scholarly journals Characteristics of Sit-to-stand Movements in Stroke Patients According to the Onset Time and Foot Position

2012 ◽  
Vol 14 (2) ◽  
pp. 137-146
Author(s):  
Yeon-Joo Yu ◽  
Ki-Kwang Lee ◽  
Suhjung Kang
Keyword(s):  
Onset Time ◽  
Stroke Patients ◽  
Sit To Stand ◽  
Foot Position

scholarly journals Determinants of the Sit-to-Stand Movement: A Review

2002 ◽  
Vol 82 (9) ◽  
pp. 866-879 ◽  
Author(s):  
Wim GM Janssen ◽  
Hans BJ Bussmann ◽  
Henk J Stam
Keyword(s):  
Citation Index ◽  
Scientific Information ◽  
Major Influence ◽  
Seat Height ◽  
Sit To Stand ◽  
Movement Performance ◽  
Lower Maximum ◽  
Foot Position ◽  
Science Citation Index Expanded ◽  
Height Use

Abstract Background and Purpose. The sit-to-stand (STS) movement is a skill that helps determine the functional level of a person. Assessment of the STS movement has been done using quantitative and semiquantitative techniques. The purposes of this study were to identify the determinants of the STS movement and to describe their influence on the performance of the STS movement. Methods. A search was made using MEDLINE (1980–2001) and the Science Citation Index Expanded of the Institute for Scientific Information (1988–2001) using the key words “chair,” “mobility,” “rising,” “sit-to-stand,” and “standing.” Relevant references such as textbooks, presentations, and reports also were included. Of the 160 identified studies, only those in which the determinants of STS movement performance were examined using an experimental setup (n=39) were included in this review. Results. The literature indicates that chair seat height, use of armrests, and foot position have a major influence on the ability to do an STS movement. Using a higher chair seat resulted in lower moments at knee level (up to 60%) and hip level (up to 50%); lowering the chair seat increased the need for momentum generation or repositioning of the feet to lower the needed moments. Using the armrests lowered the moments needed at the hip by 50%, probably without influencing the range of motion of the joints. Repositioning of feet influenced the strategy of the STS movement, enabling lower maximum mean extension moments at the hip (148.8 N·m versus 32.7 N·m when the foot position changed from anterior to posterior). Discussion and Conclusion. The ability to do an STS movement, according to the research reviewed, is strongly influenced by the height of the chair seat, use of armrests, and foot position. More study of the interaction among the different determinants is needed. Failing to account for these variables may lead to erroneous measurements of changes in STS performance.

Abstract 17: Prehospital Deterioration During Transport by Emergency Medical Services for Stroke Patients: A Population-Based Study

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Sabreena J Gillow ◽  
Heidi Sucharew ◽  
Kathleen Alwell ◽  
Charles J Moonmaw ◽  
Daniel Woo ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Multivariate Analysis ◽  
Univariate Analysis ◽  
Onset Time ◽  
Population Based ◽  
Neurological Deterioration ◽  
Stroke Patients ◽  
Stroke Subtype ◽  
Hospital Arrival ◽  
Neurologic Deterioration

