DOI QR코드

DOI QR Code

Effects of Sit-to-stand Training with Various Foot Positions Combined with Visual Feedback on Postural Alignment and Balance in Stroke Patients

  • Kim, Su-Jin (Department of Physical Therapy, Eson Hospital Rehabilitation) ;
  • Son, Ho-Hee (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
  • 투고 : 2021.09.30
  • 심사 : 2021.10.25
  • 발행 : 2021.11.30

초록

PURPOSE: This study compared the effects of sit-to-stand training with various foot positions combined with visual feedback on the postural alignment and balance. METHODS: Thirty stroke patients were assigned randomly into three groups of standing with a symmetrical foot position (SSF) (n = 10), asymmetrical foot position with the affected foot at the rear (SAF) (n = 10), and visual feedback and asymmetrical foot position (SVAF) (n = 10). Sit-to-stand training with different foot positions was performed for 30 minutes a day, five times a week, for a total of four weeks, and the effects on postural alignment and balance were assessed. RESULTS: The angle between the midline and scapula peak of the affected side was decreased significantly at sitting and thigh-off in the SAF group and at sitting, thigh-off, and standing in the SVAF group (p < .05). The angle between the midline and scapula peak of the non-affected side was increased significantly at sitting and thigh-off in the SAF group and at sitting, thigh-off, and standing in the SVAF group, the difference in the angle between the scapular peaks of the left and right sides was decreased significantly at sitting and thigh-off in SSF group, and at sitting in SAF group (p < .05). In the SVAF group, the angle at sitting, thigh-off, and standing was decreased significantly (p < .05). A comparison of the balance ability showed that BSS in the SVAF group was improved significantly (p < .05). CONCLUSION: Based on these results, the postural alignment and balance ability were improved in stroke patients who participated in sit-to-stand with visual feedback and asymmetrical foot position training.

