DOI QR코드

DOI QR Code

The Effects of Weight-Bearing Exercise on Upper Extremity Activities Performance in the Female Stroke Patients

  • Lee, SungEun (Department of physical therapy, Daegu University) ;
  • Cho, SungHyoun (Department of physical therapy, Daegu University) ;
  • Kim, Kyoung (Department of physical therapy, Daegu University)
  • Received : 2012.10.05
  • Accepted : 2013.02.18
  • Published : 2013.03.28

Abstract

The purpose in the present study was to examine the effects of weight-bearing exercises on stroke patients' ability to perform upper extremity activities. Experiments were conducted with 24 female stroke patients who were randomly assigned to either a control group (CG) that performed general exercise or an experimental group that performed weight-bearing exercise (WBG). The experiments were conducted for 30 minutes per time, three times per week for six weeks. The upper extremity functions, grasping power, and the ability to manipulate the fingers were measured for both groups before the experiments and again six weeks after the beginning of the experiments. Although the scores for upper extremity functions relating to raising the arms that correspond to proximal upper extremity functions increased in both groups, the WBG showed more significant improvement. The WBG showed significant changes in grasping power compared to the CG. Based on these results, weight-bearing exercise can be effective in improving the ability to perform upper extremity movements and grasping power and thus can be used in stroke rehabilitation.

