The Journal of Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회지)

Korean Academy of Orthopedic Manual Physical Therapy (대한정형도수물리치료학회)
권호 표지

The Effect of Pelvic Compression Belt on Gait Velocity, Cadence, Step Length, Stride Length of Gait and Dynamic Balance in Stroke Patients

골반압박벨트가 뇌졸중 환자에서 보행속도, 분속 수, 보장, 활보장, 및 동적 균형에 미치는 영향

  • Shin, Young-il (Dept. of Prosthetics & Orthotics, Korea National University of Welfare) ;
  • Kim, Jin-young (Dept. of Occupational Therapy, Howon University) ;
  • Lee, Ho-jong (Dept. of Physical Therapy, Cho Hyung Jun Orthopedics Clinic)
  • 신영일 (한국복지대학교 의료보장구과) ;
  • 김진영 (호원대학교 작업치료학과) ;
  • 이호종 (조형준 정형외과 물리치료실)
  • Received : 2019.04.30
  • Accepted : 2019.06.25
  • Published : 2019.06.30
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Abstract

Background: The purpose of this study was to determine the effects of a pelvic compression belt on gait abilities and balance in subacute stroke patients. Methods: Twenty two patients with subacute were recruited and randomly assigned into two group: Two group offered conventional physical therapy and occupational therapy for five day. The group was composed of twelve patients. Participants in the experimental group were given the pelvic compression belt and conventional physical therapy, conventional occupational therapy, although conventional physical therapy and occupational therapy provided in the subjects in the control group. To assess the gait ability, the GAITRITE system was used and the Balance system SD was used to test balance. All measurements were performed before and after intervention. Results: The experimental group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05) and show significant increase in the dynamic standing balance (p<.05). However, control group shows a significant improvement the cadence, velocity, step length and stride length in gait (p<.05), but shows no significant differences in dynamic standing balance. Furthermore, there were significant differences gait velocity, dynamic standing balance between two groups (p<.05). Conclusions: The results demonstrated that the elastic pelvic belt application is effective to improve gait velocity, dynamic balance in the subacute stroke patients. Thus, the elastic pelvic belt is seemed to be one of the potential methods to facilitate the active rehabilitation program for hemiplegia patients.

