Study on the Usefulness of Sit to Stand Training in Self-directed Treatment of Stroke Patients

Abstract

[Purpose] This study sought to determine the usefulness of sit to stand training in self-directed treatment of stroke patients. It examined the effect that sit to stand training has on balance and functional movement depending on the form of support surfaces. [Subjects and Methods] Thirty stroke patients were randomly sampled and divided into an unstable support surface group (15) and stable support surface group (15). In order to identify the effect depending on the form of support surfaces, 15 minutes of support surface training plus + 15 minutes of free gait training was performed. [Results] The results of the unstable support surface training showed that the corresponding sample t-test results were significant for the 7-item 3-point Berg balance scale, timed Up and Go test, and 6-minute walking test. The independent samples t-test, showed that there were significant outcomes in step length on the affected side, and step length on the unaffected side. [Conclusion] In conclusion, the sit to stand training on stable support surfaces was not as effective as the training using unstable support surfaces, but it is a simple and stable exercise with less risk of falls during training. It can also be performed alone by the patient in order to increase endurance and dynamic balance ability. Therefore, it is considered a useful exercise that can be performed alone by the patient outside the treatment room.

Sit-to-Stand Task in Stroke Survivors: A Review Study

“…Meanwhile, the position of the asymmetric feet while standing up from a sitting position improves the static and dynamic postural balance in patients with stroke (17). In addition, the use of the step model, motion limiting strategies, repetition of sitting motion, repetitive task-oriented practice with sensory input changes, exercise on unstable surfaces, and the use of a cane and weight-bearing exercises along with biofeedback have been reported to improve the STS task in this group of patients (18,20,30,32,(35)(36)(37)(38). Interventions or training focusing on the sit-to-stand task improves the time taken to sit-to-stand and the lateral symmetry (weight distribution between the legs) during the sit-to-stand task (6).…”

“…Stand-up exercises were not effective on supportable levels than on the unstable positions; however, it can be a simple and stable exercise with less risk of injury during training and practice. Therefore, it can be used as a useful exercise performed alone by the patient outside the treatment room (32). Practicing sit-up for stroke patients is useful because of its effect on dynamic stability and extensor muscle strength (33).…”

The effect of foot position on erector spinae and gluteus maximus muscle activation during sit-to-stand performed by chronic stroke patients

“…This study examined the differences in erector spinae and gluteus maximus muscle activities during STS with different foot placements. Mun et al examined the effect of different support surfaces on the functional movement ability of stroke patients during STS 12 ) . Stephen et al 8 ) reported that after STS and maintaining stance, the erector spinae and gluteus maximus muscles were activated continuously, and that during STS, when the COM travels forward and then upward, maximal erector spinae muscle activation was seen.…”

Optimising mobility through the sit‐to‐stand activity for older people living in residential care facilities: A qualitative interview study of healthcare aide experiences

“…The ability to stand up and sit down is crucial to perform such basic activities of daily living (Lindermann et al., ; Slaughter et al, ). The sit‐to‐stand motion refers to the process of shifting the centre of mass from a sitting position to a standing position (Mun et al., ). Difficulties in performing this movement are seen in older people with physical limitations, cognitive decline or dementia.…”

“…Difficulties in performing this movement are seen in older people with physical limitations, cognitive decline or dementia. For frail institutionalised older people, repeated sit‐to‐stands can be sufficient to reduce functional limitations and improve lower limb strength (Dolecka, Ownsworth, & Kuys, ; Mun et al., ; Slaughter et al, ). In one study, residents with dementia who were prompted to complete the sit‐to‐stand activity over six months were compared with a control group of similar residents who did not complete the sit‐to‐stands (Slaughter et al, ).…”