Keywords

References

  1. S. A. Sharp, B. J. Brouwer, "Isokinetic strength training of the hemiparetic knee: effects on function and spasticity," Arch Phys Med Rehabil, vol. 78, no. 11, 1997, pp. 1231-1236. https://doi.org/10.1016/S0003-9993(97)90337-3
  2. M. V. Radomski, and C. A. Tromly, Occupational Therapy for Physical Dysfunction, 5th ed, Lippincott Williams & Wilkins, Baltimore, 2002, pp. 1022-1035.
  3. I. Faria-Fortini, S. M. Michaelsen, J. G. Cassiano, and L. F. Teixeira-Salmela, "Upper extremity function in stroke subjects: relationships between the international classification of functioning, disability, and health domains," J Hand Ther, vol. 24, no. 3, 2011, pp. 257-264. https://doi.org/10.1016/j.jht.2011.01.002
  4. C. E. Lang, D. F. Edwards, and R. L. Birkenmeier, "Estimating minimal clinically important differences of upper-extremity measures early after stroke," Arch Phys Med Rehabil, vol. 89, no. 9, 2008, pp. 1693-1700. https://doi.org/10.1016/j.apmr.2008.02.022
  5. J. E. Harris, and J. J. Eng, "Paretic upper-limb strength best explains arm activity in people with stroke," Phys Ther, vol. 87, no. 1, 2007, pp. 88-97. https://doi.org/10.2522/ptj.20060065
  6. G. A. Park, S. J. Eun, M. J. Lee, and J. R. Hong, "The effect of functional improvement of upper limb on the performance of activities of daily livings in stroke patients," Society of Occupational Therapy for the Aged and Dementia, vol. 4, no. 1, 2010, pp. 29-38.
  7. J. C. Daviet, J. Y. Salle, M. J. Borie, M. Munoz, I. Rebeyrotte, and P. Dudognon, "Clinical factors associate with shoulder subluxation in stroke patients," Ann Readapt Med Phys, vol. 45, no. 9, 2002, pp. 505-509. https://doi.org/10.1016/S0168-6054(02)00303-3
  8. J. kinghorn, and G. Roberts, "The effect of an inhibitive weight-bearing splint on tone and function: A single-case study," The American journal of Occupational Therapy, vol. 50, no. 10, 1996, pp. 807-815. https://doi.org/10.5014/ajot.50.10.807
  9. A. S. Merians, D. Jack, R. Boian, M. Tremaine, G. C. Burdea, S. V. Adamovich, M. Recce, and H. Poizner, "Virtual realityaugmented rehabilitation for patients following stroke," Phys Ther, vol. 82, no. 9, 2002, pp. 898-915.
  10. S.-S. Bae, Movement patterns for rising from supine to erect stance, Doctoral thesis, Daegu Catholic University, 1995.
  11. K. Bobath, and B. Bobath, The neurodevelopmental treatment, In Scrutton D. ed, Management of the motor disorder of children with cerebral palsy, London: Spastics International Medical Publication, 1984, pp. 6-18.
  12. W. B. Kibler, and B. Livingston, "Closed-chain rehabilitation for upper and lower extremities," J Am Acad Orthop Surg, vol. 9, no. 6, 2001, pp. 412-421. https://doi.org/10.5435/00124635-200111000-00006
  13. M. Pontillo, K. F. Orishimo, I. J. Kremenic, M. P. McHugh, M. J. Mullaney, and T. F. Tyler, "Shoulder musculature activity and stabilization during upper extremity weight-bearing activities," N Am J Sports Phys Ther, vol. 2, no. 2, 2007, pp. 90-96.
  14. M. Y. Wang, and G. J. Salem, "The relations among upper extremity loading characteristics and bone mineral density changes in young women," Bone, vol. 34, no. 6, 2004, pp. 1053-1063. https://doi.org/10.1016/j.bone.2004.01.025
  15. S. B. Chen, J. Y. Chang, and A. T. Hsu, "Kinetics and electromyographic analyses of shoulder during upper extremity weight-bearing exercises," Journal of Biomechanics, vol. 40, vol. 2, 2007, pp. 390. https://doi.org/10.1016/j.jbiomech.2005.12.011
  16. R. C. de Araújo, H. T. Tucci, R. de Andrade, J. Martins, D. Bevilaqua-Grossi, and A. S. de Oliveira, "Reliability of electromyographic amplitude values of the upper limb muscles during closed kinetic chain exercises with stable and unstable surfaces," J Electromyogr Kinesiol, vol. 19, no.4, 2009, pp. 685-694. https://doi.org/10.1016/j.jelekin.2007.11.014
  17. D. A. Nawoczenski, L. M. Riek, L. Greco, K. Staiti, and P. M. Ludewig, "Effect of shoulder pain on shoulder kinematics during weight-bearing tasks in persons with spinal cord injury," Arch Phys Med Rehabil, vol. 93, no. 8, 2012, pp. 1421-1430. https://doi.org/10.1016/j.apmr.2012.02.034
  18. T. Reistetter, B. C. Abreu, J. Bear-Lehman, and K. J. Ottenbacher, "Unilateral and bilateral upper extremity weight-bearing effect on upper extremity impairment and functional performance after brain injury," Occup Ther Int, vol.16, no.3-4, 2009, pp. 218-231. https://doi.org/10.1002/oti.278
  19. J.-S. Kim. "Effect of upper extremity weight bearing on locomotion of infant with athetoid cerebral palsy," The journal of Korean society of physical therapy, vol. 8, no.1, 1996, pp. 1-14. https://doi.org/10.1589/jpts.8.1
  20. S. C. Sung, and M. G. Lee, "Effects of resistance and balance exercise training on isokinetic function, postural stability, and balance efficacy in elderly women," Korean Journal of Sport Science, vol. 18, no. 4, 2007, pp. 21-33. https://doi.org/10.24985/kjss.2007.18.4.21
  21. B. O. Koo, E. Y. Kim, M. H. Park, M. C. Park, and J. M. Shim, "The effect on functional recovery of self exercise program in stroke," Journal of Special Education & Rehabilitation Science, vol. 47, no.1, 2008, pp. 331-347.
  22. S. Miyamoto, T. Kondo, Y. Suzukamo, A. Michimata, and S. Izumi, "Reliability and validity of the manual function test in patients with stroke," Am J Phys Med Rehabil, vol. 88, no. 3, 2009, pp. 247-255. https://doi.org/10.1097/PHM.0b013e3181951133
  23. M.-Y. Kim, "A study of manual functional test for C.V.A," The Journal of Korean academy of occupational therapy, vol. 2, no. 1, 1994, pp. 19-26.
  24. L. Tim , J. Thomas, G. Carl, D. Scott, and J. Arthur, "Shoulder musculature activation during upper extremity weight-bearing exercise," J Orthop Sports Phys Ther, vol. 33, no. 3, 2003, pp. 109-117. https://doi.org/10.2519/jospt.2003.33.3.109
  25. S.-M. Kim, "The shoulder pain in hemiplegia after stroke," Ulsan College UC Report, vol. 27, no. 2, 2000, pp. 595-613.
  26. L. Ada, N. O'Dwyer, J. Green, W. Yeo, and P. Neilson, "The nature of the loss of strength and dexterity in the upper limb following stroke," Human Movement Science, vol. 15, no. 5, 1996, pp. 671-687. https://doi.org/10.1016/0167-9457(96)00015-2
  27. A. Shirley, Sahrmann, J. Barbara, and B. S. Norton, "The relationship of voluntary movement of spasticity in the upper motor neuron syndrome", Annals of Neurology, vol. 2, no. 6, 1997, pp. 460-465.
  28. X. Hu, K. Tong, V. S. Tsang, and R. Song, "Joint-angle dependent neuromuscular dysfunctions at the wrist in persons after stroke," Arch Phys Med Rehabil, vol. 87, no. 5, 2006, pp. 671-679. https://doi.org/10.1016/j.apmr.2006.02.003
  29. C. I. Renner, P. B. ungert-Kahl, and H. Hummelsheim, "Change of strength and rate of rise of tension relate to functional arm recovery after stroke," Arch Phys Med Rehabil, vol. 90, no. 9, 2009, pp. 1548-1556. https://doi.org/10.1016/j.apmr.2009.02.024
  30. C. Mercier, and D. Bourbonnais, "Relative shoulder flexor and handgrip strength is related to upper limb function after stroke," Clin Rehabil, vol. 18, no. 2, 2004, pp. 215-221. https://doi.org/10.1191/0269215504cr724oa
  31. G. S. Kim, and J. Y. Kang, "Effects of upper extremity exercise training using biofeedback and constraintinduced movement on the upper extremity function of hemiplegic patients," Journal of Korean Academy of Nursing, vol. 33, no. 5, 2003, pp. 591-600. https://doi.org/10.4040/jkan.2003.33.5.591
  32. I. E. Caroline, P. Renner, P. Bungert-Kahl, and H. Horst, "Change of strength and rate of rise of tension relate to functional arm recovery after stroke," Arch Phys Med Rehabil, vol. 90, no. 9, 2009, pp. 1548-1556. https://doi.org/10.1016/j.apmr.2009.02.024
  33. M. H. Lee, W. K. Lee, and S. S. Bae, "The effect of repetitive bilateral arm training for the hemiplegic upper extremity in chronic phase after stroke," The Journal of Korean Society of Physical Therapy, vol.15, no. 3, 2003, pp. 519-536.