Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
권호 표지
DOI QR코드

DOI QR Code

Correlation Between BBS, TUG and Lower Extremity Muscle Activity during Semi-Squat in Stroke Patients

뇌졸중환자의 반웅크리기 동안에 하지근활성도와 BBS, TUG와의 상관관계

  • Park, Seung-Kyu (Department of Physical Therapy, School of Public Health, Daebul University) ;
  • Yang, Dae-Jung (Department of Physical Therapy, School of Public Health, Daebul University) ;
  • Kim, Je-Ho (Department of Physical Therapy, Graduate School of Public Health, Daebul University) ;
  • Jeong, Yong-Sik (Department of Physical Therapy, Graduate School of Public Health, Daebul University)
  • 박승규 (대불대학교 보건대학 물리치료학과) ;
  • 양대중 (대불대학교 보건대학 물리치료학과) ;
  • 김제호 (대불대학교 보건대학원 물리치료학과) ;
  • 정용식 (대불대학교 보건대학원 물리치료학과)
  • Received : 2011.11.04
  • Accepted : 2011.12.06
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : We studied the correlation between reference voluntary contraction (% RVC) of vastus lateralis (VL) and vastus medialis (VM), Berg balance scale (BBS), and timed-up & go (TUG) test. Methods : We recruited 30 stroke patients from a rehabilitation center at a hospital.? All subjects could walk with or without an assisting device. Subjects were evaluated with % RVC of VL and VM, BBS, and TUG. The data were analyzed using a Pearson correlation coefficient. Results : The % RVC of VL and VM and BBS (p<0.01) showed a significant positive correlation. TUG negatively correlated with % RVC of VL and VM and BBS (p<0.01). Conclusion : Lower extremity muscle activity increases balance and walking ability. We recommend the implementation of lower extremity strength exercises in the rehabilitation of stroke patient.

