پایان نامه بررسی تاثیر بیوفیدبک تراپی بر دامنه حرکتی مفاصل دست در بیماران سکته مغزی

فهرست:

فصل اول: کلیات پژوهش    

(1-1) مقدمه.........................................................................................................................      1

(2-1) بیان مسئله...............................................................................................................     2 

(3-1) اهمیت و ضرورت پژوهش............................................................................................     4       

(4-1) تعریف مفاهیم...........................................................................................................     6

(1-4-1) بیوفیدبک .................................................................................................................     6

(2-4-1) سکته مغزی .............................................................................................................    6

(3-4-1) دامنه حرکتی مفاصل دست ...........................................................................................     6

(4-4-1) وضعیت شناختی .......................................................................................................    6

(5-4-1) عملکرد روزمره زندگی ..............................................................................................     7

(6-4-1) میزان تون عضلانی اسپاستیسیتی ..................................................................................      7

(5-1) اهداف پژوهش.................................................................................................................     7

(1-5-1) هدف کلی................................................................................................................      7

(2-5-1) اهداف اختصاصی ....................................................................................................      7

(3-5-1) اهداف کاربردی .......................................................................................................      8 

(6-1) سوالات و فرضیات .....................................................................................................       8

فصل دوم: گستره نظری و پیشینه پژوهش......................................................................       10

(1-2) مقدمه........................................................................................................................         10

(2-2) تعریف سکته مغزی ....................................................................................................       10      

(3-2) علت شناسی وشیوع........................................................................................        11

(4-2) علل سکته مغزی.......................................................................................................        12

(1-4-2) سکته ایسمیک .......................................................................................................       12

(2-4-2) سکته هموراژیک ...................................................................................................       12

 (5-2) علائم سکته مغزی......................................................................................................     13

(6-2) پیامدهای سکته مغزی................................................................................................        13

(1-6-2) عوارض زودرس ....................................................................................................     13

(2-2-6) عوارض دیررس ....................................................................................................      13

(7-2) پیش آگهی ...............................................................................................................      14

(8-2) تاثیرات و عوارض سکته مغزی .....................................................................................     14

(1-8-2) مشکلات درکی-شناختی ............................................................................................     14

(2-8-2) اختلالات کنترل حرکتی و تون عضلانی ........................................................................     15

(9-2) درمان سکته مغزی......................................................................................................     16

(10-2) توانبخشی و کاردرمانی در سکته مغزی ...........................................................................    16

(11-2) درمان های مورد استفاده در کاردرمانی ............................................................................    18

(1-11-2) رویکرد رشد عصبی ...............................................................................................    18

(2-11-2) مدالیته تحریک الکتریکی عملکردی (FES) ..................................................................    18

(3-11-2) رویکرد یادگیری حرکتی ..........................................................................................    19

(4-11-2) درمان بوسیله ایجاد محدودیت حرکتی ...........................................................................    19

(5-11-2) درمان های کمکی رباتیک ........................................................................................    20

(6-11-2) رویکرد شناختی پس از سکته مغزی ............................................................................     20

(7-11-2) رویکرد تطابقی-جبرانی در توانبخشی پس از سکته مغزی ..................................................     21

(8-11-2) رویکرد جایگزین و مکمل ........................................................................................     21

(9-11-2) ماساژ درمانی .......................................................................................................     22

(10-11-2) طب سوزنی .......................................................................................................     22

(11-11-2) ریکی ...............................................................................................................     22

(12-11-2) نوروفیدبک ........................................................................................................     22

(13-11-2) بیوفیدبک ..........................................................................................................     23

(12-2) تعریف بیوفیدبک ........................................................................................................   26

(13-2) تاریخچه بیوفیدبک ......................................................................................................    27

(14-2) کاربرد بیوفیدبک .......................................................................................................     27

(15-2) مکانیسم عملکرد بیوفیدبک ...........................................................................................     28

