• 대한통합의학회지
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• 제5권4호
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• pp.21-30
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• 2017

Purpose : This research intends to identify the effects of game-based weight bearing exercises on balance, muscular activation, sit to stand to sit motions of stroke patients. Method : 30 patients who were diagnosed as hemiplegia by stroke less in than a year were sampled and they were classified into two group, one of which was game-based weight bearing balance exercise group, and the other was functional weight bearing exercise group. 15 people were randomly selected for each group. Each exercise was coordinated by this research for 8 weeks, 5 days a week. 3D motion analyzer was used to measure the sit to stand to sit motions and a stopwatch was used to measure the time for stand-up motions for 5 times. Result : In terms of analyzing sit to stand to sit motions by phases, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in phase I, II, III, IV and total time. In terms of functional stand-up performance analysis, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in 5 times stand-up examination. Conclusion : It was verified that game-based weight bearing balance exercise had positive impact on function recovery of stroke patients by enhancing sit to stand to sit capabilities. It is considered that game-based exercise was an effective intermediary for functional improvement of stroke patients, while also inducing consistent and voluntary participation by causing interest and motivation.

• 대한물리의학회지
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• 제17권4호
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• pp.45-52
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• 2022

PURPOSE: This study examined the center of pressure (COP) and ground reaction force (GRF) characteristics during each task-oriented sit-to-stand in stroke patients. METHODS: Twenty stroke subjects were included in this study. The task consisted of sit-to-stand (SS), sit-to-stand for reaching (SR), and sit-to-stand for walking (SW). The response time, COP, and GRF were measured during each task. The COP and GRF data were obtained using a two-force plate. The force plates were placed on a chair (below the buttock) and floor (below the feet). RESULTS: Significant differences were observed between SS (1.48 ± .48 s) and SR (2.09 ± 0.82 s) and between SS and SW (2.27 ± .72 s) in the preparatory phase time during each sit-to-stand exercise (p = .002) and showed significant differences between SS (13.90 ± 6.44 cm) and SW (34.62 ± 39.38 cm) and between SR (16.14 ± 8.04 cm) and SW in the mediolateral COP range during each sit-to-stand exercise (p = .013). CONCLUSION: These findings suggest that more complex task-oriented sit-to-stand exercise requires a high-level motor programming process than a simple sit-to-stand task. Therefore, a variety of tasks-oriented sit-to-stand exercises will be useful training to achieve better ADL ability for stroke patients.

• 대한물리의학회지
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• 제16권4호
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• pp.55-65
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• 2021

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.

• 대한통합의학회지
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• 제4권3호
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• pp.61-68
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• 2016

Purpose : The purpose of this study was to examine the differences in sit-to-stand movement and static standing balance between young adults and older adults Methods : Thirty young adults and thirty older adults participated in this study. The Good Balance System was used to assess participants' sit-to-stand movement and static standing balance. The sit-to-stand movement was measured as mediolateral and anterioposterior displacement of the centre of pressure (mm/s) while sit-to-stand on a force platform, and time required to complete a sit-to-stand movement on a force platform. The static standing balance was measured as mediolateral and anterioposterior displacement of the center of pressure (mm/s) and velocity moment (mm2/s) while standing on a force platform with opened eyes and with closed eyes. Result : A significant difference was found in the mediolateral and anterioposterior center of pressure displacement and the time required to complete a sit-to-stand movement of the two groups (p<.05). A significant difference between the groups was found as to mediolateral centre of pressure displacement and the velocity moment when standing with opened eyes and with closed eyes (p<.05). Conclusion : In conclusion, older adults showed decreased sit-to-stand movement and static standing balance ability compared to the young adult. Clinicians should consider sit-to-stand and balance training for older adult.

