Lee Daehee, Roh Hyolyun, Park Jungseo, Lee Sangyoung, Han Seulki
Department of Physical Therapy, Youngdong University.
J Phys Ther Sci. 2013 May;25(5):611-4. doi: 10.1589/jpts.25.611. Epub 2013 Jun 29.
[Purpose] This study examined the effects of action observation and action practice on stroke patients' upper limb function. [Subjects and Methods] The subjects were 33 chronic stroke patients who were randomly assigned to four groups. The action observation group (5 males, 3 females) watched a video of the task, the action practice group (5 males, 4 females) performed the action, the combined action observation-action practice group (5 males, 4 females) watched the video of the task and practiced the action, and the control group (4 males, 3 females) did not perform either action observation or action practice. The video used in the action observational physical training comprised a scene of an adult male picking up a cup, bringing it to his mouth in order to touch his mouth, and then returning the cup to its initial position. [Results] Improvements in drinking behavior functions were observed immediately after the experiment and one week later. After the intervention, the number of drinking motions had increased the most in the combination group. One week after the experiment, there were increases in the action observation, action training, and combination groups. [Conclusion] A combination of action observation and action training is the most effective treatment method, and action training is a desirable second to combined therapy.
[目的]本研究探讨动作观察和动作练习对脑卒中患者上肢功能的影响。[对象与方法]研究对象为33例慢性脑卒中患者，随机分为四组。动作观察组（男5例，女3例）观看任务视频，动作练习组（男5例，女4例）进行动作操作，动作观察与动作练习联合组（男5例，女4例）观看任务视频并进行动作练习，对照组（男4例，女3例）既不进行动作观察也不进行动作练习。动作观察性体能训练中使用的视频内容为一名成年男性拿起杯子，将其举到嘴边触碰嘴巴，然后将杯子放回初始位置的场景。[结果]实验后及一周后均观察到饮水行为功能有所改善。干预后，联合组的饮水动作次数增加最多。实验一周后，动作观察组、动作训练组和联合组均有增加。[结论]动作观察与动作训练相结合是最有效的治疗方法，动作训练是联合治疗后的理想选择。