(16-2) تاثیر بیو فیدبک بر عملکرد اندام فوقانی ...........................................................................     28

(17-2) بررسی متون ............................................................................................................    29

فصل سوم

(1-3) مقدمه .......................................................................................................................    38

(2-3) نوع مطالعه ................................................................................................................    38

(3-3) جامعه مورد بررسی ......................................................................................................    38

(4-3) معیار ورود ................................................................................................................     38 

(5-3) معیار خروج ..............................................................................................................     39

(6-3) متغییر ......................................................................................................................    39

(1-6-3) سکته مغزی ............................................................................................................    39

(2-6-3) دستگاه بیوفیدبک ......................................................................................................    40

(3-6-3) دامنه حرکتی مچ دست ................................................................................................   40

(4-6-3) اسپاستیسیتی ............................................................................................................    41

(7-3) ابزار جمع آوری داده ها .................................................................................................    41

(1-7-3) پرسشنامه اطلاعات فردی ............................................................................................    41

(2-7-3)پرسشنامه وضعیت شناختی............................................................................................    41

(3-7-3) پرسشنامه بارتل ........................................................................................................    42

(4-7-3) آزمون آشورث اصلاح شده ...........................................................................................    43

(5-7-3) ارزیابی گونیامتری مفاصل............................................................................................    43    

(1-5-7-3) ارزیابی دامنه حرکتی اکستنسیون آرنج ..........................................................................    43

(2-5-7-3) ارزیابی دامنه حرکتی اکستنسیون مچ دست......................................................................    43

(3-5-7-3) ارزیابی دامنه حرکتی اکستنسیون انگشتان دست ................................................................    44

(8-3) روش جمع آوری داده ها .................................................................................................     44

(9-3) روش اجرا .................................................................................................................     44

(10-3) روش تجزیه و تحلیل داده ها...........................................................................................     46

(11-3) ملاحظات اخلاقی..........................................................................................................     46

فصل چهارم:

(1-4) مقدمه.........................................................................................................     48    

(2-4) بخش داده‌ها ی توصیفی .................................................................................................   49

 (3-4) تحلیل داده ها ..............................................................................................................     56

فصل پنجم:

(1-5) مقدمه ..........................................................................................................................      61

(2-5) بحث و تفسیر یافته ها....................................................................................................      61

(3-5) نتایج پژوهش .............................................................................................................       61

(4-5) نتیجه گیری کلی ........................................................................................................       66

(5-5) محدودیت های پژوهش ................................................................................................       67

(6-5) پیشنهادات.................................................................................................................       67

منبع:

1.             Steultjens, E.M., et al., Occupational therapy for stroke patients: a systematic review. Stroke, 2003. 34(3): p. 676-87.

2.             Corr, S.J. and B. Antony, Occupational therapy for stroke patients after hospital discharge — a randomized controlled trial. Clinical Rehabilitation 1995. 9(4): p. 291-296.

3.             Walker, M.F., et al., Individual patient data meta-analysis of randomized controlled trials of community occupational therapy for stroke patients. Stroke, 2004. 35(9): p. 2226-32.

4.             Giulianne, K. and Guy McCormack, Occupational Therapy: Evidence-Based Interventions for Strok. 2009.

5.             Maffetone, P., Introduction to mannual Biofeedback

2009: p. Part 1 of a 3 Part Serie.

6.             Armagan, O., F. Tascioglu, and C. Oner, Electromyographic biofeedback in the treatment of the hemiplegic hand: a placebo-controlled study. Am J Phys Med Rehabil, 2003. 82(11): p. 856-61.

7.             Glanz, M., S. Klawansky, and T. Chalmers, Biofeedback therapy in stroke rehabilitation: a review. J R Soc Med, 1997. 90(1): p. 33-9.

8.             Nacht, M.B., S.L. Wolf, and C.E. Coogler, Use of electromyographic biofeedback during the acute phase of spinal cord injury: a case report. Phys Ther, 1982. 62(3): p. 290-4.

