Kyung-Yoon Kim

Neurofeedback training improves the dual-task performance ability in stroke patients.

Owing to the reduced capacity for information processing following a stroke, patients commonly present with difficulties in performing activities of daily living that combine two or more tasks. To address this problem, in the present study, we investigated the effects of neurofeedback training on the abilities of stroke patients to perform dual motor tasks. We randomly assigned 20 patients who had sustained a stroke within the preceding 6 months to either a pseudo-neurofeedback (n = 10) or neurofeedback (n = 10) group. Both groups participated in a general exercise intervention for 8 weeks, three times a week for 30 min per session, under the same conditions. An electrode was secured to the scalp over the region of the central lobe (Cz), in compliance with the International 10-20 System. The electrode was inactive for the pseudo-training group. Participants in the neurofeedback training group received the 30-min neurofeedback training per session for reinforcing the sensorimotor rhythm. Electroencephalographic activity of the two groups was compared. In addition, selected parameters of gait (velocity, cadence [step/min], stance phase [%], and foot pressure) were analyzed using a 10-m walk test, attention-demanding task, walk task and quantified by the SmartStep system. The neurofeedback group showed significantly improved the regulation of the sensorimotor rhythm (p < 0.001) and ability to execute dual tasks (p < 0.01). Significant improvements on selected gait parameters (velocity and cadence; p < 0.05) were also observed. We thus propose that the neurofeedback training is effective to improve the dual-task performance in stroke patients.

Effect of Lower Limb Muscle Activity on Balancing through Sprinter Patterns of PNF

In this study, for examining an effect of lower limbs` muscle activity on balance capability when applying sprinter pattern among the PNF, the experiment was conducted as followed. Under the object of 24 people diagnosed by hemiplegia, they were divided into control group and experimental group and the experiment was conducted on the experimental group, three times per a week for six weeks. Experimental group received Sprinter pattern of combined PNF upper extremity and lower extremity pattern. For the lower limbs` muscle activity, effective values of Vastus medialis laterails, medial lateral hamstrings, lateral gastrocnemius` action potential were analyzed. The balance ability tests was conducted with FICSIT-4, FSST and MTD-Balance system. For the significance test of control group and experimental group for measuring time by exercise application method, two-way repeated measure ANOVA was conducted and for the significance test among the groups by each measuring time, independent t-test was conducted. Also, for examining the correlation among the measuring item, pearson correlation was used for the analysis. As the result, the application of sprinter pattern increased muscle activity of lower limbs in paretic side and improve static and dynamic balance ability effectively. Therefore, it will be necessary to develop new intervention by combining active application of the therapeutic intervention program for lower limbs` effective muscle mobilizing in paretic side with various exercising patterns.

Effect of PNF Combination Patterns on Muscle Activity of the Lower Extremities and Gait Ability in Stroke Patients

The purpose of present study was to determine effects of a PNF combination pattern training on muscle activity of lower extremities and gait ability in hemiparetic subjects. Twenty chronic stroke patients participated. Participants were randomly divided into either control group and experimental group. Experimental group received PNF combination pattern training, four times per a week for six weeks and control group received general exercise training. For the lower limbs muscle activity, RMS of action potential were analyzed and gait ability tests was conducted with 10MWT, DGI and F8WT. For the significance test of control and experimental group for measuring time by exercise application method, two-way repeated measure ANOVA. As the result, muscle activity of RF(p

The effect of Neurofeedback training on brain wave activity and cognitive performance in chronic stroke patients

This study was done objected to the chronic stroke patients in order to evaluate change in brain wave activity and cognitive performance when Neurofeedback training. The subjects were over 6 months ago in chronic stroke patients screened-test through the 20 patients, 10 persons in each group were randomly placed. This was carried out in 4 weeks in total, with control group(n=10) on general physical therapy and experimental group(n=10) on general physical therapy along with Neurofeedback training. The general physical therapy was applied 5 times a week, 30 minutes at once, Neurofeedback training was applied as equally as the general physical therapy, which makes 20 times in total. To learn about the effect before the training, after training, and 2 weeks after the training in electric physiological measurement method of the brain, electroencephalogram(EEG) to examine challenges by calculating the absolute spectrum power for standard EEG change(%), followed by evaluation with clinical assessment tool MMSE-K, Stroop Test, Digit Span Test. As a result of comparing the change in brain wave through EEG, after training and 2 weeks after training showed that absolute α-power and absolute β-SMR power of experimental group have increased and absolute θ-power decreased significantly compared to experimental group I. Moreover, the MMSE-K score in trial appraisal has increased significantly, and the error in Stroop Test and Digit Span Test has decreased significantly. such results, with the chronic stroke patients brain wave control, Neurofeedback training was determined to improve the cognitive performance. this study suggests a new training possibility of stroke patients by identifying the training effects of Neurofeedback training that trains the brain directly with brain wave control. Key Word : Chronic stroke, Cognitive performance, EEG, Neurofeedback training

