PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of Weight-Bearing Training with Elastic Bands on less - Affected Side during Functional Electronic Stimulation on Walking and Balance in Stroke Patients

기능적 전기자극시 비 마비측에 탄력밴드를 적용한 체중지지훈련이 뇌졸중 환자의 보행과 균형에 미치는 영향

  • Jeong, Chae-min (Department of Physical Therapy, Cheongna Hospital) ;
  • Woo, Young-Keun (Department of Physical Therapy, Colleges of Medical Sciences, Jeonju University) ;
  • Won, Jong-im (Department of Physical Therapy, Colleges of Medical Sciences, Jeonju University) ;
  • Kim, Su-Jin (Department of Physical Therapy, Colleges of Medical Sciences, Jeonju University)
  • 정채민 (청라스퀘어병원 물리치료실) ;
  • 우영근 (전주대학교 의과학대학 물리치료학과) ;
  • 원종임 (전주대학교 의과학대학 물리치료학과) ;
  • 김수진 (전주대학교 의과학대학 물리치료학과)
  • Received : 2022.11.16
  • Accepted : 2022.12.07
  • Published : 2022.12.31
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Abstract

Purpose: The purpose of this study was to examine the effect of weight-bearing training with an elastic band during functional electrical stimulation (FES) on walking and balance functions in stroke patients. Methods: Twenty patients with chronic stroke were divided into an experimental group assigned to weight-bearing training with an elastic band during functional electrical stimulation (FES; n=10) and a control group assigned to weight-bearing training alone during FES (n=10). The patients in both groups attended physical therapy sessions five times a week for four consecutive weeks. The experimental group underwent weight-bearing training with an elastic band during FES five times a week for four weeks. The control group underwent weight-bearing training during FES. Balance parameters were measured before and after the intervention using the Balancia program. Moreover, all patients were evaluated using the Berg Balance Scale (BBS), the Time Up and Go Test (TUGT), and the Wisconsin Gait Scale (WGS) before and after each intervention. Results: The results showed that weight-bearing training with elastic bands during FES and weight-bearing training during FES had a significant effect on the affected side's weight-bearing ratio, BBS, TUGT, and WGS in both groups (p <0.05). Additionally, the results showed that the changes observed in the two groups indicate significant differences in path length, average speed, BBS score, TUGT time, and WGS score between the groups (p < 0.05). Conclusion: In patients with stroke, weight-bearing training with an elastic band during FES affected on walking and balance. Therefore, it is an optional intervention for the balance and walking ability of stroke patients.

