Interventions for improving sit-to-stand ability following stroke

Pollock, Alex; Gray, Charla Krystine; Culham, Elsie; Durward, Brian R; Langhorne, Peter

doi:10.1002/14651858.cd007232.pub4

Cited by 54 publications

(40 citation statements)

References 53 publications

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“…Using traditional motion analysis, temporal parameters while performing a task are essential movement parameters. Post-stroke patients have been reported to raise from a chair with a long STS duration, which has been considered as an indicator of deficits in functional mobility [5,6], and is associated with a higher fall risk [7]. Using force-plates, ground reaction force (GRF) can be obtained, which allows for the observation of the loading muscle group during a task.…”

Section: Introductionmentioning

confidence: 99%

The Use of Wearable Sensors for the Movement Assessment on Muscle Contraction Sequences in Post-Stroke Patients during Sit-to-Stand

Hsu

Chang

Lin

et al. 2019

Sensors

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Electromyography (EMG) sensors have been used to study the sequence of muscle contractions during sit-to-stand (STS) in post-stroke patients. However, the majority of the studies used wired sensors with a limited number of placements. Using the latest improved wearable technology with 16 sensors, the current study was a thorough investigation to evaluate the contraction sequences of eight key muscles on the trunk and bilateral limbs during STS in post-stroke patients, as it became feasible. Multiple wearable sensors for the detection of muscle contraction sequences showed that the post-stroke patients performed STS with abnormal firing sequences, not only in the primary mover on the sagittal plane during raising, but also in the tibialis anterior, which may affect anticipatory postural adjustment in the gluteus medius, which may affect balance control. The abnormal tibialis anterior contraction until the early ascending phase and the delayed firing of the gluteus muscles highlight the importance of whole-kinetic-chain monitoring of contraction sequences using wearable sensors. The findings can be helpful for the design of therapeutic exercises.

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Section: Introductionmentioning

confidence: 99%

The Use of Wearable Sensors for the Movement Assessment on Muscle Contraction Sequences in Post-Stroke Patients during Sit-to-Stand

Hsu

Chang

Lin

et al. 2019

Sensors

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“…The execution of sit-to-stand (STS) can be affected by several factors, including age, seat height, armrests, feet position, muscle strength, and balance ability ( 3 – 6 ). Stroke survivors suffer from impaired mobility and walking ability ( 7 , 8 ) and these common symptoms contribute to STS disability that further confines their activities of daily life ( 9 ). Stroke survivors are prone to fall during STS because of the reduced ability of standing up from a chair ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

“…The standardized evaluation on effectiveness of intervention to improve STS performance is still insufficient. There is also divergence on the clinical efficacy of standard beside repetitive practice of STS in rehabilitation clinic ( 9 ). Thus, the ability of rising from a chair remains difficult to recover after stroke ( 13 ).…”

Section: Introductionmentioning

confidence: 99%

The Crucial Changes of Sit-to-Stand Phases in Subacute Stroke Survivors Identified by Movement Decomposition Analysis

Mao

Zhao

et al. 2018

Front. Neurol.

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ObjectiveThe aim of this study was to detect the key changes during sit-to-stand (STS) movement cycle in hemiparetic stroke survivors using a five-phase kinematic and kinetic analysis.MethodsTwenty-five subacute stroke survivors and 17 age-matched healthy adults participated in this study. The kinematic and kinetic parameters during STS cycle were measured using three-dimensional motion analysis system with force plates. The five standard phases of STS cycle were identified by six timing transitional points.ResultsLonger total time as well as larger changes were observed at the initial phase (phase I, 0.76 ± 0.62 VS 0.43 ± 0.09 s; p = 0.049) and at the end of hip and knee extension phase (phase IV, 0.93 ± 0.41 VS 0.63 ± 0.14 s; p = 0.008) in the stroke group than healthy group. Time to maximal knee joint moment was significantly delayed in the stroke group than in the control group (1.14 ± 1.06 VS 0.60 ± 0.09 s, p < 0.001). The maximal hip flexion was lower during the rising phase from seated position on the affected side in the stroke group than in the control group (84.22° ± 11.64°VS 94.11° ± 9.40°; p = 0.022). Ground reaction force was lower (4.61 ± 0.73 VS 5.85 ± 0.53 N, p < 0.001) in the affected side of the stroke group than in the control group. In addition, knee joint flexion was significantly lower at just-standing phase (T4) and at end point (T5) (5.12° ± 5.25° VS 8.21° ± 7.28°, p = 0.039; 0.03° ± 5.41° VS 3.07° ± 6.71°, p = 0.042) on the affected side than the unaffected side. Crucial decrease of knee joint moment at abrupt transitory (T2) and the maximal moment was also observed on the affected side in comparison with the unaffected side (0.39 ± 0.29 VS 0.77 ± 0.25 Nm/kg, p < 0.001; 0.42 ± 0.38 VS 0.82 ± 0.24 Nm/kg, p < 0.001).ConclusionThe findings of movement decomposition analysis provided useful information to clinical evaluation of STS performance, and may potentially contribute to the design of rehabilitation intervention program for optimum functional recovery of STS after stroke.

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“…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).…”

Section: Discussionmentioning

confidence: 94%

“…After the stroke, individuals can experience a number of problems related to the ability to do STS independently. Rehabilitation of the STS movement is, therefore, an important goal after stroke (6). These functional activities are the same as daily living activities for the self-care of a disabled individual in this group of patients (3,4).…”

mentioning

confidence: 99%

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

Mohammadi

Mirshoja

2018

Middle East J Rehabil Health Stud

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Background: Sit-to-stand and stand-to-sit positions is a daily living activity in chronic stroke patients that needs acceptable lower extremity function and good postural control. Therefore, the analysis of available knowledge seems necessary in order to introduce the best method for the treatment of patients and recovery of the sit-to-stand task. Methods: This study is a non-systematic review in which databases including PubMed, Ovid, Google Scholar, and ScienceDirect were searched for scientific articles of original research published between January 1990 and December 2017. It investigated muscle activity, foot positions, and the effect of exercise on the sit-to-stand task in stroke survivors. Results: The results showed that there is a delay in the paretic side muscles and asymmetry on the muscle torques between the legs that result from a weakness in the knee joint extensor muscles. Additionally, placing the paretic foot behind the non-paretic foot in sit-to-stand task leads to enhanced muscle activity. Increasing muscle activity leads the legs to be symmetrical and improves the sit-to-stand task. Conclusions: The legs' muscle strength, foot positions during the task, and different exercises can be useful in achieving independence and improving the sit-to-stand task in stroke survivors.

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Interventions for improving sit-to-stand ability following stroke

Cited by 54 publications

References 53 publications

The Use of Wearable Sensors for the Movement Assessment on Muscle Contraction Sequences in Post-Stroke Patients during Sit-to-Stand

The Use of Wearable Sensors for the Movement Assessment on Muscle Contraction Sequences in Post-Stroke Patients during Sit-to-Stand

The Crucial Changes of Sit-to-Stand Phases in Subacute Stroke Survivors Identified by Movement Decomposition Analysis

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

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