Effect of tDCS Stimulation for Improving Working Memory on Stroke Patients' EEG Variation

This study was conducted so as to examine which change tDCS (Transcranial Direct Current Stimulation) for improving working memory can make on the EEC of stroke patients. Among the patients who suffered for more than 6 months by hemiparalysis caused by stroke, 20 patients selected by MMSE and DST were randomly divided into I group (10 patients) fulfilled by only CCT and II group (10 patients) fulfilled by both tDCS and CCT for total 4 weeks, 30 minutes per a day, three times per a week. For examining EEC variation, the absolute spectrum power was calculated by three bands (; 4~8 Hz, lower ; 8~10.5 Hz, upper ;10.5~13 Hz) during the task of words, photos and mental calculation with EEC test, before the arbitration, after 2 weeks and after 4 weeks, so the rate of increase and decrease (%) for the reference EEC was obtained. As the results, the first, particular aspects different one another in three bands were detected according to the measuring period and task. The second, in the forth week, there was only a significant difference in lower -power of all tasks. Therefore, through the procedure measuring EEC of this study, the degree of working memory`s damage can be expressed by numerical value and tDCS should be additionally helpful for brain damaged patients` perception rehabilitation.

Spinal Motor Neuron and Electroencephalogram Changes after Different Kinesio Taping Method Therapy in normal People

This study to evaluate the spinal motor neuron and electroencephalogram effects of applying different kinesio taping method therapy in normal people. The study was performed on 16 healthy adults. We divide two group; group I(n

Effects of Lumbar Stabilization Exercise using PNF Techniques on Thickness of Lumbar Deep Muscle and Functional Activity in Chronic Low Back Pain Patients

The purpose of this study was to examine the effects of lumbar stabilization exercise using the PNF techniques on the lumbar deep muscles thickness and functional activity in chronic low back pain patient. Group I(n

The Effect of Muscle Activity on Muscle Architectural of Medial Gastrocnemius in Chronic Stroke Patient Based on Ankle Joint Degree

The aim of this study was to effect of muscle activity on muscle architectural of medial gastrocnemius in chronic stroke patient based on ankle joint degree. The subjects of this study were 10 chronic stroke patients modified Ashworth scale(MAS) 2. Ultrasonographic and dynamometer was measured during resting and maximum voluntary isometric contraction(MVIC) on muscle thickness, pennation angle, fascicle length, MVIC. Result from analysis showed that muscle thickness was thinner in the paretic side than in the non-paretic side(p

Carpal Tunnel Syndrome in Stroke Patients According to the Degree of Spasticity in Median Nerve Cross-Sectional Area and Nerve Conduction Velocity and Comparison of Upper Extremity Function

The purpose of this study were carpal tunnel syndrome in stroke patients according to the degree of spasticity in the median nerve cross-sectional area, nerve conduction velocity, and to evaluate differences in upper extremity function. The subjects of this study was in adult patients with stroke 42 patients from 21 patients CTS group and 21 patients Non-CTS group were selected. Measurement of median nerve-cross sectional area, nerve conduction velocity, GST, FMAS, CTS-FSS was measured. The study results were each group between the unaffected side and the affected side CTS and Non-CTS group in each grade between groups unaffected side(p

A Study on Change of Plantar Fascia Thickness in Chronic Stroke Patient Based on Spasticity

The purpose of this study was to investigate the imbalance of muscle tone and frequent exposure to excessive gait training in patients with chronic spasticity due to stroke, the thickness of the plantar fascia to change and to evaluate. The subjects of this study was in 54 patients with chronic stroke from 18 patients Group I(MAS G0), 18 patients Group II(MAS G1), and 18 patients Group III(MAS G2) were selected. Measurement of clinical symptoms and physical examination, MAS(Modified Ashworth Scale), ultrasonographic, ROM(Range of Motion), VAS(Visual Analogue Scale), TUG(Timed Up and Go test) was measured. The study results were each group between the unaffected side and the affected side on plantar fascia thickness was statistically significantly thicker(p