Analysis of the Center of Pressure in a Single Elbow Support Position and the Relationship with Sitting Up Time in Patients with Hemiparesis after Stroke

Narita, Wakana; Yoshihara, Maki; Furuyama, Satoko; Sasaki, Makoto

doi:10.1589/rika.18.163

Cited by 7 publications

(2 citation statements)

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“…RBT is also thought to b e c o r r e l a t e d w i t h s p a c e p e r c e p t i o n a n d somatosensory deficits after stroke 20) . Moreover, there is evidence for a relationship between instability in the single elbow support position and ability to rise from bed [21][22][23] .These findings suggest that rising from bed might be correlated with various physical abilities, including balance and ADL. We accordingly hypothesized that improvement of function in patients with stroke is predictable from the ability to rise from bed.…”

Section: Introductionmentioning

confidence: 89%

Association of Ability to Rise from Bed with Improvement of Functional Limitation and Activities of Daily Living in Hemiplegic Inpatients with Stroke: a Prospective Cohort Study

Shinohara

Usuda

2010

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to investigate the association of ability to rise from bed with improvement in functional limitations and activities of daily living (ADL) in hemiplegic inpatients with stroke.[Subjects] Participants were 38 hemiplegic inpatients with stroke in a convalescence rehabilitation unit.[Methods] On admission, a newly developed assessment, rising from bed independence score (RIS) and rise from bed time (RBT) were measured. On discharge, the Berg Balance Scale, Functional Movement Scale, and Functional Independence Measure were measured. We calculated correlation coefficients between ability to rise from bed on admission and these traditional measures on discharge. The proportion of subjects who regained independent gait was calculated among subjects whose RIS was 7 on admission.[Results] RIS and RBT were significantly correlated with most of the traditional measures on discharge. Only RIS was significantly correlated with relative gain. Of those with RIS=7 on admission, 76.9% regained independent gait. [Conclusion] We found that ability to rise from bed of inpatients with stroke was associated with improvement of functional limitation and ADL in a convalescence rehabilitation unit. Ability to rise from bed on admission was a useful predictor of independent gait on discharge.

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Section: Introductionmentioning

confidence: 89%

Association of Ability to Rise from Bed with Improvement of Functional Limitation and Activities of Daily Living in Hemiplegic Inpatients with Stroke: a Prospective Cohort Study

Shinohara

Usuda

2010

J Phys Ther Sci

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“…Balance abilities in a single elbow support position were assessed according to the methods outlined by Furuyama et al 13) and Narita et al 14) for the rest task, and as reported by Narita et al 14) and Masuya et al 15) for the dynamic task. Briefly, subjects placed the forearm on the unaffected side in line with the Y line on a force platform after rising to a single elbow support position from a supine position, with shoulder joint abducted 60° (Fig.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Hemiplegic Patients Requiring a Handgrip to Rise from a Supine Position

Sasaki

Onodera²,

Hanzawa

et al. 2005

J Phys Ther Sci

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Abstract. The present investigation aimed to clarify the physical functional abilities involved in the disturbance of smooth rising from a supine position in hemiplegic patients. The study compared task performance time and functional abilities between patients rising from a supine position with or without gripping the edge of the bed. Subjects comprising 21 hemiplegic patients were divided into 2 groups: those who needed to grip the edge of the bed to rise from a supine position (Group G, n=7); and those who did not (Group NG, n=14). The 2 groups displayed no significant differences in background characteristics other than age, with mean age for Group G significantly higher than that for Group NG. Rising performance time and 11 items for physical functional abilities were measured in all subjects. Rising performance time was significantly higher in Group G than in Group NG (p<0.05). Neck-trunk-pelvis motor function was lower (p<0.01), muscle tone was abnormal in more subjects (p<0.05) and strength of trunk rotation to the unaffected side was weak in more subjects (p<0.05) in Group G than in Group NG. No other physical functional abilities differed significantly between groups. These results suggest that patients rising from a supine position by gripping the edge of the bed display restricted task performance, and the main factors leading to a requirement for grip assistance seem to be abnormality and disability of trunk functions.

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Comparison between Normal Subjects and Hemiplegic Patients of the Center of Pressure (COP) in a Single Elbow Support Position

2004

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Most of patients with hemiplegia find it difficult to rise from the supine position smoothly due to various reasons. We considered that instability in a single elbow support position was one factor of it. The purpose of this study was to clarify if difficulty in performing the rise up maneuver could be accounted for by characteristics of the center of pressure (COP) in a single elbow support position in hemiplegic patients. Sixteen patients with hemiplegia, and fifteen normal subjects matched for age and sex, participated in the study. All subjects were measured for the time of the rise up maneuver, COP in the static position of a single elbow support (static trial), and COP in movement of the upper body to the anterior and posterior (dynamic trial). Patients with hemiplegia were compared with normal subjects. No difference was shown in COP in the static trial between the two groups. However, the time of the rise up maneuver was longer and COP (excluding the length of trajectory) in the dynamic trial was significantly poorer in the patients group than the normal group. The results indicate that acquisition of dynamic stability in a single elbow support position is an important factor in the ability to rise up smoothly.

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Analysis of the Center of Pressure in a Single Elbow Support Position and the Relationship with Sitting Up Time in Patients with Hemiparesis after Stroke

Cited by 7 publications

References 1 publication

Association of Ability to Rise from Bed with Improvement of Functional Limitation and Activities of Daily Living in Hemiplegic Inpatients with Stroke: a Prospective Cohort Study

Association of Ability to Rise from Bed with Improvement of Functional Limitation and Activities of Daily Living in Hemiplegic Inpatients with Stroke: a Prospective Cohort Study

Factors Associated with Hemiplegic Patients Requiring a Handgrip to Rise from a Supine Position

Comparison between Normal Subjects and Hemiplegic Patients of the Center of Pressure (COP) in a Single Elbow Support Position

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