Effects of 5 minutes of neck-muscle vibration immediately before occupational therapy on unilateral spatial neglect
Effects of 5 minutes of neck-muscle vibration immediately before occupational therapy on unilateral spatial neglect
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DOI：
10.3109/09638288.2011.570411
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发表时间：
2011-01-01
影响因子：
2.2
通讯作者：
Kawahira, Kazumi
中科院分区：
文献类型：
--
作者：
Kamada, Katsuya;Shimodozono, Megumi;Kawahira, Kazumi
目的.目的探讨作业治疗前颈部肌肉振动5 min对单侧空间忽略的影响。在这项为期6周的多基线设计研究中（A（1）-B-A（2）设计：A（1），A（2）;常规OT无颈部肌肉振动，B; OT前颈部肌肉振动与常规OT一起），我们检查了11例在卒中急性期后表现出USN的右脑损伤患者。疗程A（1）和A（2）：常规OT 40分钟，每天一次，每周5天。会话B：在OT之前，患者的左后颈部肌肉立即经受振动5分钟，而没有确认出现动觉错觉，然后执行与疗程A（1）和A（2）中相同的OT程序。每次会议持续2周。每隔2周分别用行为注意力不集中测验（BIT）和功能独立性量表（ADL）评定两组患者的USN和日常生活活动能力。BIT的常规子测试和行为子测试的总分仅在会话B期间显著增加。在A1和B两个阶段，FIM评分均显着增加。结论。在OT前应用颈部肌肉振动可能对不稳定性睡眠有积极作用，但对ADL改善的具体效果尚不清楚。
Purpose. To evaluate the effects of neck-muscle vibration for 5 min before occupational therapy (OT) on unilateral spatial neglect (USN).Method. In this multiple-baseline design study for 6 weeks (A(1)-B-A(2) design: A(1), A(2); conventional OT without neck-muscle vibration, B; neck-muscle vibration before OT together with conventional OT), we examined 11 right braindamaged patients in the post-acute phase of stroke who showed USN. Sessions A(1) and A(2): conventional OT for 40 min once daily for 5 days a week. Session B: the left posterior neck muscles of the patient were subjected to vibration for 5 min, without confirming the appearance of a kinaesthetic illusion, immediately before OT, and then the same OT programme as in sessions A(1) and A(2) was performed. Each session lasted 2 weeks. USN and activities of daily living (ADL) were evaluated at 2-week intervals by the Behavioural Inattention Test (BIT) and Functional Independence Measure (FIM), respectively.Results. Significant increases in the total scores in both the conventional subtest and behavioural subtest of the BIT were only seen during session B. FIM scores increased significantly during both sessions A1 and B.Conclusions. The application of neck-muscle vibration before OT may have positive effects on USN, but the specific effect on the improvement of ADL is not clear.