Browse > Article
http://dx.doi.org/10.15268/ksim.2017.5.4.021

The Effects of Game-Based Weight Bearing Balance Training on Phase Sit to Stand to Sit and Functional Standing Performance Stroke Patients  

Yang, Daejung (Dept. of Physical Therapy, Sehan University)
Uhm, Yohan (Dept. of Physical Therapy, Graduate School, Sehan University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.5, no.4, 2017 , pp. 21-30 More about this Journal
Abstract
Purpose : This research intends to identify the effects of game-based weight bearing exercises on balance, muscular activation, sit to stand to sit motions of stroke patients. Method : 30 patients who were diagnosed as hemiplegia by stroke less in than a year were sampled and they were classified into two group, one of which was game-based weight bearing balance exercise group, and the other was functional weight bearing exercise group. 15 people were randomly selected for each group. Each exercise was coordinated by this research for 8 weeks, 5 days a week. 3D motion analyzer was used to measure the sit to stand to sit motions and a stopwatch was used to measure the time for stand-up motions for 5 times. Result : In terms of analyzing sit to stand to sit motions by phases, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in phase I, II, III, IV and total time. In terms of functional stand-up performance analysis, game-based weight bearing balance exercise group showed significant reduction compared to functional weight-bearing exercise group in 5 times stand-up examination. Conclusion : It was verified that game-based weight bearing balance exercise had positive impact on function recovery of stroke patients by enhancing sit to stand to sit capabilities. It is considered that game-based exercise was an effective intermediary for functional improvement of stroke patients, while also inducing consistent and voluntary participation by causing interest and motivation.
Keywords
stroke; game-based training; sit to stand to sit; functional performance;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Arene N, Hidler J(2009). Understanding motor impairment in the paretic lower limb after a stroke: a review of the literature. Top Stroke Rehabil, 16(5), 346-356.   DOI
2 Boukadida A, Piotte F, Dehail P, et al(2015). Determinants of sit-to-stand tasks in individuals with hemiparesis post stroke: A review. Ann Phys Rehabil Med, 58(3), 167-172.   DOI
3 Briere A, Lauziere S, Gravel D, et al(2010). Perception of weight-bearing distribution during sit-to-stand tasks in hemiparetic and healthy individuals. Stroke, 41(8), 1704-1708.   DOI
4 Canning CG, Shepherd RB, Carr JH, et al(2003). 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, 17(4), 355-362.   DOI
5 Cheng PT, Liaw MY, Wong MK, et al(1998). The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil, 79(9), 1043-1046.   DOI
6 Cheng PT, Chen CL, Wang CM, et al(2004). Leg muscle activation patterns of sit-to-stand movement in stroke patients. Am J Phys Med Rehabil, 83(1), 10-16.   DOI
7 Cheng PT, Wang CM, Chung CY, et al(2004). Effects of visual feedback rhythmic weight-shift training on hemiplegic stroke patients. Clin Rehabil, 18(7), 747-753.   DOI
8 Christiansen CL, Bade MJ, Judd DL, et al(2011). Weight-bearing asymmetry during sit-stand transitions related to impairment and functional mobility after total knee arthroplasty. Arch Phys Med Rehabil, 92(10), 1624-1629.   DOI
9 Cheng PT, Wu SH, Liaw MY, et al(2001). Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil, 82(12), 1650-1654.   DOI
10 Cho KH, Lee KJ, Song CH(2012). Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. Tohoku J Exp Med, 228(1), 69-74.   DOI
11 Demura S, Sato S, Minami M, et al(2003). Gender and age differences in basic ADL ability on the elderly: comparison between the independent and the dependent elderly. J Physiol Anthropol Appl Human Sci, 22(1), 19-27.   DOI
