Sit to Stand Training in Stroke Patients
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Transcript of Sit to Stand Training in Stroke Patients
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Sit to Stand Training in Stroke
PatientsAndre Ishmael
University of Central FloridaDoctor of Physical Therapy Class of 2014
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Hemiparesis
• According to the National Stroke Association, Hemiparesis is the one sided weakness of the body.
• Different causes include stroke, cerebral palsy, brain tumors, multiple sclerosis, or traumatic brain injuries.
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Affects of Hemiparesis on Stroke Survivors
• People with hemiparesis after a stroke generally may have problems moving the arm, leg, trunk and facial muscles.
• These weaknesses may decrease their ability to complete functional task or activities of daily living.
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Sit to Stand Transfer• One of the most instrumental functional
task to increase independence with activities of daily living.
• Individuals with hemiparesis present with a weight bearing asymmetry when they rise from a chair spontaneously, placing more weight on the unaffected lower limb than on the affected on.
• A study looking at increased sit to stand practice in the hospital with stroke patients showed a decrease in asymmetry of weight bearing.
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Sit to Stand Transfer
• http://youtu.be/n62y1OoG1JE• http://youtu.be/ZI1wtAyPz0k
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Effects of foot position during sit-to-stand
• Study looking at symmetrical foot position (affected foot alongside unaffected side) vs. asymmetrical foot position (affect foot behind unaffected foot)
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• Randomized control trial
• 40 participants• >40 years old• ≥21 mini mental
score• Excluded if with
unstable medical condition, severe aphasia
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• Baseline measurements taken prior to intervention and posttest measurements taken at the end of week 4.• STS Performance• Berg Balance Scale (BBS)• Timed up-and-go test (TUG)
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Training Program
• 20 day repetitive STS training with different foot positions• Group A – Affected foot positioned behind normal foot
(Asymmetrical foot position)• Group B – Affected foot positioned alongside normal foot
(Symmetrical foot position)
• Both groups received exercise program included stretching exercises, strengthening of the lower extremities and upper extremities , balance training, and gait training 20 days.
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Results• Both groups with similar
baseline measurements• Both groups showed
improvement in each outcome measure
• Group A greater improvements in outcome measurements in every category.
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Resources• Britton E, Harris N, Turton A. An exploratory randomized controlled trial of assisted
practice for improving sit-to-stand in stroke patients in the hospital setting. Clinical Rehabilitation [serial online]. May 2008;22(5):458-468. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed February 1, 2014.
• Camargos A, Rodrigues-de-Paula-Goulart F, Teixeira-Salmela L. The effects of foot position on the performance of the sit-to-stand movement with chronic stroke subjects. Archives Of Physical Medicine & Rehabilitation [serial online]. February 2009;90(2):314-319. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed February 1, 2014.
• Farqalit R, Shahnawaz A. Effect of foot position during sit-to-stand training on balance and upright mobility in patients with chronic stroke. Hong Kong Physiotherapy Journal [serial online]. December 2013;31(2):75-80. Available from: CINAHL Plus with Full Text, Ipswich, MA. Accessed February 1, 2014.
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Thank You