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파킨슨병 환자의 Handwriting 기능 향상을 위한 운동학습 전략에 대한 문헌 고찰
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  • 파킨슨병 환자의 Handwriting 기능 향상을 위한 운동학습 전략에 대한 문헌 고찰
  • A Review of the motor learning stratige to improve handwriting function in Parkinson's disease
저자명
유연환,박진혁,이주현
간행물명
재활치료과학KCI
권/호정보
2015년|4권 1호(통권7호)|pp.29-38 (10 pages)
발행정보
대한신경계작업치료학회|한국
파일정보
정기간행물|KOR| 이미지(0.35MB)
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서지반출

국문초록

목적 : 본 연구의 목적은 파킨슨병으로 인하여 발생하는 handwriting에서의 문제에 대한 효과적인 운동학습 전략을 제시하기 위함이다. 방법 : 이를 위하여 파킨슨병 환자에게 발생하는 handwriting에서의 문제점인 소자증(Micrographia)을 치료한 국내외 문헌들을 고찰하였다. 결과 : 소자증을 개선하기 위해 파킨슨병 환자에 적용하는 운동학습 방법 중 외적단서와 되먹임 전략을 주로 적용한다. 이는 기저핵 손상으로 인한 내적 동기체계의 문제와 운동 개시의 어려움을 개선하기 위함이다. 외적단서는 시각적·청각적·언어적 단서 등을 이용하였고, 되먹임은 주로 시각적 자극을 이용하였다. 외적단서와 시각적 되먹임을 제시하는 동안 소자증을 가진 환자의 글자의 크기를 확대시키는 효과가 있었고, 일부 연구에서는 단서 제거 후 짧은 기간 동안 쓰기과제 수행이 유지되는 결과를 보고하였다. 결론 : 앞으로 운동학습의 효과가 장기간 유지되는 전략을 도출하는 연구가 필요할 것으로 사료된다.

영문초록

Objective : The purpose of the study is to propose the treatment methods for problem of handwriting, micrographia in Parkinson's disease. Methods : For this purpose, foreign literatures on the subjects with Parkinson's disease was researched. Results : The results of this review is summarized as follows. The treatment methods for micrographia were applied to external cue and feedback among motor learning strategies in order to improve motor initiation. The external cues included visual, auditory, and verbal stimulations, and feedback strategy was visual stimulation. For writing with external cue or visual feedback, result in expanding the size of the letters in addition, writing task performance is maintained for a short period without those. Conclusion : Further studies are needed to examine the strategy maintained effect for long periods.

목차

Ⅰ. 서론
Ⅱ. 본론
Ⅲ. 결론
References

참고문헌 (42건)

