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http://dx.doi.org/10.14474/ptrs.2022.11.3.344

The Effect of Sit to Stand Training Combined with Ultrasound on Spasticity, Muscle Strength and Gait Speed in Patients with Stroke  

Jung, Kyoungsim (Department of Horse Industry, Sungwoon University)
In, Taesung (Department of Physical Therapy, Gimcheon University)
Publication Information
Physical Therapy Rehabilitation Science / v.11, no.3, 2022 , pp. 344-349 More about this Journal
Abstract
Objective: The purpose of the present study was to determine whether sit to stand training combined with ultrasound improves the spasticity, muscle strength and gait speed in stroke patients Design: Randomized controlled study Methods: The current study included 40 stroke patients, who were randomly divided into two groups: the sit to stand training with ultrasound (USTS) group (n=20) and the sit to stand training (STS) group (n=20). All the participants underwent 30 sessions of STS training (thirty minutes, five days per week for six weeks). Additionally, the USTS group received ultrasound therapy. The present study evaluated the spasticity of ankle plantar-flexors by the composite spasticity score. The muscle strength and gait speed were evaluated using the handheld dynamometer and the 10-meter walk test, respectively. Results: The USTS group and the STS group showed significant improvements in spasticity, muscle strength and gait speed after the intervention (p<0.05). Significant improvement in the spasticity, muscle strength, and gait speed were observed in the USTS group compared to the control group (p < 0.05). Conclusions: The results of the current study imply that sit to stand training combined with ultrasound is a beneficial and effective therapeutic modality that can be employed to improve the spasticity, muscle strength and gait speed in stroke patients.
Keywords
Stroke; Spasticity; Ultrasound;
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1 Brincks J. Nielsen JF. Increased power generation in impaired lower extremities correlated with changes in walking speeds in sub-acute stroke patients. Clin. Biomech (Bristol, Avon). 2012;27:38-144.
2 Lim C. Multi-Sensorimotor Training Improves Proprioception and Balance in Subacute Stroke Patients: A Randomized Controlled Pilot Trial. Front Neurol. 2019;10:157.   DOI
3 Engardt M, Ribbe T, Olsson E. Vertical ground re- action force feedback to enhance stroke patients' symmetrical body-weight distribution while rising/sitting down. Scand J Rehabil Med. 1993;25:41-48.
4 Hesse S, Schauer M, Petersen M, Wang RY. Sit-to-stand manoeuvre in hemiparetic patients before and after a 4-week rehabilitation programme. Scand J Rehabil Med. 1998;30:81-86.   DOI
5 Tung FL, Yang YR, Lee CC, Wang RY. Balance outcomes after additional sit-to-stand training in subjects with stroke: a randomized controlled trial. Clin Rehabil. 2010;24:533-542.   DOI
6 Roy G, Nadeau S, Grave D, Malouin F, McFadyen BJ, Piotte F. 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. 2006;21:585-593.   DOI
7 Wissel J, Manack A, Brainin M. Toward an epidemiology of poststroke spasticity. Neurology. 2013;80:S13-19.   DOI
8 Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Phys Ther. 1986;66:206-209.   DOI
9 Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43:3132-3136.   DOI
10 Choi SH, Lim C. Immediate Effects of Ankle Non-elastic Taping on Balance and Gait Ability in Patients With Chronic Stroke: A Randomized, Controlled Trial. J Manipulative Physiol Ther. 2020;43:922-929   DOI
11 Yoo SD, Kim HS, Jung PK. The effect of shock wave therapy on upper limb spasticity in the patients with stroke. J Korean Acad Rehab Med 2008; 32:406-410
12 Ansari N, Naghdi S, Bagheri H, Ghassabi H. Therapeutic ultrasound in the treatment of ankle plantarflexor spasticity in a unilateral stroke population: a randomized, single-blind, placebo-controlled trial. Electromyogr Clin Neurophysiol. 2007;3:137-143.
13 Ng SS, Hui-Chan CW. Does the use of TENS increase the effectiveness of exercise for improving walking after stroke? A randomized controlled clinical trial. Clin rehabil. 2009;23:1093-1103.   DOI
14 Cho YH. The effects of ultrasound therapy on balance and gait in stroke patients with ankle spasticity. Physical therapy. Daegu: Korea National University of Transportation; 2019.
15 Levin MF, Hui-Chan C. Are H and stretch reflexes in hemiparesis reproducible and correlated with spasticity?Neurol. 1993;240:63-71.   DOI
16 Potisk KP, Gregoric M, Vodovnik L. Effects of transcutaneous electrical nerve stimulation (TENS) on spasticity in patients with hemiplegia. Scand J Rehabil Med. 1995;27:169-174.
17 Soyuer F, Ozturk A. The effect of spasticity, sense and walking aids in falls of people after chronic stroke. Disabil. Rehabil. 2007;29:679-687.   DOI
18 Cakar E, Durmus O, Tekin L, Dincer U, Kiralp MZ. The ankle-foot orthosis improves balance and reduces fall risk of chronic spastic hemiparetic patients. Eur J Phys Rehabil Med. 2010;46:363-368.
19 Caillet F, Mertens P, Rabaseda S, Botsson D. Three dimensional gait analysis and controlling spastic foot on stroke patients. Ann Read apt Med Phys. 2003;46:119-131.   DOI
20 Lee SH. THE EFFECTS OF THERAPEUTIC ULTRASOUND WITH STATIC STRETCHING ON GASTROCNEMIUS MUSCLE ON RANGE OF MOTION AND BALANCE OF STROKE PATIENTS. Physical therapy. Daegu: Daegu Catholic University; 2015.
21 Lamb SE, Ferrucci L, Volapto S et al. Risk factors for falling in home-dwelling older women with stroke: the Women's Health and Aging Study. Stroke. 2003;34:494-501.   DOI
22 Hwang MH. Effects of KinesioTaping on the Plantar Flexion Spasticity and Balance of Chronic Stroke. Physical therapy. Daegu: Daegu University; 2013.
23 Urban PP, Wolf T, Uebele M, et al. Occurrence and clinical predictors of spasticity after ischemic stroke. Stroke. 2010;41:2016-2020.   DOI
24 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;83:10-16.   DOI
25 Draper DO, Schulthies S, Sorvisto P, Hautala AM. Temperature changes in deep muscles of humans during ice and ultrasound therapies. J Orthop Sports Phys Ther. 1995;21:153-157.   DOI
26 Lehmann JF, Lateur BJ. Diathermy and superficial heat and cold therapy. InKrusen's Handbook of physical medicine and rehabilitation. philadelphia: WB Saunders; 1990.
27 Lee D. Bae Y. The Effectiveness of Driving Game on Trunk Control and Gait Ability in Stroke. J Mot Behav. 2020;52:33-40.   DOI
28 Khemlani MM, Carr JH, Crosbie WJ. Muscle synergies and joint linkages in sit-to-stand under two initial foot positions. Clin Biomech. 1999;14:236-246.   DOI
29 Chen PT, Wu SH, Liaw MY, Wong AM, Tang FT. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001;82:1650-1654.   DOI
30 Peters DM, Fritz SL, Krotish DE. Assessing the reliability and validity of a shorter walk test compared with the 10-meter walk test for measurements of gait speed in healthy, older adults. J Geriatr Phys Ther. 2013;36:24-30.   DOI
31 Hughes MA, Weiner DK, Schenkman ML, Long RM, Studenski SA. Chair rise strategies in the elderly. Clin Biomech. 1994;9:187-192.   DOI