[Purpose] The purpose of this study was to investigate how different standing surfaces
alter somatosensory input and how postural control is affected by these changes during the
performance of a dual task with a cognitive-motor aspect. [Subjects] The subjects were 20
chronic stroke patients: 18 males, 2 females. [Methods] COP total distance, sway velocity,
and the weight load on the paretic leg were measured while subjects performed the
following three tasks (somatosensory task, cognitive-motor task, and dual task). [Results]
Both COP total distance and sway velocity significantly decreased during the performance
of all tasks. COP total distance and sway velocity significantly decreased during the
somatosensory task and the dual task. The weight load significantly increased during
performance of the somatosensory task and the dual task. [Conclusion] Compensatory
mechanisms in the non-paretic leg were limited by placing it on an air cushion, and we
observed an increase in somatosensory input from the paretic leg due to an enhanced weight
load.
The purpose of this study was to investigate the relationship between the both lower limb muscle asymmetry during sit-to-stand (STS) and spatiotemporal gait asymmetry in subjects with stroke. Twenty-nine patients were included in this study, lower limb muscle (rectus femoris, tibialis anterior, gastrocnemius) asymmetry during STS, five times sit-tostand (FTSTS) and spatiotemporal (speed, step length, step time, swing time, stance time, single support time) gait asymmetry were measured. According to the results of the measurement, significant positive correlations between gastrocnemius and rectus femoris asymmetry during STS and step length asymmetry. Furthermore, significant positive correlations between rectus femoris asymmetry during STS and step time asymmetry. In addition, significant negative correlations between the FTSTS and gait speed. This study's results suggested that necessary to apply exercise that the gastrocnemius and rectus femoris symmetry during STS for improving step length and step time symmetry of gait, and necessary to apply exercise that increase STS speed for gait speed.
[Purpose] This study compared the activation of anterior gluteus medius fibers during
general exercises and proprioceptive neuromuscular facilitation exercises. [Subjects and
Methods] The study enrolled 15 healthy adults. The participants performed general hip
abductor strengthening exercises and proprioceptive neuromuscular facilitation exercises;
during both types of exercise, electromyography activity was recorded. [Results] Greater
anterior gluteus medius fiber activation was observed during the proprioceptive
neuromuscular facilitation exercises compared with the general hip abductor strengthening
exercises. The anterior gluteus medius fibers exhibited greater activity during pattern 2
exercises compared with any other type of exercise. [Conclusion] The results suggest that
pattern 2 exercises can selectively activate anterior gluteus medius fibers.
The purpose of present study was to compare the tibialis anterior (TA), rectus femoris (RF), and erector spinae (ES) muscle activities at variety chair height during sit-to-stand (STS) on normal weight and obese subjects. Also, we compared the muscle activity difference between the normal weight and obese subjects. The study included 26 subjects (normal weight 13 and obese 13). Each subject performed STS at three chair heights (40 cm, 50 cm, 60 cm) and TA, RF, and ES muscle activities measured. According to the results of the measurement, muscle activation of TA showed significantly higher than RF and ES muscle activation during STS at all chair heights on obese subjects. The muscle activation of TA showed significantly higher than RF muscle activation during STS at all chair heights on normal weight subjects. The muscle activation of RF and ES showed significantly higher in normal weight subjects than obese subjects at 40 cm and 50 cm of chair heights. However, the TA muscle activation showed no significant difference between normal weight subjects and obese subjects. This study’s results suggested that obese subjects should practice the use of RF and ES muscles in a low-height chair during STS.
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