9.             Mark, S.S. and F. Anfrasik, Biofeedback a practitioner's guide. , 2003, M. S. Schwartz and F. Andrasik: New York.

10.          Wolf, S.L., Electromyographic biofeedback applications to stroke patients. A critical review. Phys Ther, 1983. 63(9): p. 1448-59.

11.          Ramaprasad, A., On the definition of feedback. Behavioral Science, 1983. 28(1): p. 4-13.

12.          Woodford, H., Price, E, EMG biofeedback for the recovery of motor function after stroke. 2007.

13.          Nelson, L.A., The role of biofeedback in stroke rehabilitation: past and future directions. Top Stroke Rehabil, 2007. 14(4): p. 59-66.

14.          Dursun, E., et al., Angular biofeedback device for sitting balance of stroke patients. Stroke, 1996. 27(8): p. 1354-7.

15.          Wolf, S.L. and S.A. Binder-MacLeod, Electromyographic biofeedback applications to the hemiplegic patient. Changes in lower extremity neuromuscular and functional status. Phys Ther, 1983. 63(9): p. 1404-13.

16.          Kelly J. Hunt, et al., National Cholesterol Education Program Versus WorldHealth Organization Metabolic Syndrome in Relation to All Cause and Cardiovascular Mortality in the San Antonio Heart Study Circulation, 2004. 110: p. 1251-1257.

17.          Cockrell, J.R. and M.F. Folstein, Mini-Mental State Examination (MMSE). Psychopharmacol Bull, 1988. 24(4): p. 689-92.

18.          Mayer, N.H., Clinicophysiologic concepts of spasticity and motor dysfunction in adults with an upper motoneuron lesion. Special Features, 1998. 20(muscle Nerve): p. 1-14.

19.          Ashworth, B., Preliminary Trial of Carisoprodol in Multiple Sclerosis. Practitioner, 1964. 192: p. 540-2.

20.          Bohannon, R.W. and M.B. Smith, Interrater Reliability of a Modified Ashworth Scale of Muscle Spasticity. American physical therapy, 1987. 67(2): p. 206-7.

21.          Nuyens G, et al., Interrater reliability of the Ashworth scale in multiple sclerosis. 1994. 8: p. 286-292.

22.          Brashear, A., et al., Inter- and intrarater reliability of the Ashworth Scale and the Disability Assessment Scale in patients with upper-limb poststroke spasticity. Arch Phys Med Rehabil, 2002. 83(10): p. 1349-54.

23.          Amouzadeh Khalili, M. and A.A. Pahlevanian, Evaluation of spasticity using the Ashworth Scale with Intermediate Scores.  Iranian Rehabilitation Journal  2010. 8(12): p. 21-25.

24.          Eric J. Nestler, Steven E. Hyman, and Robert C. Melenka, Molecular Neuropharmacology A Foundation for Clinical Neuroscience.l, ed. n. edition.2008: Mc Geaw Hill. 458-465.

25.          National Stroke Foundation. Stroke - signs and symptoms. 2013; Available from: www.betterhealth.vic.gov.au.

26.          Tatiana Klotz, H.C.B., Vanessa Costa Monteiro, Therezinha Rosane Chamlian, Danilo Masier, Physiotherapy treatment in hemiplegic shoulder pain in stroke patients-Literature Review. 2006.

27.          Eric H. Chudler, P.D. Brain Facts and Figures. 2012 October 5, 2012; Available from: chudler@u.washington.edu.

28.          Ullman, J.S., Cerebrovascular Pathophysiology and Monitoring in the Neurosurgical Intensive Care Unit. 1996: p. 42.

29.          Whetstine, L.M., An examination of the biophilosophical literature on the definition and criteria of death, in Duquesne University2006.

30.          Dejohn, C. and J.B. Zwischenberger, Ethical implications of extracorporeal interval support for organ retrieval (EISOR). ASAIO J, 2006. 52(2): p. 119-22.