키워드

참고문헌

  1. Sullivan KJ, Brown DA, Klassen T, et al. Effects of task-specific locomotor and strength training in adults who were ambulatory after stroke: results of the STEPS randomized clinical trial. Phys Ther. 2007;87(12):1580-602. https://doi.org/10.2522/ptj.20060310
  2. Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44. https://doi.org/10.1053/apmr.2002.33644
  3. Carr JH, Shepherd RB. neurological Rehabilitation 2 edition, 2010.
  4. Lee JH, Min DK, Choe HS, et al. The effects of upper and lower limb position on symmetry of vertical ground reaction force during sit-to-stand in chronic stroke subjects. J Phys Ther Sci. 2018;30(2):242-7. https://doi.org/10.1589/jpts.30.242
  5. Thielman G, Kaminski T, Gentile AM. Rehabilitation of reaching after stroke: Comparing 2 training protocols utilizing trunk restraint. Neurorehabil Neural Repair. 2008;22(6):697-705. https://doi.org/10.1177/1545968308315998
  6. Gray CK, Culham E. Sit-to-Stand in People with Stroke: Effect of Lower Limb Constraint-Induced Movement. Strategies Stroke Res Treat. 2014;681-3.
  7. Roy G, nadeau S, Gravel D, et al. Side difference in the hip and knee joint moments during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis. Clin Biomech (Bristol, Avon). 2007;22(7):795-804. https://doi.org/10.1016/j.clinbiomech.2007.03.007
  8. Camargos A, Rodrigues F, Teixeira F. The effects of foot position on the performance of the sit-to-stand movement with chronic stroke subjects. Arch Phys Med Rehabil. 2009;90(2):314-9. https://doi.org/10.1016/j.apmr.2008.06.023
  9. Farqalit R, Shahnawaz A. Effect of foot position during sit-to-stand training on balance and upright mobility in patients with chronic stroke. Hong Kong Physiother J. 2013;31(2):75-80. https://doi.org/10.1016/j.hkpj.2013.06.001
  10. Shin JB, Lee JS. The Effect of Visual Feedback on Postural Control During Sit-to-Stand Movements of Brain-Damaged Patients Under Different Support Conditions. Phys Ther Korea, 2012;19(3):40-50. https://doi.org/10.12674/ptk.2012.19.3.040
  11. Yavuzer G, Selles R, Sezer N, et al. Mirror therapy improves hand function in subacute stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(3):393-8. https://doi.org/10.1016/j.apmr.2007.08.162
  12. Stevens JA, Stoykov ME. Using motor imagery in the rehabilitation of hemiparesis. Arch Phys Med Rehabil. 2003;84(7):1090-2. https://doi.org/10.1016/S0003-9993(03)00042-X
  13. Pellegrino L, Giannoni P, Marinelli L, et al. Effects of continuous visual feedback during sitting balance training in chronic stroke survivors. J Neuroeng Rehabil. 2017;1(1)4:107.
  14. Cheng PT, Chen CL, Wang CM, et al. Leg Muscle Activation Patterns of Sit-to-Stand Movement in Stroke Patients. Am J Phys Med Rehabil. 2004;83(1):10-6. https://doi.org/10.1097/01.PHM.0000104665.34557.56
  15. Goetz L, Piallat B, Thibaudier Y, et al. A non-human primate model of bipedal locomotion under restrained condition allowing gait studies and single unit brain recordings. J Neurosci Methods. 2012;204(2):306-17. https://doi.org/10.1016/j.jneumeth.2011.11.025
  16. Adamar n, Juliana M, Yeda P, et al. Head and shoulder alignment among patients with unilateral vestibular hypofunction. Rev Bras Fisioter. 2010;14(4):330-6. https://doi.org/10.1590/S1413-35552010005000022
  17. Berg K, Wood-Dauphinee S, Williams JI. The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
  18. Ji S, Nam G, Kim M, et al. The Effect of Visual Feedback Training Using a Mirror on the Balance in Hemiplegic Patients. J Korean Soc Phys Med. 2011;6(2):153-63.
  19. Demura S, Sato S, Minami M, et al. Gender and age differences in basic ADL ability on the elderly: Comparison between the independent and the dependent elderly. J Physiol Anthropol Appl Human Sci. 2003;22(1):19-27. https://doi.org/10.2114/jpa.22.19
  20. Britton E, Harris n, Turton A. An exploratory randomized controlled trial of assisted practice for improving sit-to-stand in stroke patients in the hospital setting. Clin Rehabil. 2008;22(5):458-68. https://doi.org/10.1177/0269215507084644
  21. Canning CG, Shepherd RB, Carr JH, et al. A randomized controlled trial of the effects of intensive sit-to-stand training after recent traumatic brain injury on sit-to-stand performance. Clin Rehabil. 2003;17(4):355-62. https://doi.org/10.1191/0269215503cr620oa
  22. Ehrsson HH, Spence C, Passingham RE. That's my hand! Activity in premotor cortex reflects feeling of ownership of a limb. Science. 2004;305(5685):875-7. https://doi.org/10.1126/science.1097011
  23. Ju S, Yoo WG, Oh JS, et al. Effects of visual cue and cognitive motor tasks on standing postural control following a chronic stroke. J Phys Ther Sci. 2018;30(4):601-4. https://doi.org/10.1589/jpts.30.601
  24. Goulart FR, Valls-Sole. Patterned electromyographic activity in the sit-to-stand movement. Clin Neurophysiol. 1999;110(9):1634-40. https://doi.org/10.1016/S1388-2457(99)00109-1
  25. Thieme H, Morkisch N, Mehrholz J, et al. Mirror therapy for improving motor function after stroke. Cochrane Database Syst Rev. 2018;7(7):CD008449. Published 2018 Jul 11.
  26. Lehmann JF, Boswell S, Price R, et al. Quantitative evaluation of sway as an indicator of functional balance in post traumatic brain injury. Arch Phys Med Rehabil. 1990;71(12):955-62.