تاثیر تصویرسازی حرکتی و مشاهده عمل بر تعادل، طول، سرعت و ریتم گام سالمندان مبتلا به سکته مغزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار، گروه رفتار حرکتی، دانشکده علوم ورزشی، دانشگاه تربیت دبیر شهید رجایی، تهران، ایران

2 استادیار، گروه فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه تربیت دبیر شهید رجایی، تهران، ایران

3 کارشناس ارشد رفتار حرکتی، دانشکده علوم ورزشی، دانشگاه تربیت دبیر شهید رجایی، تهران، ایران

چکیده

هدف پژوهش حاضر، تعیین تأثیر مشاهده‌عمل و تصویرسازی‌حرکتی بر تعادل و طول، سرعت و ریتم گام سالمندان مبتلا به سکته مغزی بود. 24 نفر از سالمندان مبتلا به سکته مغزی به صورت داوطلبانه در این پژوهش شرکت کردند. از آزمون‌های لک‌لک، زمان برخاستن- راه‌رفتن و نرم‌افزار تحلیل دو بعدی کینوا استفاده شد. مرحله تمرین شامل 16 جلسه (3 جلسه در هفته و هر جلسه ، 45 دقیقه‌) بود. نتایج آزمون تحلیل واریانس مرکب نشان داد که تعادل ایستا، سرعت و طول گام نسبت به پیش آزمون پیشرفت معناداری داشتند. تصویرسازی-حرکتی و مشاهده‌عمل منجر به بهبود تعادل پویا در مقایسه با گروه کنترل شد. سرعت گام گروه تصویرسازی-حرکتی بیشتر از گروه مشاهده‌عمل و کنترل بود، در نهایت، ریتم گام در گروه مشاهده‌عمل، نسبت به پیش آزمون پیشرفت داشت. یافته‌های پژوهش پیشنهاد می‌کنند که مشاهده و تصویرسازی حرکتی می‌توانند تعادل و پارامترهای راه‌رفتن را در سالمندان مبتلا به سکته مغزی بهبود بخشند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effect of Motor Imagery and Action Observation on Balance, Gait Length, Speed and Rhythm in Elderly Post Stroke

نویسندگان [English]

  • Farzaneh Hatami 1
  • Hadi Samadi 2
  • Mastaneh Salari Joubani 3
1 motor behavior departent of sport sciences faculty- Shahid Rajaee Teacher Training university- Tehran- Iran
2 Corrective Exercise & Sport Injuries Department of sport sciences faculty - Shahid Rajaee teacher Training university - Tehran - Iran
3 Motor Behavior department of sport sciences faculty - Shahid Rajaee teacher Training university - Tehran – Iran
چکیده [English]

The purpose of present study was to determine the effects of action observation and motor imagery on balance, gait length, speed and rhythm in elderly post stroke. Twenty- four elderly post stroke participated voluntarily in the study. Stork test, Timed Up and Go test (TUG) and KINOVEA software were used in pretest and post-test. Mixed ANOVA revealed that static balance, speed and length of step improved significantly compared to pretest. Motor imagery and action observation resulted in a significant improvement in dynamic balance compared to control group. Speed step of motor imagery group was more than action observation and control group significantly and action observation group experienced significantly improvement in step rhythm compared to pretest. Finding suggested that motor imagery and action observation improves balance and gait parameters in elderly post stroke.

کلیدواژه‌ها [English]

  • Stroke"
  • Balance"
  • Gait"
  • Motor Imagery"
  • "
  • Action Observation"
 