Keywords

References

  1. Stegmayr B, Asplund K. Stroke in northern Sweden. Scand J Public Health Suppl. 2003;61;60-69.
  2. Carr JH, Shepherd RB. Investigation of a new motor assessment scale for stroke patients. Phys Ther.1985;65(2):576-585.
  3. Kim JH, Kim CH. Effects of virtual reality program on standing balance in chronic stroke patients. The Journal of Korean Society of Physical Therapy. 2005;17(3):351-367.
  4. Whitall J. Stroke rehabilitation research: time to answer more specific questions? Neurorehabil Neural Repair. 2004;18(1):3-8. https://doi.org/10.1177/0888439003262876
  5. Perry J, Burnfield JM. Gait analysis: Normal and Pathological Function. 2nd ed. Grove Road, SLACK Incorporated, 1992:89-106.
  6. Onely SJ, Richard C. Hemiplegic gait following stroke. Part i: Characteristics. Gait and Posture. 1996;(2)4:136-148. https://doi.org/10.1016/0966-6362(96)01063-6
  7. Bourbonnais D, Vanden Noven S. Weakness in patients with hemiparesis. Am J Occup Ther. 1989;43(5):313-9. https://doi.org/10.5014/ajot.43.5.313
  8. Bohannon RW, Walsh S. Nature, reliability, and predictive value of muscle performance measures in patients with hemiaresis following stroke. Arch Phys Med Rehabil. 1992;73(8):721-725.
  9. Flansbjer UB, Downham D, Lexell J. Knee muscle strength, gait performance, and perceived participation after stroke. Arch Phys Med Rehabil. 2006;87:974-80. https://doi.org/10.1016/j.apmr.2006.03.008
  10. Clark DJ, Condliffe EG, Patten C. Reliability of concentric and eccentric torque during isokinetic knee extension in post-stroke hemiparesis. Clin Biomech (Bristol, Avon). 2006;21(4):395-404. https://doi.org/10.1016/j.clinbiomech.2005.11.004
  11. Gerrits KH, Beltman MJ, Koppe PA et al. Isometric muscle function of knee extensors and the relation with functional performance in patients with stroke. Arch Phys Med Rehabil. 2009;90(3):480-7. https://doi.org/10.1016/j.apmr.2008.09.562
  12. de Oliveira CB, de Medeiros IR, Frota NA et al. Balance control in hemiparetic stroke patients: Main tools for evaluation. J Rehabil Res Dev. 2008;45(8):1215-1226. https://doi.org/10.1682/JRRD.2007.09.0150
  13. Won JI, Kim KS. Concurrent validity of the functional gait assessment, Berg Balance Sscale, and timed up and go test in patients with stroke. Journal of the Korean Academy of University Trained Physical Therapists. 2001;18(2):43-51.
  14. Berg KO, Maki BE, Williams JI et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-80.
  15. Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in stroke rehabilitation: A systemic review. Phys Ther. 2008;88(5):559-566. https://doi.org/10.2522/ptj.20070205
  16. Muir SW, Berg K, Chesworth B et al. Use of the Berg Balance Scale for predicting multiple falls in community-dwelling eldely people: a prospective study. Phys Ther. 2008;88(4):449-59. https://doi.org/10.2522/ptj.20070251
  17. Vasunilashorn S, Coppin AK, Patel KV et al. Use of the short physical performance battery score to predict loss of ability to walk 400 meters: analysis from the In CHIANTI study. J Gerontol A BiolSci Med Sci. 2009;64(2):223-9.
  18. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
  19. An SH, Park CS, Lee HJ. Correlation between balance, walking test and functional performance in stroke patients : BBS, TUG, Fugl-Meyer, MAS-G, C.MGS, and MBI. Journal of the Korean Academy of University Trained Physical Therapists. 2007;14(3):64-71.
  20. Bolgla L, Uhl T. Reliability of electromyographic normalization methods for evaluating the hip musculature. J Electromyogr Kinesiol. 2007;17(1):102-111. https://doi.org/10.1016/j.jelekin.2005.11.007
  21. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the timed "Up & go" Test in people with parkinson disease. Phys Ther. 2001;81(2):810-8.
  22. Fellows SJ, Kaus C, Ross HF et al. Agonist and antagonist EMG activation during isometric torque development at the elbow in spastic hemiparesis. Electroencephalogr Clin Neurophysiol. 1994;93(2):106-12. https://doi.org/10.1016/0168-5597(94)90073-6
  23. Park EY, Chung BI. Effects of Mental Practice on the Muscle strengthening of the hemiplegic patients. Journal of the Korean Academy of University Trained Physical Therapists. 1998;5(2):81-90.
  24. Teixeira-Salmela LF, Olney SJ, Nadeau S et al. Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil. 1999;80(10):1211-1218. https://doi.org/10.1016/S0003-9993(99)90018-7
  25. Yoon JS, Song BH. The influence on ambulation of the difference in muscle strength on lower extremity of hemiplegic patients. Exercise Science. 2008;17(3):279-288.
  26. Kwon SB, Lee HO. Effect of closed and open kinetic chain exercise after cruciate ligament reconstruction. The Journal of Korean Society of Physical Therapy. 2005;17(3):297-310.
  27. Mellor R, Hodges PW. Motor unit synchronization of the vasti muscles in closed and open chain tasks. Arch Phys Med Rehabil. 2005;86(4):716-21. https://doi.org/10.1016/j.apmr.2004.07.354
  28. Jang JH, Kim KH, Kim TH et al. The effects of foot and knee position on Electromyographic activity of the vastus medialis and vastus lateralis for hemiplegic patients. The Journal of Korean Society of Physical Therapy. 2010;22(4):21-28.
  29. Hung YJ, Gross MT. Effect of foot position on electromyographic activity of the vastus medialis oblique and vastus lateralis during lower-extremity weight-bearing activities. J Orthop Sports Phys Ther. 1999;29(2):93-102. https://doi.org/10.2519/jospt.1999.29.2.93
  30. Shin WS, Lee SM, Lee SW et al. The effects of taskoriented functional training on muscle strength, balance and gait ability of chronic stroke patient. Journal of Adapted Physical Activity. 2008;16(3):149-165.
  31. Yoon JS, Song BH. The influence on ambulation of the difference in muscle strength on lower extremity of hemiplegic patients. Exercise Science. 2008;17(3):279-288.
  32. Flansbjer U-B, Downham D, Lexell J. Knee muscle strength, gait performance, and perceived participation after stroke. Arch Phys Med Rehabil. 2006;87:974-80. https://doi.org/10.1016/j.apmr.2006.03.008
  33. Engberg W, Lind A, Linder A et al. Balance-related efficacy compared with balance function in patients with acute stroke. Physiother Theory Pract. 2008;24(2):105-111. https://doi.org/10.1080/09593980701389576