Introduction: Stroke patients can experience neurological change in the prehospital setting. We sought to identify factors associated with prehospital neurologic deterioration. Methods: Among the Greater Cincinnati/Northern Kentucky region (pop. ~1.3 million), we screened all 15 local hospitals’ admissions from 2010 for acute stroke, and included patients with age ≥20 and complete EMS records. Glasgow Coma Scale (GCS) at hospital arrival was compared with GCS evaluated by EMS, with decrease ≥2 points considered neurologic deterioration. Data obtained included age, sex, race, medical history, antiplatelet or anticoagulant use, stroke subtype [ischemic (IS), ICH, or SAH] and IS subtype (e.g., small vessel, large vessel, cardioembolic), seizure at onset, time from symptom onset to EMS arrival, time from EMS to hospital arrival, blood pressure and serum glucose on EMS arrival, and EMS level of training. Univariate analysis was completed using Wilcoxon rank sum test for continuous measures and chi-square or Fisher’s exact test for categorical measures. Multivariate analysis was completed on variables with p ≤ 0.20 in the univariate analysis. Results: Of 2708 total stroke patients, 1097 (870 IS, 176 ICH, 51 SAH) had EMS records (median [IQR] age 74 [61, 83] years; 56% female; 21% black). Onset to EMS arrival was ≤4.5 hours for 508 cases (46%), and median time from EMS to hospital arrival was 26 minutes. Neurological deterioration occurred in 129 cases (12%), including 9.1% of IS and 22% of ICH/SAH. In multivariate analysis, black race, atrial fibrillation, ICH or SAH subtype, and ALS transport were associated with neurological deterioration. Conclusion: Atrial fibrillation may predict prehospital deterioration in stroke, and preferential transport of patients with acute worsening to centers capable of managing hemorrhagic stroke may be justifiable. Further studies are needed to identify why race is associated with deterioration and potential areas of intervention.

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

Sensors ◽  
2019 ◽  
Vol 19 (3) ◽  
pp. 657 ◽  
Author(s):  
Wei-Chun Hsu ◽  
Chao-Chin Chang ◽  
Yi-Jia Lin ◽  
Fu-Chi Yang ◽  
Li-Fong Lin ◽  
...  
Keyword(s):  
Muscle Contraction ◽  
Tibialis Anterior ◽  
Sagittal Plane ◽  
Balance Control ◽  
Wearable Sensors ◽  
Postural Adjustment ◽  
Stroke Patients ◽  
Post Stroke ◽  
Sit To Stand ◽  
Therapeutic Exercises

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.

scholarly journals Body Weight Bearing on the Paretic Leg in Sit to Stand Movement of Stroke Patients

2006 ◽  
Vol 21 (2) ◽  
pp. 115-120
Author(s):  
Mutsumi UESUGI ◽  
Sumikazu AKIYAMA
Keyword(s):  
Body Weight ◽  
Weight Bearing ◽  
Stroke Patients ◽  
Sit To Stand

Progressive resistance training improving gait performance and mobility in acute and chronic stroke patients

2020 ◽  
pp. 1-9
Author(s):  
Qurat ul ain Ilyas ◽  
Muhammad Imran ◽  
Ayesha Bashir ◽  
Arshad Nawaz Malik
Keyword(s):  
Resistance Training ◽  
Total Duration ◽  
Sampling Technique ◽  
Chronic Stroke ◽  
Research Centre ◽  
Progressive Resistance Training ◽  
Stroke Patients ◽  
Sit To Stand ◽  
Cognitive Problems ◽  
Progressive Resistance

Abstract Stroke, a neurological disorder, leads to long-term disability thereby greatly affecting gait and mobility. The purpose of the current study was to investigate the effects of progressive resistance training in both acute and chronic stroke patients. A quasi interventional study was designed and 46 stroke patients were recruited through convenience sampling technique. Sample size was calculated using epi-tool. Patients who had cognitive problems, balance impairments and contractures were excluded from the study. The study was conducted from January to June 2018, at Rafsan Rehab & Research Centre, Peshawar. Progressive resistance exercises starting at 50 % of one repetition maximum (RM) were performed three days/week and for a total duration of nine weeks. Blind assessor measured readings at baseline and after nine weeks. Gait dynamic index (GDI), Six-Meter Walk Test (SMWT) and Five Times Sit-to-Stand (FTSTS) tools were used to collect the required data. Continuous....

Effect of Foot Position on Acceleration during Sit to Stand

Physiotherapy ◽  
2002 ◽  
Vol 88 (3) ◽  
pp. 172
Author(s):  
KG Clark ◽  
SM Kelly ◽  
H Hartley ◽  
A Wing
Keyword(s):  
Sit To Stand ◽  
Foot Position
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