Wood-Dauphinee S. The epidemiology of stroke: relevance for physical therapists. Physiother Can. 1985; 37:377-86.
Gholami Borujeni B, Ghasemi B. The effect of closed kinetic chain exercises on the static and dynamic balance of Stroke patients. Iranian journal of rehabilitation research in nursing. 2015. 1(4). 31-39. (in Persian)
Niam S, Cheung W, Sullivan PE, Kent S and Gu X. Balance and physical impairments after stroke. Arch Phys Med Rehabil 1999; 80: 1227–1233.
VanSwearingen J M, Perera S, Brach J S, Wert D, & Studenski S A. Impact of Exercise to Improve Gait Efficiency on Activity and Participation in Older Adults With Mobility Limitations: A Randomized Controlled Trial. Phys. Ther. 2011: 91(12), 1740-1751.
Magill RA. Motor learning and control. Concepts and Applications7.th. Ed: New York; McGraw-Hill. 2011.
Gonzalez-Rosa J J, Natali F, Tettamanti A, Cursi M, Velikov, S, Comi G. ... & Leocani L. Action observation and motor imagery in performance of complex movements: evidence from EEG and kinematics analysis. Behav. Brain Res. 2015: 281, 290-300.
Eaves DL, Riach M, Holmes P S & Wright DJ. Motor imagery during action observation: A brief review of evidence, theory and future research opportunities. Front. Hum. Neurosci. 2016: 21.
Jeannerod M. Neural simulation of action: a unifying mechanism for motor cognition. Neuroimage. 2001: 14(1), 103-109.
Holmes P, & Calmels C. A neuroscientific review of imagery and observation use in sport. J. Mot. Behav.. 2008: 40(5), 433-445.
Kim T H, & Cruz A. Differences in brain activation during motor imagery and action observation of golf putting. SCI RES ESSAYS. 2011: 6(15), 3132-3138.
Filimon F, Nelson J D, Hagler D J, & Sereno M I. Human cortical representations for reaching: mirror neurons for execution, observation, and imagery. Neuroimage.2007: 37(4), 1315-1328.
Lorey B, Naumann T, Pilgramm S, Petermann C, Bischoff M, Zentgraf K, & Munzert J. How equivalent are the action execution, imagery, and observation of intransitive movements? Revisiting the concept of somatotopy during action simulation. Brain Cogn. 2013: 81(1), 139-150.
Rizzolatti G. The mirror neuron system and its function in humans. ANAT EMBRYOL. 2005: 210(5-6), 419-421.
Rizzolatti G, Fogassi L, & Gallese V. Neurophysiological mechanisms underlying the understanding and imitation of action. Nat. Rev. Neurosci. 2001: 2(9), 661-670.
Cheng Y, Lee P L, Yang C Y, Lin C P, Hung D, & Decety J. Gender differences in the mu rhythm of the human mirror-neuron system. PLoS One. 2008: 3(5), e2113.
Malouin F, Richards CL. Mental practice for relearning locomotor skills. Phys Ther. 2010: 90:240 – 251.
 Miyai I, Tanabe HC, Sase I, et al. Cortical mapping of gait in humans: a near-infrared spectroscopic topography study. Neuroimage. 2001:14:1186 – 1192.
Fadiga L, Fogassi L, Pavesi G, Rizzolatti G. Motor facilitation during action observation: a magnetic stimulation study. J Neurophysiol. 1995: 73(6):2608-11.
Decety J, Sjöholm H, Ryding E, Stenberg G, Ingvar DH. The cerebellum participates in mental activity: tomographic measurements of regional cerebral blood flow. Brain Res. 1990: 535(2):313-7.
Grafton ST, Arbib MA, Fadiga L, Rizzolatti GLocalization of grasp representations in humans by positron emission tomography. 2. Observation compared with imagination. Exp Brain Res.1996: 112(1):103-11.
Deutsch JE, Maidan I, Dickstein R. Patient-centered integrated motor imagery delivered in the home with tele rehabilitation to improve walking after stroke. Phys Ther. 2012: 92:1065-1077
Cho H, Kim J, & Lee G. Effects of motor imagery training on balance and gait abilities in post-stroke patients: a randomized controlled trial. Clin. Rehabil. 2013: 27(8) 675- 680.
 Dickstein R, Dunsky A, & Marcovitz E. Motor imagery for gait rehabilitation in post-stroke hemiparesis. Phys. Ther. 2004: 84(12), 1167-1177.
Cirelli M F, Fetner B, Ismaili L, and Jordan D. Motor Imagery and Action Observation as an Alternative Gait Training Intervention for the Elderly. 2014. CUNY Academic Works. htps://academicworks.cuny.edu/gc_etds/811
Kim J, & Lee B. Action observation training for functional activities after stroke: a pilot randomized controlled trial. Neurorehabilitation. 2013: 33(4), 565-574.
Tia B, Mourey F, Ballay Y, Sirandré C, Pozzo T, & Paizis C. Improvement of motor performance by observational training in elderly people. Neurosci. Lett. 2010: 2(480), 138-142.
Marusic U, Grosprêtre S, Paravlic A, Kovač S, Pišot R, and Taube W. Motor Imagery during Action Observation of Locomotor Tasks Improves Rehabilitation Outcome in Older Adults after Total Hip Arthroplasty. Neural Plast. 2018:19.
Vigneswaran G, Philipp R, Lemon R N, & Kraskov A. M1 Corticospinal Mirror Neurons and Their Role in Movement Suppression during Action Observation. Current Biology 2013: 23(3), 236-243.
Villiger M, Chandrasekharan S & Welsh T. Activity of human motor system during action observation is modulated by object presence. Experimental Brain Research. 2011: 209(1), 85-93.