• 한국전문물리치료학회지
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• 제27권3호
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• pp.191-198
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• 2020

Background: Stroke patients experience multiple dysfunctions that include motor and sensory impairments. Therefore, new intervention methods require a gradational approach depending on functional levels of a stroke patient's activity and should include cognition treatment to allow for a patient's active participation in rehabilitation. Objects: This study investigates the effect of integrated revision of electrical sensory stimulation, which stimulates somatosensory and action observation training, which is synchronized cognition intervention method on stroke patients' functions. Methods: Twenty-one stroke patients were randomized into two groups. The two groups underwent twenty minutes of intervention five times a week for three weeks. This study used an electromyogram to evaluate symmetric muscle activation of lower extremities and muscle onset time when performing sit to stand before and after intervention. A weight-bearing ratio was used to evaluate the weight-bearing of the affected side in a sit to standing. To evaluate sit to stand performance ability, this study performed five timed sit to stand tests. Results: The two groups both showed statistically significant improvement in muscle onset time of lower extremity, static balance ability in a standing position, and sit to stand performance after the intervention (p < 0.05). In addition, the action observation and synchronized electrical sensory stimulation group showed significant improvement in symmetric muscle activation of lower extremities and weight-bearing ratio of the affected side (p < 0.05). Conclusion: action observation and synchronized electrical sensory stimulation (AOT with ESS) can have positive effects on a stroke patient's sit to stand performance, and the intervention method that provides integrated AOT with ESS can be used as new nervous system intervention program.

• PNF and Movement
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• 제20권1호
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• pp.115-123
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• 2022

Purpose: The aim of this study was to investigate the effects of sit-to-stand training with various foot positions combined with visual feedback on muscle onset time and balance in stroke patients. Methods: Thirty stroke patients were randomly assigned into three standing groups: one with a symmetrical foot position (SSF; n = 10), one with an asymmetrical foot position with the affected foot at the rear (SAF; n = 10), and one with visual feedback and an asymmetrical foot position (SVAF; n = 10). Sit-to-stand training with different foot positions was performed for 30 minutes a day, 5 times a week, for a total of 4 weeks. The effects on muscle onset time and balance were assessed. Results: In a comparison of the onset time of muscle contraction, the onset time of the affected side tibialis anterior and less-affected side gastrocnemius muscle and tibialis anterior was significantly shortened in the SAVF group. And onset time of the less-affected side tibialis anterior was shortened in the SAF group. There was a significant difference in the result of functional reach testing in the SVAF group. Conclusion: VRG was effective in improving muscle activity and balance in elderly women aged 65 and older. In this study, sit-to-stand training with visual feedback and asymmetrical foot position showed significant functional improvement.

• The Journal of Korean Physical Therapy
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• 제27권2호
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• pp.81-84
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• 2015

Purpose: The purpose of this study was to compare the effect of 'knowledge of result' and 'knowledge of performance', two types of extrinsic feedbacks, during the sit-to-stand movement in children with hemiplegic cerebral palsy. Methods: A total of ten children with hemiplegic cerebral palsy (ages 8 to 12 years) were recruited for the study. Subjects with hemiplegic cerebral palsy performed sit-to-stand movement in front of a mirror. Their performance was supervised and revised for normal movement by a pediatric physiotherapist. In the knowledge of the result, subjects performed sit-to-stand using a chair with an armrest in their mind with normal movement. In the knowledge of performance, subjects performed sit-to-stand under verbal instructions. Randomized cross over trials were used in this study. Main outcome measurements were as follows: mediolateral speed, anteroposterior speed, velocity moment, extent in mediolateral direction, extent in anteroposterior direction, and vertical distance of the center of pressure. Results: The mediolateral speed and extent of center of pressure was higher for 'knowledge of performance' in comparison with the other type of extrinsic feedbacks (p<0.05). The other parameters, including anteroposterior speed and extent, and vertical speed of the center of pressure, did not differ between the two types of extrinsic feedbacks (p>0.05). Conclusion: These findings suggested that training in sit-to-stand movement with 'knowledge of result' may result in better use of extrinsic feedback.

