Foot Pressure and Trunk Muscle Activity during Reaching Tasks Performed by Seated Hemiplegia Patients

Yoon, Jiyeon; Kim, Kyeong-Mi; Chang, Moonyoung; Yoo, Won-gyu; Oh, Jae-Seop; An, Duk-Hyun

doi:10.1589/jpts.23.525

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…The movement of extending the arm while using the whole trunk is similar to the movement of extending the arm forwards from a squat position 15 ) . This is a position that requires dynamic balance, like postures commonly required in everyday life, such as using the toilet, sitting on a chair, walking down stairs, and picking up an object from the top of a shelf 28 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Several researchers have studied the effect of target distance (near vs. far in the sagittal plane) when performing the action of bending forwards and extending the arms in postural activities 14 , 15 , 16 ) . Functional movements, such as moving the torso while extending the arms, require movements of the trunk 17 ) , so they can help to develop the trunk muscles in hemiparesis patients 18 , 19 ) , while actions that require extending the arms to touch external targets in different directions and distances have been found to improve sensory processes and adaptation to postural changes 12 , 13 , 14 ) .…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic effects of reaching with forward bending of trunk on postural stability, dynamic balance, and gait in individuals with chronic hemiparetic stroke

2015

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[Purpose] The objective of this study was to perform forward bending of the trunk and reaching training in chronic stroke patients and to investigate subsequent changes in trunk control, dynamic balance, and gait. [Subject] Twenty-three chronic stroke patients were randomly divided into two groups, with 10 patients in the forward bending of the trunk and reaching group and 13 patients in the control group. [Methods] Both groups underwent 30 minutes of rehabilitation therapy, five days a week, for four weeks. The forward bending of the trunk and reaching group additionally performed forward bending of the trunk and reaching training five times a week for four weeks, which involved four sets of pressing buttons 35 times, for a total of 140 button presses per session. The subjects were tested before and after training using the Trunk Impairment Scale, Berg Balance Scale, Timed Up and Go Test, Six-Minute Walking Test, and 10-Meter Walking Test. Trunk control, dynamic balance, and walking ability were compared between the two groups. [Result] The results of the study showed that the results of the Trunk Impairment Scale, Berg Balance Scale, Timed Up and Go Test, Six-Minute Walking Test improved significantly in the FBR group, while there were no significant differences in the control group. [Conclusion] This study results suggest that forward bending of the trunk and reaching training can be an effective exercise method for chronic stroke patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Therapeutic effects of reaching with forward bending of trunk on postural stability, dynamic balance, and gait in individuals with chronic hemiparetic stroke

2015

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“…Niam et al 16 ) found a positive relationship between sensation and deficit in postural control. Persons with hemiparesis scarcely use their affected foot for weight bearing during trunk movement and reaching tasks 17 ) . It has been suggested that people without any disorders adjust balance by themselves using the support surface with somatosensory information coming from the feet.…”

Section: Discussionmentioning

confidence: 99%

Effects of activation of the foot on trunk mobility of patients with hemiplegia

Kim¹

2015

J Phys Ther Sci

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[Purpose] The purpose of this study was to determine the effects of activation of the foot on the trunk mobility of patients with hemiplegia. [Subjects] Sixteen subjects with hemiplegia took part in the immediate group (IG), and 14 subjects with hemiplegia participated in the 2-month group (2MG). [Methods] The subjects in IG were given one leg stance training through activation of the foot only once, and 2MG received the same intervention for 30 minutes 3 times a week for, 8 weeks. The Spinal Mouse was used to collect spinal alignment data. Also, the trunk Impairment Scale (TIS) and Sensory test were used as functional tests. [Results] Sacral hip (SH), lumbar spine (LS) and thoracic spine (TS) angles in IG improved significantly, but not inclination (I), and 2MG showed increased angles of SH, LS and I, but not TS. Also, TIS Dynamic, TIS Coordination and Sensory test results of 2MG increased significantly. [Conclusion] One leg stance training through activation of the foot was effective at improving sensory input and alignment of the spine, therefore trunk mobility was improved.

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“…The seat height for each subject was 100% of the lower leg length, and the thigh support was at 50% of the thigh length. The lower leg length was measured from the center of the knee joint to the floor, and the thigh length was the distance between the greater trochanter and lateral knee line [22,23]. Initially, the trunk was upright.…”

Section: Methodsmentioning

confidence: 99%

Effects of foot pressure using the elastic band with rings during sit-to-stand in persons with stroke

Hwang

Kim

2017

PTRS

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Objective: Persons with stroke have a tendency to exhibit asymmetric weight-bearing during sit-to-stand because due to the attempt to support themselves with the non-paretic foot. However, there are few devices that can assist with sit-to-stand (STS) performance. This study was designed to investigate the use of the elastic band with rings (EBR) in improving weight-bearing effectively in persons with stroke during STS training. Design: Cross-sectional study. Methods: Thirteen stroke survivors participated in the study. An EBR was applied onto the patient during STS activity. The foot pressure was measured before and after wearing the EBR, with a 5-minute rest period between measurements. Subjects were asked to perform each test twice with and without the EBR. Bilateral feet pressures were measured with standing posture being divided into the forward and backward aspects. The foot contact pressure during STS activity was measured with the CONFORMat System. Results: With EBR, the forward pressure of the affected foot significantly increased while the less-affected forward foot pressure significantly decreased (p=0.015 and p=0.023, respectively). The backward foot pressure did not differ significantly in the two limbs, and there was no difference with and without the EBR in terms of the total pressure of the affected foot. There was a significant difference with and without the EBR in the total pressure of the less-affected foot (p<0.05). Conclusions: STS training with the EBR has been shown to improve weight-bearing of both feet while decreasing the total pressure of the less-affected foot in stroke survivors. Therefore, we suggest that the EBR is a useful tool for STS training for persons with stroke in the clinic.

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Foot Pressure and Trunk Muscle Activity during Reaching Tasks Performed by Seated Hemiplegia Patients

Cited by 6 publications

References 22 publications

Therapeutic effects of reaching with forward bending of trunk on postural stability, dynamic balance, and gait in individuals with chronic hemiparetic stroke

Therapeutic effects of reaching with forward bending of trunk on postural stability, dynamic balance, and gait in individuals with chronic hemiparetic stroke

Effects of activation of the foot on trunk mobility of patients with hemiplegia

Effects of foot pressure using the elastic band with rings during sit-to-stand in persons with stroke

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