31.          Alexander W. Dromerick, M.D.F.E., PhD; Michele Hahn, MS/OTR, Does the Application of Constraint-Induced Movement Therapy During Acute Rehabilitation Reduce Arm Impairment After Ischemic Stroke? 2000.

32.          Haghgoo, H.A., Principles of Neuroscience (Persian)  Tehran. Iran2011: University of Rehabilitation Sciences.

33.          Catherine AnneTromly, A.D.S., Occupational therapy for physical dysfunction1977: Williams & Wilkins Co (January 1, 1977).

34.          Darcy, A., Neurological Rehabilitation, 4th., Editor 2002, Mosby. p. 741-790.

35.          Moberg-Wolff, A.E. Physical medicine and rehabilitation for spasticity. 2011 17th. November 2011.

36.          Krishna A. Dani, M.T.M.a.K.W.M., Brain Lesion Volume and Capacity for Consent in Stroke Trials : Potential Regulatory Barriers to the Use of Surrogate Markers. American Stroke Association, 2008.

37.          Jette, D.U., et al., Physical therapy interventions for patients with stroke in inpatient rehabilitation facilities. Phys Ther, 2005. 85(3): p. 238-48.

38.          Giulianne Krug, M., OTR/L & Guy McCormack, PhD, OTR/L, Occupational Therapy:

Evidence-Based Interventions for Stroke. 2009.

39.          The Stroke Association’s  Information Service, Occupational therapy after stroke. 2012.

40.          John Chae, M., Novel Treatment is Stroke Rehabilitation Electrical Stimulation, in Physical Medicine and Rehabilitation Biomedical Engineering2012: Cleveland Functional Electical Stimulation Center Case Western Reserve University Cleveland, OH.

41.          Sterr, A., et al., Longer versus shorter daily constraint-induced movement therapy of chronic hemiparesis: an exploratory study. Arch Phys Med Rehabil, 2002. 83(10): p. 1374-7.

42.          Anne Barzel, M., epartment of Primary Medical Care, University Medical Center Hamburg-Eppendor, Enhancing Participation of Chronic Stroke Patients by Constraint Induced Movement Therapy. Universitätsklinikum Hamburg-Eppendorf 2012.

43.          Lum, P., et al., Robotic devices for movement therapy after stroke: current status and challenges to clinical acceptance. Top Stroke Rehabil, 2002. 8(4): p. 40-53.

44.          Carter, L.T., et al., The relationship of cognitive skills performance to activities of daily living in stroke patients. Am J Occup Ther, 1988. 42(7): p. 449-55.

45.          Haltiwanger, E. and F. Stein, Occupational therapy and complementary and alternative medicine. Occup Ther Int, 2009. 16(1): p. 1-5.

46.          Services, R. Rehabilitation services (Occupational, Physical & Massage). 2013.

47.          Stein, J., Motor recovery strategies after stroke. Top Stroke Rehabil, 2004. 11(2): p. 12-22.

48.          Therapists, A.C.o.O., Use of Acupuncture and Related Therapies within Occupational Therapy Practice. 2007.

49.          Assefi N, B.A., Goldberg J, Buchwald D, Reiki for the treatment of fibromyalgia: a randomized controlled trial. US Nation Library of Medicine National Institutes of Health, 2008.

50.          Frank H. Duffy, M., Primal Body;Primal Mind. Neurology Clinical EEG Journal, 2002.

51.          Pendleton;, H.M. and W. Schultz-Krohn, Pedrettis occupational therapy; practice skill for physical Dysfunction. 2005 ed, ed. sixth2006, Missuri: Mosby.

52.          Surgeone, A.A.o.O. Complementary Therapies: Biofeedback. 2007 July 2007.

53.          Weil, A. Biofeedback. Available from: www.aapb.org.

54.          Baker, M., et al., Developing strategies for biofeedback. Applications in neurologically handicapped patients. Phys Ther, 1977. 57(4): p. 402-8.