12 Deutsch JE, Borbely M, Filler J, et al(2008). Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther, 88(10), 1196-1207.   DOI
13 Geurts AC, de Haart M, van Nes IJ, et al(2005). A review of standing balance recovery from stroke, Gait Posture. 22(3), 267-281.   DOI
14 Eng JJ, Chu KS(2002). Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil, 83(8), 1138-1144.   DOI
15 Galli M, Cimolin V, Crivellini M, et al(2008). Quantitative analysis of sit to stand movement: experimental set-up definition and application to healthy and hemiplegic adults. Gait Posture, 28(1), 80-85.   DOI
16 Garland SJ, Ivanova TD, Mochizuki G(2007). Recovery of standing balance and health-related quality of life after mild or moderately severe stroke. Arch Phys Med Rehabil, 88(2), 218-227.   DOI
17 Goldie PA, Matyas TA, Evans OM, et al(1996). Maximum voluntary weight-bearing by the affected and unaffected legs in standing following stroke. Clin Biomech, 11(6), 333-342.   DOI
18 Laufer Y, Dickstein R, Resnik S, et al(2000). Weight-bearing shifts of hemiparetic and healthy adults upon stepping on stairs of various heights. Clin Rehabil, 14(2), 125-129.   DOI
19 Holden MK(2005). Virtual environments for motor rehabilitation: review. Cyberpsychol Behav, 8(3), 187-211.   DOI
20 Ikai T, Kamikubo T, Takehara I, et al(2003). Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil, 82(6), 463-469.   DOI
21 Lee G(2013). Effects of training using video games on the muscle strength, muscle tone, and activities of daily living of chronic stroke patients. J Phys Ther Sci, 25(5), 595.   DOI
22 Mong Y, Teo TW, Ng SS(2010). 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Arch Phys Med Rehabil, 91(3), 407-413.   DOI
23 Lisinski P, Huber J, Gajewska E, et al(2012). The body balance training effect on improvement of motor functions in paretic extremities in patients after stroke. A randomized, single blinded trial. Clin Neurol Neurosurg, 114(1), 31-36.   DOI
24 Lomaglio MJ, Eng JJ(2005). Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke, Gait Posture, 22(2), 126-131.   DOI
25 Mak MK, Levin O, Mizrahi J, et al(2003). Joint torques during sit-to-stand in healthy subjects and people with Parkinson's disease. Clin Biomech, 18(3), 197-206.   DOI
26 Morone G, Tramontano M, Iosa M, et al(2014). The efficacy of balance training with video game-based therapy in subacute stroke patients: a randomized controlled trial. Biomed Res Int, 2014, 1-6.
27 Hackett ML, Anderson CS(2005). Predictors of depression after stroke a systematic review of observational studies. Stroke, 36(10), 2296-2301.   DOI
28 Nichols DS(1997). Balance retraining after stroke using force platform biofeedback. Phys Ther, 77(5), 553-558.   DOI
29 Sharp SA, Brouwer BJ(1997). Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil, 78(11), 1231-1236.   DOI
30 Roy G, Nadeau S, Gravel D, et al(2006). The effect of foot position and chair height on the asymmetry of vertical forces during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis. Clin Biomech, 21(6), 585-593.   DOI
31 Sherrington C, Lord SR, Herbert RD(2004). A randomized controlled trial of weight-bearing versus non-weight-bearing exercise for improving physical ability after usual care for hip fracture. Arch Phys Med Rehabil, 85(5), 710-716.   DOI
32 Szecsi J, Krewer C, Müller F, et al(2008). Functional electrical stimulation assisted cycling of patients with subacute stroke: kinetic and kinematic analysis. Clin Biomech, 23(8), 1086-1094.   DOI
33 Tsaklis PV, Grooten WJ, Franzen, E(2012). Effects of weight-shift training on balance control and weight distribution in chronic stroke: a pilot study. Top Stroke Rehabil, 19(1), 23-31.   DOI
34 Yoshioka S, Nagano A, Himeno R, et al(2007). Computation of the kinematics and the minimum peak joint moments of sit-to-stand movements. Biomed Eng Online, 6(1), 26.   DOI