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References

  1. Baek KH, Lim HW. Effect of spiral elastic band on gait function in patients with chronic stroke. The Journal of Korean Physical Therapy. 2019;31(4):169-175. https://doi.org/10.18857/jkpt.2019.31.4.169
  2. Bastille JV, Gill-Body KM. A yoga-based exercise program for people with chronic poststroke hemiparesis. Physical Therapy. 2004;84(1):33-48. https://doi.org/10.1093/ptj/84.1.33
  3. Byun SD, Cho DH, Choi WD et al. Effects of the balance control training in chronic hemiplegic stroke patients. Brain & Neurorehabilitation. 2012;5(1):32-38. https://doi.org/10.12786/bn.2012.5.1.32
  4. Cha HG, Ji SG. The effects of community ambulation training on muscle activity of the lower extremities and dynamic balance ability, gait scale in stroke patients. Institute of Special Education & Rehabilitation Science. 2012;51(51):159-75.
  5. Chen KM, Li CH, Chang YH et al. An elastic band exercise program for older adults using wheelchairs in Taiwan nursing homes: A cluster randomized trial. International Journal of Nursing Studies. 2015;52(1):30-38. https://doi.org/10.1016/j.ijnurstu.2014.06.005
  6. Choi IY. Effects of elastic band exercise using the PNF lower extremity pattern on balance and weight bearing in the adult hemiplegic patients. Pochon CHA University. Dissertation of Master's Degree.2008.
  7. Daly JJ, Zimbelman J, Roenigk KL et al. Recovery of coordinated gait: randomized controlled stroke trial of functional electrical stimulation (FES) versus no FES, with weight-supported treadmill and over-ground training. Neurorehabilitation and neural repair. 2011;25(7):588-596. https://doi.org/10.1177/1545968311400092
  8. Dickstein R, Nissan M, Pillar T. et al. Foot-ground pressure pattern of standing hemiplegic patients: major characteristics and patterns of improvement. Physical therapy. 1984;64(1): 19-23. https://doi.org/10.1093/ptj/64.1.19
  9. Elsayed E, Darweesh A, Hegazy R et al. Effect of shoe insert on weight bearing symmetry in stroke patients. BAOJ Orthopedics. 2016;1(001).
  10. Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Archives of physical medicine and rehabilitation. 2002;83(8):1138-1144. https://doi.org/10.1053/apmr.2002.33644
  11. Geiger RA, Allen JB, O'Keefe J et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Physical therapy. 2001;81(4):995-1005. https://doi.org/10.1093/ptj/81.4.995
  12. Goo BO, Shim JM, Lee SY et al. The effects of functional weight bearing exercise on balance and gait in stroke. Journal of Korean Society of Physical Medicine. 2010;5(1):35-42.
  13. Gould A. The use of functional electrical stimulation as a treatment intervention to improve walking ability in a sub-acute stroke population. Doctoral dissertation. University of Southampton. 2015.
  14. Han SW. A SEMG analysis of knee joint angle during close kinetic chain exercise and open kinetic chain exercises in quadriceps muscle. The korea society of physical therapy. 2004;16(3):192-204.
  15. Hughes C. J, Hurd K, Jones A et al. Resistance properties of Thera-Band® tubing during shoulder abduction exercise. Journal of Orthopaedic & Sports Physical Therapy. 1999;29(7):413-420. https://doi.org/10.2519/jospt.1999.29.7.413
  16. Hyun SW. Effects of gait training using spiral elastic bands on balance, gait, and lower-extremity muscle tone in paretic-side upper and lower extremities of patients with stroke. Daegu University. Dissertation of Doctorate Degree. 2021.
  17. Jang JY, Kim S Y. Effects of trunk control exercise performed on an unstable surface on dynamic balance in chronic stroke patients. Journal of the Korean Society of Physical Medicine. 2016;11(1): 1-9. https://doi.org/10.13066/kspm.2016.11.1.1
  18. Jette DU, Latham NK, Smout RJ et al. Physical therapy interventions for patients with stroke in inpatient rehabilitation facilities. Physical therapy. 2005;85(3):238-248. https://doi.org/10.1093/ptj/85.3.238
  19. Johannsen L, Doris B, Hans-Otto K. Leg orientation as a clinical sign for pusher syndrome. BMC neurology. 2006;1(6):1-15.
  20. Kang KY, Kim TY. Effects of a combined functional electrical stimulation with action observation training for balance and gait performance in stroke patients. Journal of the Korean Society of Physical Medicine. 2016;11(2):93-102. https://doi.org/10.13066/kspm.2016.11.2.93
  21. Kim DH. Effect of functional electrical stimulation (FES) on balance and gait in patients with subacute stroke. Yong In University. Dissertation of Doctorate Degree. 2021.
  22. Kusoffsky A, Ingmarie A, Helga H. Reaching-lifting-placing task during standing after stroke: Coordination among ground forces, ankle muscle activity, and hand movement. Archives of physical medicine and rehabilitation. 2001;82(5):650-660. https://doi.org/10.1053/apmr.2001.22611
  23. Kwak CJ, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. Journal of physical therapy science. 2016;28(11):3189-3196. https://doi.org/10.1589/jpts.28.3189