55.          Sultana, S.S., et al., The effectiveness of early mobilization after tendon transfers in the hand: a systematic review. J Hand Ther, 2013. 26(1): p. 1-20; quiz 21.

56.          Wolf, S.L. and S.A. Binder-MacLeod, Electromyographic biofeedback applications to the hemiplegic patient. Changes in upper extremity neuromuscular and functional status. Phys Ther, 1983. 63(9): p. 1393-403.

57.          Mc Clelland, J., et al., Functional and Biomechanical Outcomes After Using Biofeedback for Retraining Symmetrical Movement Patterns After Total Knee Arthroplasty: A Case Report. Journal of orthopaedic & sports physical therapy   2012. 42.

58.          Delarque, A. and J.M. Viton, [Project for an international teaching programme for physical rehabilitation medicine trainees, coordinated by the French Association of Academic Physiatrists (Cofemer), in cooperation with the other French national PRM associations (Sofemer, Syfmer and Fedmer) and the journal annals of PRM]. Ann Phys Rehabil Med, 2009. 52(10): p. 685-6.

59.          Tunik, E. and S.V. Adamovich, Remapping in the ipsilesional motor cortex after VR-based training: a pilot fMRI study. Conf Proc IEEE Eng Med Biol Soc, 2009. 2009: p. 1139-42.

60.          Subramanian, S., et al., Virtual reality environments for post-stroke arm rehabilitation. J Neuroeng Rehabil, 2007. 4: p. 20.

61.          Budzynski, T.H., et al., EMG biofeedback and tension headache: a controlled outcome study. Psychosom Med, 1973. 35(6): p. 484-96.

62.          Abi-Gerges, N., et al., Evidence for gender differences in electrophysiological properties of canine Purkinje fibres. Br J Pharmacol, 2004. 142(8): p. 1255-64.

63.          Hershko, E., C. Tauber, and E. Carmeli, Biofeedback versus physiotherapy in patients with partial weight-bearing. Am J Orthop (Belle Mead NJ), 2008. 37(5): p. E92-6.

64.          Deepak, K.K. and M. Behari, Specific muscle EMG biofeedback for hand dystonia. Appl Psychophysiol Biofeedback, 1999. 24(4): p. 267-80.

65.          Biofeedback optimal performance training can improve quality of life for athletes. 2011.

66.          Desmond, D.W., et al., Recovery of cognitive function after stroke. Stroke, 1996. 27(10): p. 1798-803.

67.          Folstein, M.F., S.E. Folstein, and P.R. McHugh, "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 1975. 12(3): p. 189-98.

68.          alliance, T.q. Biofeedback. 2010; Available from: http://www.thequantumalliance.com/indigo/.

69.          Walker, N.P.a.P. and J.B.J.S. Am., Normal and abnormal motion of the shoulder. The Journal of Bone and Joint Surgery, 2010.

70.          بحیرایی, ا., بررسی مقدماتی کارایی آزمون معاینه مختصر وضعیت روانی در سرند سالمندان مبتلا به دمانس.  , in روانشناسی بالینی1379, دانشگاه علوم بهزیستی و توانبخشی. p. 45-56.

71.          Mahoney. Florence I. and D.W. BARTHEL, Functional Evaluation the Barthel Index. Mary Land State Medical Journal, 1965. 14: p. 56-61.

72.          Gajdosik, R.L. and R.W. Bohannon, Clinical Measurement of Range of Motion

Review of Goniometry Emphasizing Reliability and Validity. The american physical therapy assosiation and de fysiotherapeut, 1987. 67: p. 12.

73.          Hammond, D.C. Neurofeedback Treatment for Traumatic Brain Injury. International brain injury assosiation, 2012.

74.          Blume, H., L. Brockman, and C. Breuner, Biofeedback therapy for pediatric headache: factors associated with response. headache, 2012. 52(9): p. 1377-86.