• 대한물리의학회지
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• 제7권1호
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• pp.87-94
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• 2012

Purpose : The purpose of this study was to examine the feasibility and efficiency of balance training program through an interactive video game regimen in people with chronic stroke. Methods : Thirty patients with chronic hemiparetic stroke were recruited. Participants were randomly assigned to either a control group (n=15) or an experimental group (n=15). The control group received the general physical therapy including of strengthening and balance exercise five times a week whereas the experimental group received a program of balance exercise with video game play based on virtual reality as well as the same typical physical therapy. The experimental group received 6 sessions for four weeks. Each session was given 5 minutes. An interactive computer game exercise regimen lasted 30 minutes without rest periods. Outcome measures for weight transfer to paretic side, non-paretic side and sit-squat-speed, sit-squat-length, sit-to-standspeed and sit-to-stand-area for the control group (n=15) and experimental group (n=15) before and after treatment were obtained by using the biorescure. Results: Outcomes demonstrated significant improvement in the experimental group compared with the control group in weight transfer to paretic side, non-paretic side and sit-squat-speed, sit-squat-length, sit-to-stand-speed. No significant training effect was showed in sit-to-stand-area between pretraining and post-training. Conclusion : An interactive computer game exercise based on task oriented approach for balance in chronic stroke were feasible. In other words, This regimen resulted in a greater improvement in dynamic balance for people with chronic stroke.

• PNF and Movement
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• 제15권1호
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• pp.85-96
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• 2017

Purpose: Peripheral neuropathy accompanied by sensory disturbance, such as limb paralysis and hemiplegia, is mainly caused by acute disseminated encephalomyelitis (ADEM). This case study aimed to determine the effect of ankle strengthening exercises that use proprioceptive neuromuscular facilitation (PNF) on the gait, balance, ankle-control ability, and sit-to-stand ability on a patient with ADEM. Methods: A 10-year-old male with quadriplegia and ankle-control impairment participated in this 4-week training intervention. The patient, diagnosed with ADEM, was treated with ankle strengthening exercises that used PNF. Results: The patient demonstrated improvements in balance, ankle-control ability, sit-to-stand ability, and gait performance. Outcome measures (manual muscle test, modified Ashworth scale, sensory assessment, coordination assessment, Berg balance scale, 5 time sit-to-stand test, and 10 m walk test) were taken before and after the training program. Conclusion: The results of this case suggest that an ankle strengthening exercise that uses PNF can improve the gait, balance, ankle-control ability, and sit-to-stand ability in patients with ADEM. In ADEM, the initial treatment is important, and the use of ankle strengthening exercises with PNF could lead to meaningful results. However, there is limited research due to an insufficient number of cases. In the future, more patients will need to be studied.

• The Journal of Korean Physical Therapy
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• 제33권2호
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• pp.91-96
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• 2021

Purpose: This study investigated the effects of cryotherapy on the ankle joint muscle strength and balance ability in stroke patients with ankle joint muscles. Methods: In this study, 20 patients with chronic stroke were recruited from a rehabilitation hospital. The patients were divided into two groups: a cryotherapy group (10 patients) and a control group (10 patients). The cryotherapy group performed sit-to-stand training for 15 minutes and then cryotherapy for the minutes. In the control group, after sit-to-stand training for 15 minutes, blocked cryotherapy was provided for three minutes. In both groups, the interventions were provided five times a week for three weeks. The strength of the ankle joint muscles was measured before and after the training using the Biodex systems 3. The static balance ability was measured using balancia software, and the dynamic balance ability was measured by performing the sit-to-stand test (FTSST) five times. Results: After the training periods, the cryotherapy group showed significant improvement in the ankle dorsiflexor strength, ankle plantarflexor strength, weight distribution of the affected side, and FTSST compared to the control group (p<0.05). Conclusion: Based on these results, cryotherapy could be considered an effective method to improve the strength of ankle joint muscles. Cryotherapy improves muscle strength as it increases the motor neuron excitability. Therefore, cryotherapy may be considered to improve the strength of the ankle joint muscles of stroke patients.