and makes recommendations for optimizing rehabilitation programs based on sensory stimulation.

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“…In a study by Park et al, 21 stroke patients were divided into a control group (11 subjects) that observed a landscape and an experimental group (10 subjects) that observed gait motions 30 minutes per day, three times per week, for four weeks. Then, they showed significant differences in a 10-m walking test, a figure of 8 walking test, the dynamic gait index, and stance phase, swing phase, and stride, which are gait asymmetry scores16 ) . In a study by Sutbeyaz et al whose subjects were sub-acute stroke patients, mirror therapy training was applied where their ankles were dorsiflexed 30 minutes per day, for five days per week, for four weeks.…”

Section: Discussionmentioning

confidence: 98%

The effects of action observation training and mirror therapy on gait and balance in stroke patients

2017

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[Purpose] The aim of this study was to evaluate the effects of action observation training and mirror therapy to improve on balance and gait function of stroke patients. [Subjects and Methods] The participants were randomly allocated to one of three groups: The action observation training with activity group practiced additional action observation training with activity for three 30-minute session for six weeks (n=12). The mirror therapy with activity group practiced additional mirror therapy with activity for three 30-minute sessions for six weeks (n=11). The only action observation training group practiced additional action observation training for three 30-minute sessions for weeks (n=12). All groups received conventional therapy for five 60-minute sessions over a six-week period. [Results] There were significant improvements in balance and gait function. The action observation training with activity group significantly improved subjects’ static balance. The action observation training with activity group and the mirror therapy with activity group significantly improved subjects’ gait ability. [Conclusion] The activation of mirror neurons combined with a conventional stroke physiotherapy program enhances lower-extremity motor recovery and motor functioning in stroke patients.

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Clinical feasibility of action observation training for walking function of patients with post-stroke hemiparesis: a randomized controlled trial

Cited by 46 publications

References 37 publications

The Effect of Treadmill Training Applied Simultaneously with Action Observation on Walking Ability in Chronic Stroke Patients

The Effect of Treadmill Training Applied Simultaneously with Action Observation on Walking Ability in Chronic Stroke Patients

The sensory side of post-stroke motor rehabilitation

The effects of action observation training and mirror therapy on gait and balance in stroke patients

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