  24. Kwon OK, Shin WS. Effects of closed and open kinetic chain exercises on knee extensor strength and balance in patients with early stroke. Journal of the Korean Society of Physical Medicine. 2014;9(2):223-231. https://doi.org/10.13066/kspm.2014.9.2.223
  25. Kwon SC, Shin WS. Comparison of robotic tilt-table training and body weight support treadmill training on lower extremity strength, balance, gait, and satisfaction with rehabilitation, in patients with subacute stroke. Journal of The Korean Society of Physical Medicine. 2020;15(4):163-174. https://doi.org/10.13066/kspm.2020.15.4.163
  26. Laufer Y. The effect of walking aids on balance and weight-bearing patterns of patients with hemiparesis in various stance positions. Physical therapy. 2003;83(2):112-122. https://doi.org/10.1093/ptj/83.2.112
  27. Lee HY, Kim YL, Lee SM. Effects of virtual reality-based training and task-oriented training on balance performance in stroke patients. Journal of physical therapy science. 2015;27(6):1883-1888. https://doi.org/10.1589/jpts.27.1883
  28. Lee JS, Nam KW, Kim KY et al. Effect of weight bearing exercise on weight bearing and balance for patients with chronic stroke. Journal of Korean Physical Therapy. 2012;24(4):253-261.
  29. Levin O, Mizrahi J, Isakov E. Transcutaneous FES of the paralyzed quadriceps is knee torque affected by unintended activation of the hamstrings? Journal of Electromyography and Kinesiology, 2000;10(1):47-58. https://doi.org/10.1016/S1050-6411(99)00016-4
  30. Munn J, Herbert RD, Gandevia SC. Contralateral effects of unilateral resistance training: a meta-analysis. Journal of applied physiology. 2004:96(5):1861-1866. https://doi.org/10.1152/japplphysiol.00541.2003
  31. Murase K, Morrison KL, Tam PY et al. EF-Tu binding peptides identified, dissected, and affinity optimized by phage display. Chemistry & biology. 2003;10(2):161-168. https://doi.org/10.1016/S1074-5521(03)00025-5
  32. Ng SS, Hui-Chan C. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Archives of physical medicine and rehabilitation. 2005;86(8):1641-1647. https://doi.org/10.1016/j.apmr.2005.01.011
  33. Page P. Developing resistive exercise programs using Thera-band elastic bands & tubing. The Hygenic Corporation. 2000;10(1):48-60.
  34. Park DS, Lee G. Validity and reliability of balance assessment software using the Nintendo Wii balance board: usability and validation. Journal of neuroengineering and rehabilitation. 2014;11(1):1-8. https://doi.org/10.1186/1743-0003-11-1
  35. Salter K, Jutai J W, Teasell R et al. Issues for selection of outcome measures in stroke rehabilitation: ICF Participation." Disability and rehabilitation. 2005;27(9):507-528. https://doi.org/10.1080/0963828040008552
  36. Shin WS, Lee SW, Lee Y W et al. Effects of combined exercise training on balance of hemiplegic stroke patients. Journal of Physical Therapy Science. 2011;23(4):639-643. https://doi.org/10.1589/jpts.23.639
  37. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical therapy. 2000;80(9):896-903. https://doi.org/10.1093/ptj/80.9.896
  38. Soetanto D, Kuo CY, Babic D. Stabilization of human standing posture using functional neuromuscular stimulation. Journal of Biomechanics. 2001;34(12):1589-1597. https://doi.org/10.1016/S0021-9290(01)00144-0
  39. Stephenson JB, Maitland ME, Beckstead JW et al. Locomotor training on a treadmill compared with PNF training in adults with chronic stroke. Technology & Innovation. 2014;15(4):325-332. https://doi.org/10.3727/194982413X13844488879131
  40. Tyson SF, Hanley M, Chillala J et al. Balance disability after stroke. Physical therapy. 2006;86(1):30-38. https://doi.org/10.1093/ptj/86.1.30
  41. Wang GS, Yoon SW, Cho WS et al. Effect of the combined use of FES and over ground walking with partial body-weight support on walking and balance competency in patients with chronic strokes. Journal of the Korean Academy of Clinical Electrophysiology. 2012;10(1):15-22. https://doi.org/10.5627/KACE.2012.10.1.015
  42. Worms G, Matjacic Z, Gollee H et al. Dynamic balance training with sensory electrical stimulation in chronic stroke patients. IEEE Engineering in Medicine and Biology Society. 2006;2150-2153.
  43. Wu SH, Huang HT, Lin CF et al. Effects of a program on symmetrical posture in patients with hemiplegia: a single-subject design. The American Journal of Occupational Therapy. 1996;50(1):17-23. https://doi.org/10.5014/ajot.50.1.17
  44. Yaliman A, Kesiktas N, Ozkaya M et al. (2014). Evaluation of intrarater and interrater reliability of the Wisconsin Gait Scale with using the video taped stroke patients in a Turkish sample. NeuroRehabilitation. 2014;34(2):253-258. https://doi.org/10.3233/nre-131033
  45. Yavuzer G, Eser F, Karakus D et al. The effects of balance training on gait late after stroke: randomized controlled trial. Clinical rehabilitation. 2006;50(11):960-969. https://doi.org/10.1177/0269215506070315