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KMID : 0608320170240040054
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Physical Therapy Korea
2017 Volume.24 No. 4 p.54 ~ p.59
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The Effect of Lightly Gripping a Cane on Sit-to-standTransfer in Post-stroke Patients
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Choi Young-Eun
An Duk-Hyun
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Abstract
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Background: Light touch cue is a sensory input that could potentially help in the control of posture. The immediate stimulatory effect of light touch cues using a cane during gait is associated with postural stability. This strategy can help post-stroke individuals regain their ability to perform the sit-to-stand (STS) transfer safely.
Objects: The effects of light grip on postural control during the STS transfer in post-stroke subjects were investigated.
Methods: Eleven participants (6 men, 5 women) with hemiplegia due to stroke were recruited in the study. The subjects with hemiparesis performed STS transfer in three randomly assigned conditions (1) without a cane (2) light grip with a cane (3) strong grip with a cane.
Results: The difference in weight-bearing distribution between the left and right feet, when the subjects were instructed to stand up, was 52.73±2.13% without a cane, 42.75±3.26% with a strong grip, and 43.00±2.55% with a light grip (p<.05). The rate of rise in force indicates the peak power provided by subjects during their STS transfers. The rate of rise in force was statistically significantly lower without a cane than that with a light grip or a strong grip (p<.05). The subjects’ centers of pressure sway on the mediolateral side during STS transfers statistically significantly declined with a light grip or a strong grip when compared to those without a cane (p<.05).
Conclusion: When the subjects with hemiparesis used a cane during STS transfers, their duration, center of pressure sway, and difference in weight-bearing distribution were all reduced. The subjects also exhibited similar results during STS transfers with a cane gripped lightly. This result may provide guidelines for the use of assistive devices when patients with hemiparesis practice STS transfers in clinical settings.
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KEYWORD
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Cane, Rehabilitation, Sit-to-stand, Stroke
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FullTexts / Linksout information
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Listed journal information
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