Keywords

References

  1. Anderson TP. Rehabilitation of patient with complete stroke In: Kottke Fj, Lehmann JF, eds, Krusen's handbook of physical medicine and rehabilitation, 4th ed, Philadelphia; WB Saunder's Company. 1990;656-678. https://doi.org/10.1097/00002060-199012000-00015
  2. Arumugam A, Milosavljevic S, Woodley S, et al. Evaluation of changes in pelvic belt tension during 2 weight-bearing functional tasks. Journal of manipulative and physiological therapeutics. 2012;35(5):390-395. https://doi.org/10.1016/j.jmpt.2012.04.019
  3. Campbell FM, Ashbum AM, Pickering RM, et al. Head and pelvic movements during a dynamic reaching task in sitting: Implications for physical therapists, Arch Phys Med Rehabil. 2001;82(12):1655-1660. https://doi.org/10.1053/apmr.2001.26818
  4. Carr JH, Shephed RB. Stroke rehabilitation: Guidelines for exercise and trainning to optimize motor skill. Butterworth-Heineman Oxford. 2004. https://doi.org/10.1016/s1356-689x(03)00041-9
  5. Cabanas-Valdes, R, Bagur-Calafat C, Girabent- Farres M, et al. The effect of additional core stability exercises on improving dynamic sitting balance and trunk control for subacute stroke patients: A randomized controlled trial. Clin Rehabil. 2016;30(10):1024-1033. https://doi.org/10.1177/0269215515609414
  6. Charness A. Stroke & Head injury: A Guide to Functional Outcomes in Physical Therapy Management. Rockville, Aspen Publishers, 1996. https://doi.org/10.1016/b978-0-7020-3373-5.00011-3
  7. de Groot M, Pool-Goudzwaard AL, Spoor CW, et al. The active straight leg raising test (ASLR) in pregnant women: Differences in muscle activity and force between patients and healthy subjects. Man Ther. 2008;13(1):68-74. https://doi.org/10.1016/j.math.2006.08.006
  8. Haugland KS, Rasmussen S, Daltveit AK. Group intervention for women with pelvic girdle pain in pregnancy. A randomized controlled trial. Acta Obstet Gynecol Scand. 2006;85(11):1320-1326. https://doi.org/10.1097/01.aoa.0000288268.20801.32
  9. Hwang BY, The effects of the proprioceptive control and visual feedback for the limits of stability in patients with chronic hemiplegia, J Kor Soc Phys Ther. 2007;19(6):37-41.
  10. Jang HJ, Kim SY, Park HJ. Effects of the pelvic compression belt on trunk muscles activities during sit-to-stand, and stand-to-sit tasks. Phys Ther Korea. 2013;20(1):1-9. http://dx.doi.org/10.12674/ptk.2013.20.1.001
  11. Jeong HS, Yoon JG, The effects of pelvic tilt exercise on balance of hemiplegic patients, Phys Ther Korea. 2006;13(3):41-48
  12. Jorgensen HS, Nakayama H, Raaschou HO, et al. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995;76(1):27-32. https://doi.org/10.1016/s0003-9993(95)80038-7
  13. Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clin Orthop. 1984;183:165-171. https://doi.org/10.1097/00003086-198401000-00021
  14. Kelly-Hayes M, Beiser A, Kase CS, et al. The influence of gender and age on disability following ischemic stroke: The Framingham study. Journal of Stroke and Cerebrovascular Diseases. 2003;12(3):119-126. https://doi.org/10.1016/s1052-3057(03)00042-9
  15. Kim EJ, Hwang BY, Kim JH, The effect of core strength exercises on balance and walking in patients with stroke, J Kor Soc Phys Ther. 2009;21(4):17-22.
  16. Kong, SW, Jeong YW, Kim JY. Correlation between balance and gait according to pelvic displacement in stroke patients. J Phys Ther Sci. 2015;27(7):2171-2174 https://doi.org/10.1589/jpts.27.2171
  17. Krause DA, Jacobs RS, Pilger KE, et al. Electromyographic analysis of the gluteus medius in five weight bearing exercises. J Strength Cond Res. 2009;23(9):2689-2694. http://dx.doi.org/10.1519/JSC.0b013e3181bbe861
  18. Kwak KH, Lee DW, Bae SS. Effect of pelvic tilting exercise and gait training on gait characteristics of the patients with hemiplegia, Kor Phys Ther Korea. 2003;15(3):45-64.
  19. Laufer Y, Dickstein R, Resnik S, et al. Weight-bearing shifts of hemiparetic and healthy adults upon stepping on stairs of various heights, Clin Rehabil. 2000;14(2):125-129. https://doi.org/10.1191/026921500674231381
  20. Lee JE, Yi CH, Kwon OY, et al. Dynamic balance and muscle activity of the trunk and hip extensor following the wearing of pelvic compression belt, Phys Ther Korea. 2015;22(1):49-57. http://dx.doi.org/10.12674/ptk.2015.22.1.049
  21. Mens J, Inklaar H, Koes BW, et al. A new view on adduction related groin pain. Clin J Sport Med. 2006;16(1):15-19. https://doi.org/10.1097/01.jsm.0000180869.37673.7b
  22. Oh KB, Back JY, Effects of core-stability training on balance and postural control in the stroke patients, Kor Public Health Research. 2012;38(2):81-88. https://doi.org/10.22900/KPHR.2012.38.2.008
  23. Pel JJ, Spoor CW, Goossens RH, et al. Biomechanical model study of pelvic belt influence on muscle and ligament forces. J Biomech. 2008;41(9):1878-1884. http://dx.doi.org/10.1016/j.jbiomech.2008.04.002
  24. Pereira HM, de Campos TF, Santo MB, et al. Influence of knee position on the postural stability index registered by the Biodex Stability System. Gait Posture. 2008;28(4):668-672. https://doi.org/10.1016/j.gaitpost.2008.05.003
  25. Shunway-cook A, Woollacoot MH. Motor control: theory and practical Applications, Baltimore, Maryland: USA, Williams & Wilikins. 1995;319. https://doi.org/10.1097/01253086-199620010-00023
  26. Sackley CM, Lincoln NB, Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function, Disabil Rehabil. 1997;19(12):536-546. https://doi.org/10.3109/09638289709166047
  27. Van Uden CJ, Besser MP. Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system(GAITRite). BMC Musculoskelet Disord. 2004;17:5-13. https://doi.org/10.1186/1471-2474-5-13
  28. Vestling M, Tufvesson B, Iwarsson S. Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction. J Rehabil Med. 2003;35(3):127-131. https://doi.org/10.1080/16501970310010475
  29. Wall, JC, Turnbull GI. Gait asymmetries in residual hemiplegia. Arch Phys Med Rehabil. 1986;67(8):550-553.