  • 김진웅, 강군용, 배수찬. (2002). 파킨슨 질환에 대한 문헌적 고찰. 대한정형물리치료학회지, 8(2), 73-87.
  • 노진주. (2009). 파킨슨병 환자의 L-dopa 약물 복용에 따른 양팔협응 운동과제 수행의 차이에 대한 연구(석사학위논문). 고려대학교, 서울.
  • 송경애, 문정순, 이광수, 최동원. (2007). 파킨슨병 자기관리프로그램의 효과. 대한간호학회지, 37(6), 891-901.
  • 윤기운, 김상범. (2010). 파킨슨 환자의 손상된 운동기능 회복을 위한 암묵적 운동학습 전략. 한국체육학회지, 49(6), 197-210.
  • 이대희. (역) (2005). 파킨슨병이란 무엇인가. 서울, 한국: 범문사.
  • Adams, J. A. (1971). A closed-loop theory of motor learning. Journal of motor behavior, 3(2), 111-149. doi:10.1080/00222895.1971.10734898
  • Alexander, G. E., DeLong, M. R., & Crutcher, M. D. (1992). Do cortical and basal ganglionic motor areas use “motor programs” to control movement? Behavioral and Brain Sciences, 15(S4), 656-665. doi:10.1017/S0140525X00072575
  • Azari, N. P. & Seitz, R. J. (2000). Brain plasticity and recovery from stroke. American Scientist, 88(5), 426-431.
  • Bryant, M. S., Rintala, D. H., Lai, E. C. & Protas, E. J. (2010). An investigation of two interventions for micrographia in individuals with Parkinson's disease. Clinical Rehabilitation, 16, 1-6. doi:10.1177/0269215510371420
  • Contreras-Vidal, J. R., Teulings, H. L., Stelmach, G. E., & Adler, C. H. (2002). Adaptation to changes in vertical display gain during handwriting in Parkinson's disease patients, elderly and young controls. Parkinsonism and Related Disorders, 9(2), 77-84. doi:10.1016/S1353-8020(02)00013-5
  • Doyon, J., Bellec, P., Amsel, R., Penhune, V., Monchi, O., Carrier, J., Lehéricy, S., & Benali, H. (2009). Contributions of the basal ganglia and functionally related brain structures to motor learning. Behavioural Brain Research, 199(1), 61-75. doi:10.1016/j.bbr.2008.11.012
  • Fucetola, R., & Smith, M. C. (1997). Distorted visual feedback effects on drawing in Parkinson's disease. Acta Psychologica, 95(3), 255-66. doi:10.1016/S0001-6918(96)00043-1
  • Grafman, J., Litvan, I., Massaquoi, S., Stewart, M., Sirigu, A., & Hallett, M. (1992). Cognitive planning deficit in patients with cerebellar atrophy. Neurology, 42(8), 1493-1496. doi: 10.1212/WNL.42.8.1493
  • Guadagnoli, M. A., Leis, B., Van Gemmert, A.,W., & Stelmach, G. E. (2002). The relationship between knowledge of results and motor learning in Parkinsonian patients. Parkinsonism & Related Disorders, 9(2), 89–95. doi:10.1016/S1353-8020(02)00007-X
  • Higgins, S. (1991). Motor skill acquisition. Physical Therapy, 71(2), 123-139.
  • Hirsch, M. A. & Farley, B. G. (2009). Exercise and neuroplasticity in persons living with Parkinson's disease. European journal of physical and Rehabilitation Medicine, 45(2), 215–229.
  • Jueptner, M., Stephan, K. M., Frith, C. D., Brooks, D. J., Frackowiak, R.S., & Passingham, R. E. (1997). Anatomy of motor learning. I. frontal cortex and attention to action. Journal of neurophysiology, 77(3), 1313-1324.
  • Jenkins, I. H., Brooks, D. J., Nixon, P. D., Frackowiak, R. S., & Passingham, R. E. (1994). Motor sequence learning: a study with positron emission tomography. The Journal of neuroscience, 14(6), 3775-3790.
  • Knowlton, B. J., Mangels, J. A., & Squire, L. R. (1996). A neostriatal habit learning system in humans. Science, 273(5280), 1399-1402. doi:10.1126/science.273.5280.1399
  • Lacquaniti, F., Perani, D., Guigon, E., Bettinardi, V., Carrozzo, M., Grassi, F., & Fazio, F. (1997). Visuomotor Transformations for reaching to memorized targets: a PET study. NeuroImage, 5(2), 129–146. doi:10.1006/nimg.1996.0254
  • Lee, T. D., Swanson, L. R., & Hall, A. L. (1991). What is repeated in a repetition? Effects of practice conditions on motor skill acquisition. Physical Therapy, 71(2), 150-156.
  • Leonard, C. T. (1998). The neuroscience of human movement. St.Louis: Mosby.
  • Leow, L. A., Loftus, A. M., & Hammond, G. R. (2012). Impaired savings despite intact initial learning of motor adaptation in Parkinson's disease. Experimentation Brain Research, 218(2), 295-304. doi:10.1007/s00221-012-3060-5
  • McLennan, J. E., Nakano, K., Tyler, H. R., & Schwab, R. S. (1972). Micrographia in Parkinson's disease. Journal of Neurological Sciences,15(2),141-52. doi:10.1016/0022-510X(72)90002-0
  • Nackaertsa, E., Griet Vervoorta, G., Heremansa, E., Smits-Engelsmanb, B. C.M., Swinnenb, S. P. & Nieuwboera, A. (2013). Relearning of writing skills in Parkinson's disease: A literature review on influential factors and optimal strategies. Neuroscience & Biobehavioral Reviews, 37(3), 349–357. doi:10.1016/j.neubiorev.2013.01.015
