DOI QR코드

DOI QR Code

Center of Pressure and Ground Reaction Force Analysis of Task-oriented Sit-to-stand in Stroke Patients

뇌졸중 환자의 과제지향적 일어서기 시 신체압력중심과 지면반발력 특성

  • Yoo-Jung, Lim (Department of Physical Therapy, Graduate School, Daegu Catholic University ) ;
  • Joong-Hwi, Kim (Department of Physical Therapy, Daegu Catholic University)
  • 임유정 (대구가톨릭대학교 대학원 물리치료학과) ;
  • 김중휘 (대구가톨릭대학교 물리치료학과)
  • Received : 2022.09.27
  • Accepted : 2022.10.17
  • Published : 2022.11.30

Abstract

PURPOSE: This study examined the center of pressure (COP) and ground reaction force (GRF) characteristics during each task-oriented sit-to-stand in stroke patients. METHODS: Twenty stroke subjects were included in this study. The task consisted of sit-to-stand (SS), sit-to-stand for reaching (SR), and sit-to-stand for walking (SW). The response time, COP, and GRF were measured during each task. The COP and GRF data were obtained using a two-force plate. The force plates were placed on a chair (below the buttock) and floor (below the feet). RESULTS: Significant differences were observed between SS (1.48 ± .48 s) and SR (2.09 ± 0.82 s) and between SS and SW (2.27 ± .72 s) in the preparatory phase time during each sit-to-stand exercise (p = .002) and showed significant differences between SS (13.90 ± 6.44 cm) and SW (34.62 ± 39.38 cm) and between SR (16.14 ± 8.04 cm) and SW in the mediolateral COP range during each sit-to-stand exercise (p = .013). CONCLUSION: These findings suggest that more complex task-oriented sit-to-stand exercise requires a high-level motor programming process than a simple sit-to-stand task. Therefore, a variety of tasks-oriented sit-to-stand exercises will be useful training to achieve better ADL ability for stroke patients.

Keywords

References

  1. de Kam D, Kamphuis JF, Weerdesteyn V, et al. The effect of weight-bearing asymmetry on dynamic postural stability in people with chronic stroke. Gait Posture. 2017;53:5-10.  https://doi.org/10.1016/j.gaitpost.2016.12.019
  2. Cabanas-Valdes R, Boix-Sala L, Grau-Pellicer M, et al. The effectiveness of additional core stability exercises in improving dynamic sitting balance, gait and functional rehabilitation for subacute stroke patients (core-trial): Study protocol for a randomized controlled trial. Int J Environ Res Public Healt. 2021;18(12):6615. 
  3. Hughes MA, Myers BS, Schenkman ML. The role of strength in rising from a chair in the functionally impaired elderly. J Biomech. 1996;29(12):1509-13.  https://doi.org/10.1016/S0021-9290(96)80001-7
  4. Park M, Lee M. Analysis of muscle activity on foot position during a sit-to-stand activity in the elderly. J Kor Phys Ther. 2011;23(1):1-5. 
  5. Yu Y. Kinetic analysis of sit-to-stand movement in stroke patients. The Korean Journal of Physical Education. 2004;43(4):521-9. 
  6. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil. 2006;20(5):451-8.  https://doi.org/10.1191/0269215505cr955oa
  7. Yu Y, Lim B. Kinematic analysis of rising from a chair in healthy and stroke subjects. Korean Journal of Sport Biomechanics. 2007;17(2):103-12. 
  8. Schenkman M, Berger RA, Riley PO, et al. Whole-body movements during rising to standing from sitting. Phys Ther. 1990;70(10):638-48. 
  9. Schultz AB, Alexander NB, Ashton-Miller JA. Biomechanical analyses of rising from a chair. J Biomech. 1992;25(12):1383-91.  https://doi.org/10.1016/0021-9290(92)90052-3
  10. Chou S, Wong AM, Leong C, et al. Postural control during sit-to stand and gait in stroke patients. Am J Phys Med Rehabil. 2003;82(1):42-7.  https://doi.org/10.1097/00002060-200301000-00007
  11. Campbell FM, Ashburn 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):1655-60.  https://doi.org/10.1053/apmr.2001.26818
  12. Thielman GT, Dean CM, Gentile A. Rehabilitation of reaching after stroke: Task-related training versus progressive resistive exercise. Arch Phys Med Rehabil. 2004;85(10):1613-8.  https://doi.org/10.1016/j.apmr.2004.01.028
  13. Bestaven E, Petit J, Robert B, et al. Center of pressure path during sit-to-walk tasks in young and elderly humans. Ann Phys Rehabil Med.. 2013;56(9):644-51  https://doi.org/10.1016/j.rehab.2013.09.004
  14. Kuramatsu Y, Muraki T, Oouchida Y, et al. Influence of constrained visual and somatic senses on controlling centre of mass during sit-to-stand. Gait Posture. 2012;36(1):90-4.  https://doi.org/10.1016/j.gaitpost.2012.01.011
  15. Cheng P, Liaw M, Wong M, et al. The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil. 1998;79(9):1043-6.  https://doi.org/10.1016/S0003-9993(98)90168-X
  16. Kerr A, Durward B, Kerr K. Defining phases for the sit-to-walk movement. Clin Biomech. 2004;19(4):385-90.  https://doi.org/10.1016/j.clinbiomech.2003.12.012
  17. Subramaniam, Savitha, Rini Varghese, and Tanvi Bhatt. Influence of chronic stroke on functional arm reaching: Quantifying deficits in the ipsilesional upper extremity. Rehabil Res Pract. 2019;1-10. 
  18. Dean, Catherine M., Shepherd, Roberta B., Task-related training improves performance of seated reaching tasks after stroke: a randomized controlled trial. Stroke. 1997;28(4):722-28.  https://doi.org/10.1161/01.STR.28.4.722
  19. Mazza C, Zok M, Della Croce U. Sequencing sit-to-stand and upright posture for mobility limitation assessment: Determination of the timing of the task phases from force platform data. Gait Posture. 2005;21(4):425-31.  https://doi.org/10.1016/j.gaitpost.2004.05.006
  20. Magnan A, McFadyen BJ, St-Vincent G. Modification of the sit-to-stand task with the addition of gait initiation. Gait Posture. 1996;4(3):232-41.  https://doi.org/10.1016/0966-6362(95)01048-3
  21. Dehail P, Bestaven E, Muller F, et al. Kinematic and electromyographic analysis of rising from a chair during a "Sit-to-walk" task in elderly subjects: Role of strength. Clin Biomech. 2007;22(10):1096-103.  https://doi.org/10.1016/j.clinbiomech.2007.07.015
  22. Hirschfeld H, Thorsteinsdottir M, Olsson E. Coordinated ground forces exerted by buttocks and feet are adequately programmed for weight transfer during sit-to-stand. J Neurophysiol. 1999;82(6):3021-29.  https://doi.org/10.1152/jn.1999.82.6.3021
  23. Pankheaw T, Hiengkaew V, Bovonsunthonchai S, et al. Effect of progressive bridging exercise on weight-bearing during the extension phase of sit-to-stand, and on sit-to-stand ability in individuals with stroke: A randomised controlled trial. Clin Rehabil. 2022:02692155221107107. 
  24. Vaughan-Graham J, Patterson K, Brooks D, et al. Transitions sit to stand and stand to sit in persons post-stroke: Path of centre of mass, pelvic and limb loading-A pilot study. Clin Biomech. 2019;61:22-30. https://doi.org/10.1016/j.clinbiomech.2018.11.004