Dergiler / Turkish journal of physical medicine and rehabilitation / 2020 / Cilt: 66 - Sayı: 1

Lower limb muscle activities and gain in balancing ability following two types of stair gait intervention in adult post-chronic stroke patients: A preliminary, randomized-controlled study

Sayfa
17–23
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Balancing abilities and the activities of the paralyzed lower limb’s rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius during stair ascending were measured before and after the stair gait training.Results: During stair ascent, the 15-cm group showed significantly greater muscle activities of the rectus femoris, biceps femoris, and tibialis anterior than the 10-cm group (p<0.001, η2=0.115; p=0.001, η2=0.022; and p=0.001, η2=0.036, respectively).Conclusion: Our study results suggest that ascending stairs with 15-cm step height results in a greater muscle activity than with a 10-cm step height.

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Amaç & Hipotez:Objectives: This study aims to compare the changes in lower limb muscle activities after stair ascending and descending training at two different heights of stairs in patients with chronic stroke and to suggest a stair height which is more effective in improving the strength and balancing ability of these patients.Patients and methods: Between November 2016 and February 2017, a total of 20 patients (14 males, 6 females; mean age 56 years; range, 52 to 61 years) with hemiparesis were included in this randomized-controlled study.
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Temel Bulgular & Veri:The patients were randomly assigned to the 10- or 15-cm stair height group (10- and 15-cm groups, respectively; n=10 in each).
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Sonuç & Katkı:Balancing abilities and the activities of the paralyzed lower limb’s rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius during stair ascending were measured before and after the stair gait training.Results: During stair ascent, the 15-cm group showed significantly greater muscle activities of the rectus femoris, biceps femoris, and tibialis anterior than the 10-cm group (p<0.001, η2=0.115; p=0.001, η2=0.022; and p=0.001, η2=0.036, respectively).Conclusion: Our study results suggest that ascending stairs with 15-cm step height results in a greater muscle activity than with a 10-cm step height.
🔬Tür:Araştırma Makalesi
📍Kapsam:2016 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Objectives: This study aims to compare the changes in lower limb muscle activities after stair ascending and descending training at two different heights of stairs in patients with chronic stroke and to suggest a stair height which is more effective in improving the strength and balancing ability of these patients.Patients and methods: Between November 2016 and February 2017, a total of 20 patients (14 males, 6 females; mean age 56 years; range, 52 to 61 years) with hemiparesis were included in this randomized-controlled study. The patients were randomly assigned to the 10- or 15-cm stair height group (10- and 15-cm groups, respectively; n=10 in each). Both groups received comprehensive rehabilitation therapy and additionally performed stair gait training for 30 min four times per week for a total of six weeks. Balancing abilities and the activities of the paralyzed lower limb’s rectus femoris, biceps femoris, tibialis anterior, and gastrocnemius during stair ascending were measured before and after the stair gait training.Results: During stair ascent, the 15-cm group showed significantly greater muscle activities of the rectus femoris, biceps femoris, and tibialis anterior than the 10-cm group (p<0.001, η2=0.115; p=0.001, η2=0.022; and p=0.001, η2=0.036, respectively).Conclusion: Our study results suggest that ascending stairs with 15-cm step height results in a greater muscle activity than with a 10-cm step height.

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Bu Makaleye Atıf Yap

YOON-HE, C., KYOUNG, K., SANG-YONG, L., YONG-JUN, C. (2020). Lower limb muscle activities and gain in balancing ability following two types of stair gait intervention in adult post-chronic stroke patients: A preliminary, randomized-controlled study. Turkish journal of physical medicine and rehabilitation, Cilt: 66 - Sayı: 1, 17–23. https://ajindex.com/articles/375237

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Kaynakça (15)

  1. Kwon MJ. The relationship between pain and quality of life in stroke patients. J Korean Soc Phys Med 2017;12:83-90
  2. Kim KD, Min KO, Shim JH, Jeong JY, Kim YE, Kim KY, et al. Effects of motor skill learning on balance and coordination in excitoxicity induced cerebellar injury model of rat. J Korean Soc Phys Med 2010;5:455-65
  3. Kelley RE, Borazanci AP. Stroke rehabilitation. Neurol Res 2009;31:832-40
  4. Bonnyaud C, Zory R, Pradon D, Vuillerme N, Roche N. Clinical and biomechanical factors which predict timed up and down stairs test performance in hemiparetic patients. Gait Posture 2013;38:466-70
  5. Engardt M, Knutsson E, Jonsson M, Sternhag M. Dynamic muscle strength training in stroke patients: effects on knee extension torque, electromyographic activity, and motor function. Arch Phys Med Rehabil 1995;76:419-25
  6. Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil 1997;78:1231-6
  7. Celinskis D, Grabiner MD, Honeycutt CF. Bilateral early activity in the hip flexors associated with falls in stroke survivors: Preliminary evidence from laboratory-induced falls. Clin Neurophysiol 2018;129:258-64
  8. Wiley ME, Damiano DL. Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol 1998;40:100-7
  9. Meyer P, Kayser B, Mach F. Stair use for cardiovascular disease prevention. Eur J Cardiovasc Prev Rehabil 2009;16:S17-8
  10. Stacoff A, Diezi C, Luder G, Stüssi E, Kramers-de Quervain IA. Ground reaction forces on stairs: effects of stair inclination and age. Gait Posture 2005;21:24-38
  11. Riener R, Rabuffetti M, Frigo C. Stair ascent and descent at different inclinations. Gait Posture 2002;15:32-44
  12. Nadeau S, McFadyen BJ, Malouin F. Frontal and sagittal plane analyses of the stair climbing task in healthy adults aged over 40 years: what are the challenges compared to level walking? Clin Biomech (Bristol, Avon) 2003;18:950-9
  13. Conway ZJ, Silburn PA, Blackmore T, Cole MH. Evidence of compensatory joint kinetics during stair ascent and descent in Parkinson's disease. Gait Posture 2017;52:33-9
  14. Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil 2000;81:409-17
  15. Seo KC, Kim HA. The effects of gait ability in the stroke patients after stair gait exercise and lamp gait exercise. J Korean Soc Phys Med 2013;8:397-406.