75.          Miller, E. Integrating Music Therapy and Biofeedback – An Interview  JKP blog 2011 September 22nd, 2011; Available from: http://www.jkp.com/blog/2011/09/interview-eric-miller-bio-guided-music-therapy/.

76.          Yao, Y.-B., et al., Biofeedback Therapy Combined with Traditional Chinese Medicine Prescription Improves the Symptoms, Surface Myoelectricity, and Anal Canal Pressure of the Patients with Spleen Deficiency Constipation. Hindawi Publishing Corporation, 2013. 2013 (2013): p. 7.

77.          Goode, P., et al., Behavioral therapy with or without biofeedback and pelvic floor electrical stimulation for persistent postprostatectomy incontinence: a randomized controlled trial. JAWA, 2011. 12(305 (2)): p. 151-9.

78.          Spillar, C. Miraculous Recovery from Traumatic Brain Injury With Neurofeedback Therapy. Tucson Citizen 2011 Feb. 01, 2011.

79.          Lourenção, M., et al., Effect of biofeedback accompanying occupational therapy and functional electrical stimulation in hemiplegic patients. international journal rehabilitational research, 2008.

80.          Purves, D., et al., Neuroscince. Third ed2004, Massachusetts U.S.A.: Sunderland, .

81.          Moreland, J. and M. Thomson, Efficacy of electromyographic biofeedback compared with conventional physical therapy for upper-extremity function in patients following stroke: a research overview and meta-analysis. Phys Ther, 1994. 74(6): p. 534-47.

82.          Schleenbaker, R. and A. Mainous, Electromyographic biofeedback for neuromuscular reeducation in the hemiplegic stroke patient: a meta-analysis. Arch Phys Med Rehabil, 1993. 74(12): p. 1301-4.

83.          Tian, Y., et al., Biofeedback therapy improves motor function following stroke. Noural Regeneration Research, 2010. 5(7).

84.          Bloom, R., A. Przekop, and T.D. Sanger, Prolonged electromyogram biofeedback improves upper extremity function in children with cerebral palsy. J Child Neurol, 2010. 25(12): p. 1480-4.

85.          Vliet, P.M.v. and G. Wulf, Extrinsic feedback for motor learning after stroke: what is the evidence? Disabil Rehabil. , 2006. 28(13-14): p. 831-40.

86.          Basmajian, J., et al., Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Arch Phys Med Rehabil, 1987.

87.          Dogan-Aslan, M., et al., The effect of Electromyogeraphy Biofeedback Treatment in Upper Extremity Functioning of patients with Hemiplegic stroke. Stroke and Cerebrovascular Disease, 2012. 21.

88.          Turczynski, B., W. Hartje, and W. Sturm, Electromyographic feedback treatment of chronic hemiparesis: an attempt to quantify treatment effects. Arch Phys Med Rehabil, 1984. 65(9): p. 526-8.

89.          Balliet, R., B. Levy, and K. Blood, Upper extremity sensory feedback therapy in chronic cerebrovascular accident patients with impaired expressive aphasia and auditory comprehension. Arch Phys Med Rehabil, 1986. 67(5): p. 304-310.

90.          Wissel, J., et al., Treating chronic hemiparesis with modified biofeedback. Arch Phys Med Rehabil, 1989 August. 70(8): p. 612-7.

91.          van Dijk, H., M. Jannink, and H. Hermens, Effect of augmented feedback on motor function of the affected upper extremity in rehabilitation patients: a systematic review of randomized controlled trials. J Rehabil Med, 2005. 37(4): p. 202-11.

92.          Hemen, B. and H. Seelen, Effects of movement imagery and electromyography-triggered feedback on arm hand function in stroke patients in the subacute phase. Clin Rehabil, 2007.

93.          Bate, P. and T. Matyas, Negative transfer of training following brief practice of elbow tracking movements with electromyographic feedback from spastic antagonists. Arch Phys Med Rehabil, 1992. 73(11): p. 1050-8.