Effect of training weight transfer phase sit to stand on weight shifting on paretic lower limb, and sit to stand activity in patients with hemiplegia
Journal Title: Journal of Society of Indian Physiotherapists - Year 2018, Vol 2, Issue 1
Abstract
Background Though there is clear biomechanical understanding of different phases of sit to stand effect of training focused on specific phase of sit to stand could not be clearly understood from the literatureAim To study the effect of training specific to weight transference phase of sit to stand on weight sifting ability on paretic limb and sit to stand performance in patients with hemiplegiaMethod Fifteen first time cerebral hemispheric stroke patients with hemiplegia were trained to recruit lower extremity muscles specific to weight transference phase of sit to stand Fifteen other patients with similar characteristics were the controls Both the group received physiotherapy based on their impairments The outcomes were tested with weight shifted over paretic lower limb in weight transference phase Brunnstrom stages and sit to stand component of Motor Assessment Scale after 14 sessions of treatment The results were tested with parametric and nonparametric tests with pResults The patients in experimental group improved better than control group in all the outcomes In experimental group patients were able to shift 691 kg compared to 382 kg by control group p001 Six patients in experimental group were able to stand up without using upper extremity while none of the patient in the control group achieved this based on MAS Around 50 of the patients in both groups reached stage III of Brunnstrom scaleConclusion Training specific to weight transference phase will improve weight shifting ability on paretic lower limb and sit to stand performance in patients with hemiplegiaKeywords Sit to Stand Hemiplegia Auditory feedback Motor assessment scale Brunnstrom stages
Authors and Affiliations
Ramya Pavani K. , Sivakumar R.
Keywords
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