DOI QR코드

DOI QR Code

The Effects of Contact Hand-Orientation Response(CHOR) During Sit-to-stand(STS) in People with Stroke

접촉성 손-위치 반응(Contactual Hand-Orientating Response)이 만성 뇌졸중환자의 일어서기 동작에 미치는 영향

  • Seo, Tae-Hwa (Dept. of Physical Therapy, Kwangju Women's University) ;
  • Yang, Si-Eun (Dept. of Physical Therapy, Sangmu Healing Hospital) ;
  • Lee, Hong-Gyun (Dept. of Physical Therapy, Dongshin University)
  • 서태화 (광주여자대학교 물리치료학과) ;
  • 양시은 (상무힐링요양병원) ;
  • 이홍균 (동신대학교 물리치료학과)
  • Received : 2018.09.26
  • Accepted : 2018.10.01
  • Published : 2018.11.07

Abstract

Purpose The purpose of this study was to investigate the effects of contact handorientation response(CHOR) during sit-to-stand(STS) in people with stroke. Methods The subjects of the study were Thirty hemiplegia participated (Rt. hemiplegia/Lt. hemiplegia: 15/15, mean age: $65.82{\pm}8.53$) in this study. The analysis of muscles activation (rectus femoris, biceps femoris, tibialis anterior, gastrocnemius) distribution was conducted by the EMG, and the analysis of foot pressure distribution was conducted by the resistive pressure sensor. Hemiplegic stroke patients were instructed to perform STS three times with the non-affected side hand and affected side hand on the table. Results There was a significant positive correlation between rectus femoris, tibialis anterior muscle activation and affected side hand contact during STS(p<0.05). The STS correlated with the foot pressure in the affected side hand contact(p<0.05). Conclusion AS a result, CHOR during STS is related to muscle activation and the characteristics of foot pressure. This information was observed in the affected side hand contact on the table, suggestion that rehabilitation programs should be implemented.