  • Nieuwboer, A., Rochesterb, L., Müncksa, L. & Swinnenc, S. P. (2009). Motor learning in Parkinson's disease: limitations and potential for rehabilitation. Parkinsonism & Related Disorders, 15(3), S53–S58. doi:10.1016/S1353-8020(09)70781-3
  • Nieuwboer, A., Vercruysse, S., Feys, P., Levin, O., Spildooren, J. & Swinnen, S. (2009). Upper limb movement interruptions are correlated to freezing of gait in Parkinson’s disease. European Journal of Neuroscience, 29(7), 1422–1430. doi:10.1111/j.1460-9568.2009.06681.x
  • Okihide, H., Yoriko, T., & Reiko, K. (2000). Role of basal ganglia in the control of purposive saccadic eye movement. Physiological Review, 80(2), 953-978.
  • Oliveira, R. M., Gurd, J. M., Nixon, P., Marshall, J. C., & Passingham, R. E. (1997). Micrographia in Parkinson's disease: the effect of providing external cues. Journal of Neurology, Neurosurgery, and Psychiatry, 63(4), 429-433. doi:10.1136/jnnp.63.4.429
  • Ondo, W. G. & Satija, P. (2007). Withdrawal of visual feedback improves micrographia in Parkinson's disease. Movement Disorders, 22(14), 2130–2131. doi:10.1002/mds.21733
  • Onla-or, S., & Winstein, C. J. (2008). Determining the optimal challenge point for motor skill learning in adults with moderately severe Parkinson's disease. Neurorehabilitation and Neural Repair, 22(4), 385-395. doi: 10.1177/1545968307313508
  • Obesoa, J. A., Rodriguez-Oroza, M. C., Rodriguezb, M., Lanciegoa, J. L., Artiedaa, J., Gonzaloa, N. & Olanowc, C. W. (2000). Pathophysiology of the basal ganglia in Parkinson's disease. Trends in Neurosciences, 23(1), S8–S19. doi:10.1016/S1471-1931(00)00028-8
  • Petzinger, G. M., Fisher, B. E., McEwen, S., Beeler, J. A., Walsh, J. P. & Jakowec, M. W. (2013). Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson's disease. The Lancet Neurology, 12(7), 716-726. doi:10.1016/S1474-4422(13)70123-6
  • Ringenbach, S. D., van Gemmert, A. W., Shill, H. A., & Stelmach, G. E. (2011). Auditory instructional cues benefit unimanual and bimanual drawing in Parkinson’s disease patients. Human Movement Science, 30(4), 770-782. doi:10.1016/j.humov.2010.08.018
  • Rochester, L., Bakerb, K., Hetheringtonb, V., Jonesb, D., Willemsc, A. M., Kwakkeld, G., Wegend, E. V., Limd, I. & Nieuwboerc, A. (2010). Evidence for motor learning in Parkinson's disease: Acquisition, automaticity and retention of cued gait performance after training with external rhythmical cues. Brain Research, 1319(10), 103–111. doi:10.1016/j.brainres.2010.01.001
  • Rochester, L., Hetherington, V., Jones, D., Nieuwboer, A., Willems, AM., Kwakkel, G. & Wegen, E. V. (2005). The Effect of External Rhythmic Cues (Auditory and Visual) on Walking During a Functional Task in Homes of People With Parkinson’s Disease. Archives of Physical Medicine and Rehabilitation, 86(5), 999-1006. doi:10.1016/j.apmr.2004.10.040
  • Schmidt, R. A., & Lee, T. D. (2011). Motor control and learning: a behavioral emphasis(5). Champaign: Human Kinetics.
  • Sharpe, M. H., Cermak, S. A. & Sax, D. S. (1983) Motor planning in parkinson patients. Neuropsychologia, 21(5), 455-462. doi:10.1016/0028-3932(83)90002-7
  • Swinnen, S. P., Steyvers, M., Van Den Bergh, L., & Stelmach, G. E. (2000). Motor learning and Parkinson's disease: refinement of within-limb and between-limb coordination as a result of practice. Behavioural Brain Research, 111(1-2), 45-59. doi:10.1016/S0166-4328(00)00144-3
  • Teulings, H. L., Contreras-Vidal, J. L., Stelmach, G. E., & Adler, C. H. (2002). Adaptation of handwriting size under distorted visual feedback in Parkinson’s disease patients, elderly controls and young controls. Journal of Neurology, Neurosurgery, and Psychiatry, 72(3), 315-324. doi:10.1136/jnnp.72.3.315
  • van Mier, H. I., Perlmutter, J. S., & Petersen, S. E. (2004). Functional changes in brain activity during acquisition and practice of movement sequences. Motor Control, 8(4), 500-520.
  • Wagle Shukla, A., Ounpraseuth, S., Okun, M. S., Gray, V., Schwankhaus, J. & Metzer, W. S. (2012). Micrographia and related deficits in Parkinson's disease: a cross-sectional study. BMJ, 2(3). doi: 10.1136/bmjopen-2011-000628
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