Purpose: This study aimed to improve the asymmetrical weight-bearing ratio, by applying different repetitive sit-to-stand training methods to the paretic-side foot of hemiplegic patients, as well as to provide the necessary information for applying balance training with hemiplegic patients. Methods:...
Purpose: This study aimed to improve the asymmetrical weight-bearing ratio, by applying different repetitive sit-to-stand training methods to the paretic-side foot of hemiplegic patients, as well as to provide the necessary information for applying balance training with hemiplegic patients. Methods: The subjects were divided into two groups: a spontaneous foot group and an asymmetrical foot group. They all performed repetitive sit-to-stand training five times a week for a total of six weeks. The sit-to-standing movement was studied using standardized clinical tests. The Biodex Balance System, Time up and go test (TUG), 5 times sit-to-stand test (5XSST), and functional reach test (FRT) were used to measure the static and dynamic standing balance of the patients. Results: In the balance system measurement, the results for the overall index, ant-post index, med-lat index, fall risk index, 5XSST, and FRT after the training differed significantly between the comparison groups (p0.05). Conclusion: The study found that the asymmetrical group showed significant increases in static and dynamic balance in comparison to the spontaneous group after repetitive sit-to-stand training. Based on this result, it is clear that training in an asymmetrical position with the paretic foot back can increase the left-right stability limit and the anterior-posterior stability limit, thus improving balance control.
Purpose: This study aimed to improve the asymmetrical weight-bearing ratio, by applying different repetitive sit-to-stand training methods to the paretic-side foot of hemiplegic patients, as well as to provide the necessary information for applying balance training with hemiplegic patients. Methods: The subjects were divided into two groups: a spontaneous foot group and an asymmetrical foot group. They all performed repetitive sit-to-stand training five times a week for a total of six weeks. The sit-to-standing movement was studied using standardized clinical tests. The Biodex Balance System, Time up and go test (TUG), 5 times sit-to-stand test (5XSST), and functional reach test (FRT) were used to measure the static and dynamic standing balance of the patients. Results: In the balance system measurement, the results for the overall index, ant-post index, med-lat index, fall risk index, 5XSST, and FRT after the training differed significantly between the comparison groups (p0.05). Conclusion: The study found that the asymmetrical group showed significant increases in static and dynamic balance in comparison to the spontaneous group after repetitive sit-to-stand training. Based on this result, it is clear that training in an asymmetrical position with the paretic foot back can increase the left-right stability limit and the anterior-posterior stability limit, thus improving balance control.
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제안 방법
In all the training sets, a one-minute rest was allowed after each set. Considering the intensity of the training, 12-times sit-to-stand training was conducted in weeks 3 and 4, and 15 times sit-to-stand training was conducted in weeks 5 and 6.
The balance ability was provided as the balance index, and the better the balance ability, the lower the balance index appeared to be. The assessment program measured the postural stability test (PST) and the limits of stability test (LST). Before the test, the patient stood on a fixed mat on both feet and exercised three times to adjust to the equipment, after which the test was started.
The experiment subjects underwent neurologic physical therapy five times a week under a physical therapist with more than three years of experience, and they were divided into two groups—a spontaneous group and a asymmetrical group —that also underwent repetitive sit-to-stand training five times a week for a total of six weeks.
The subject inclusion criteria were as follows: more than six months after the injury, the ability to walk 10 m independently without aid, and the ability to rise from a chair without the use of the hands and with the non-paretic lower limb supported on a step. All the patients had a Modified Ashworth Scale (MAS) score of below two-grade spasticity and a Mini Mental State Examination (MMSE) score of 24 or higher.
Thus, this study aimed to identify ways to improve the asymmetrical weight-bearing ratio by applying different types of repetitive sit-to-stand training to the non-paretic foot of hemiplegic patients, as well as to provide the necessary information for applying balance training with hemiplegic patients. The results of our study indicate that all indexes (overall, ant-post, med-lat, and fall risk) for the asymmetrical foot group improved following training.
대상 데이터
A total of 23 patients were admitted to the Inpatient Stroke Unit of P Rehabilitation Hospital. There were no significant differences in the height, weight, age, time since stroke, etc.
데이터처리
0 software for Windows. An independent two-sample t-test was used because of the homogeneity of the subjects, and the differences before and after the training were calculated and compared using an independent two-sample t-test. The statistical significance level was set at α= 0.
성능/효과
This study found that the asymmetrical group showed a significant increase in static and dynamic balance in comparison to the spontaneous group after repetitive sit-to-stand training. Based on this result, it is clear that training in an asymmetrical position with the paretic foot back increased the medio-lateral stability limit and the anterior-posterior stability limit, which improved balance control. The results of this study suggest that repetitive sit-to-stand training with the paretic foot back influences balance in chronic stroke subjects.
In the balance system measurement, the results for the overall index, ant-post index, med-lat index, fall risk index 5XSST and FRT after the training differed significantly between the comparison groups (p < 0.05).
This study found that the asymmetrical group showed a significant increase in static and dynamic balance in comparison to the spontaneous group after repetitive sit-to-stand training. Based on this result, it is clear that training in an asymmetrical position with the paretic foot back increased the medio-lateral stability limit and the anterior-posterior stability limit, which improved balance control.
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