Keywords

References

  1. Peurala SH, Kononen P, Pitkanen K, Sivenius J, et al. Postural instability in patients with chronic stroke. Restor Neurol Neurosci. 2007;25(2):101-108.
  2. Adamson J, Beswick A, Ebrahim S. Is stroke the most common cause of disability? J Stroke Cerebrovasc Dis. 2004;13(4):171-177. https://doi.org/10.1016/j.jstrokecerebrovasdis.2004.06.003
  3. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and function ability. Clin Rehabil. 2006;20(5):451-458. https://doi.org/10.1191/0269215505cr955oa
  4. 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):1138-1144. https://doi.org/10.1053/apmr.2002.33644
  5. Sackley CM, Baguly BI. Visual feedback after stroke with balance performance monitor: two single case studies. Clin Rehabil. 1993;7:189-195 https://doi.org/10.1177/026921559300700302
  6. Yoshioka S, Nagano A, Himono R, Fukashiro S. Computation of the kinematics and the minimum peak joint moments of sit-to-stand movements. Biomed Eng Online. 2007;3:6-26.
  7. Canning CG, Shepherd RB, Carr JH, Alison JA, 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):355-362. https://doi.org/10.1191/0269215503cr620oa
  8. Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill: Butterworth-Heinemann. 2003:130-158.
  9. Kim JM, LEE CH. Neurological physical therapy. Seoul: Jungdam. 2001.
  10. Rhu YJ. Kinetic analysis of sit-to-stand movement in stroke patients. The Kor J Phy Edu. 2004;43(4):521-529.
  11. Cheng PT, Liaw MY, Wong MK, Tang FT, et al. The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil. 1998;29(9):1043-1046.
  12. Lecours J, Nadeau S, Gravel D, Teixera-Salmela L. Interaction between foot placement, trunk frontal position, weight-bearing and knee moment asymmetry at seat-off during rising from a chair in healthy controls and persons with hemiparesis. J Rehabil. 2008;40(3):200-207. https://doi.org/10.2340/16501977-0155
  13. Roy G, Nadeau S, Gravel D, Piotte F, 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. 2007;22(7):795-804. https://doi.org/10.1016/j.clinbiomech.2007.03.007
  14. Chaudhuri S, Aruin AS. The effect of shoe lifts on static and dynamic postural control in individuals with hemiparesis. Arch Phys Med Rehabil. 2000;81(11):1498-1503. https://doi.org/10.1053/apmr.2000.17827
  15. Oh DW, Kim JS, Kim SY, Yo EY, et al. Effect of motor imagery training on symmetrical use of knee extensors during sit-to-stand and stand-to-sit tasks in post-stroke hemiparesis. Neuro Rehabil. 2010;26(4):307-315.
  16. Park ES, Park CI, Chang HJ, Choi JE, et al. The effect of hinged ankle-foot orthoses on sit-to-stand transfer in children with spastic cerebral palsy. Arch Phys Med Rehabil. 2004;85(12):2053-2057. https://doi.org/10.1016/j.apmr.2004.05.008
  17. Park J, Woo YK, Park SY. Effects of Sit-to-Stand Training on Unstable Surface on Balance in Subject With Stroke. Kor Rese Soc Phys Ther. 2013;20(3):1-8
  18. Raine S, Mezdows L, Lynch-Ellerington M. The Bobath Concept: Theory and clinical pratice in neurological rehabilitation. 2013.
  19. Song BK. Effect of Somatosensory Stimulation on Upper Limb in Sensory, Spatial neglect and Body Orientation within Unilateral Neglects after a Stroke. 2012;6(4):204-210.
  20. Bensoussan L, Viton JM, Schieppati M, Collado H, et al. Changes in postural control in hemiplegic patients after stroke performing a dual task. Arch Phys Med Rehabil. 2007;88(8):1009-1015. https://doi.org/10.1016/j.apmr.2007.05.009
  21. Cheng PT, Chen CL, Wang CM, Hong WH. Leg muscle activation patterns of sit-to-stand movement in stroke patients. Am J Phys Med Rehabil. 2004;83(1):10-16. https://doi.org/10.1097/01.PHM.0000104665.34557.56
  22. Dickstein R, Shefi S, Marcovitz E, Villa Y. Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clin Neurophysiol. 2004;115(4):790-796. https://doi.org/10.1016/j.clinph.2003.11.018
  23. Camargos AC, Rodrigues-de-Paula-Goulart F, Teixeira-Salmela LF. 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):314-319. https://doi.org/10.1016/j.apmr.2008.06.023
  24. Goulart FR, Valls-Sole J. patterned electromyographic activity in the sit-to-stand movement. Clin Neurophysiol. 1999;110(9):1634-1640. https://doi.org/10.1016/S1388-2457(99)00109-1
  25. Wagenaar RC, van Emmerik REA. Dynamics of pathological gait. Hum Mov Sci. 1994;13(3-4):441-471. https://doi.org/10.1016/0167-9457(94)90049-3
  26. Briere A, Lauziere S, Gravel D, Nadeau S. Perception of weight-bearing distribution during sit-to-stand tasks in hemiparetic and healthy individuals. Stroke. 2010;41(8):1704-1708. https://doi.org/10.1161/STROKEAHA.110.589473
  27. Yoon HS, Hwang BY. The effects of sit-to-standing training combined with visual intervention training on balance in the subacute stroke patients. J Korean Soc Neur Ther. 2017;21(2):15-19
  28. Brunt D, Greenberg B, Wankadia S, Trimble MA et al. The effect of foot placement on sit to stand in healthy young subjects and patients with hemiplegia. Arch Phys Med Rehabil. 2002;83(7):924-929. https://doi.org/10.1053/apmr.2002.3324
  29. Cha YJ, Kim K. The comparison of plantar pressure distribution regarding the extent of hemineglect in adult hemiplegia. J Kor Med Sci. 2010;5(1):43-51.
  30. Yoon HW, Lee SY, Lee HM. The comparison of plantar foot pressure in normal side of normal people, affected side and less affected side of hemiplegic patients during stance phase. The Kor Soc Phy Med. 2009;4():87-92.
  31. Yang DJ, Park SK, Kang JI, Park SB. Effects of changes in postural alignment on foot pressure and balance of patients with stroke. J korean Soc Phys Ther. 2014;26(4):226-233.
  32. Chang WN, Kim JH, Hwang BY. Effect of trunk facilitation based on the bobath concept on trunk alignment and weight distribution in patients with stroke. J Korean Soc Neur Ther. 2017;21(3):1-7.