뇌졸중 환자의 앉은 자세에서 일어서기 동작 수행에 영향을 주는 다리 근 활성 비교
A Comparison of Lower Limb Muscle Activity Affecting Sit-to-Stand Movement of Stroke Patients
Purpose: This study aimed (1) to identify asymmetry observed in electromyography (EMG) activity patterns of lower limb muscles between affected and unaffected sides of stroke patients during sit to stand (STS) movement and (2) to identify the muscles of the paretic lower limb that affected STS performance in stroke patients. Methods: This study consisted of 27 patients (15 males and 12 females) with poststroke hemiparesis. The activation of the rectus femoris (RF), tibialis anterior (TA), and gastrocnemius (GCM) of the affected side and unaffected side during STS movement were recorded using surface EMG. In addition, EMG lower limb muscle activation patterns were measured in the all section, pre-thigh off (pre-TO), and post-thigh off (post-TO) section. All measurements were obtained during five repetitions of the STS (FTSTS) movement. An independent t-test was performed to compare the affected side and unaffected side of the lower limb during the STS movement. A stepwise linear regression analysis was conducted to identify the muscles that affected STS performance. Results: Activation of both the RF and TA significantly affected the lower limb during the STS movement (p
- Belgen B, Beninato M, Sullivan PE, et al. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Archives of Physical Medicine and Rehabilitation. 2006;87(4):554-561.
- Bohannon RW. Knee extension strength and body weight determine sit-to-stand independence after stroke. Physiotherapy Theory and Practice. 2007;23(5):291-297.
- Brunt D, Liu S-M, Trimble M, et al. Principles underlying the organization of movement initiation from quiet stance. Gait and Posture. 1999;10(2):121-128.
- Cameron DM, Bohannon RW, Garrett GE, et al. Physical impairments related to kinetic energy during sit-to-stand and curb-climbing following stroke. Clinical Biomechanics. 2003;18(4):332-340.
- Carr JH, Shepherd RB. Stroke rehabilitation: guidelines for exercise and training to optimize motor skill. Edinburgh. Butterworth-Heinemann Medical. 2003.
- Cheng PT, Chen CL, Wang CM, et al. Leg muscle activation patterns of sit-to-stand movement in stroke patients. American Journal of Physical Medicine & Rehabilitation. 2004;83(1):10-16.
- Chou SW, Wong AM, Leong CP, et al. Postural control during sit-to stand and gait in stroke patients. American Journal of Physical Medicine & Rehabilitation. 2003;82(1):42-47.
- Csuka M, McCarty DJ. Simple method for measurement of lower extremity muscle strength. The American Journal of Medicine. 1985;78(1):77-81.
- Demura S, Sato S, Minami M, et al. Gender and age differences in basic ADL ability on the elderly: comparison between the independent and the dependent elderly. Journal of Physiological Anthropology and Applied Human Science. 2003;22(1):19-27.
- Dickstein R, Shefi S, Marcovitz E, et al. Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clinical Neurophysiology. 2004; 115(4):790-796.
- Eriksrud O, Bohannon RW. Relationship of knee extension force to independence in sit-to-stand performance in patients receiving acute rehabilitation. Physical Therapy. 2003;83(6):544-551.
- Goulart F, Valls-Sole J. Patterned electromyographic activity in the sit-to-stand movement. Clinical Neurophysiology. 1999;110(9):1634-1640.
- Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology. 1994;49(2):M85-94.
- Hermens HJ, Freriks B, Disselhorst-Klug C, et al. Development of recommendations for SEMG sensors and sensor placement procedures. Journal of Electromyography and Kinesiology. 2000;10(5):361-374.
- Lee M, Wong M, Tang F, et al. Comparison of balance responses and motor patterns during sit-to-stand task with functional mobility in stroke patients1. American Journal of Physical Medicine & Rehabilitation. 1997;76(5):401-410.
- Lee MY, Wong MK, Tang FT, et al. Comparison of balance responses and motor patterns during sit-to-stand task with functional mobility in stroke patients. American Journal of Physical Medicine & Rehabilitation. 1997;76(5):401-410.
- Lee SH, Yoo WG. Comparison of the tibialis anterior and soleus muscles isolation ratios during the sit-to-stand movement in elderly people. Journal of Physical Therapy Science. 2017;29(6):1019-1020.
- Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait and posture. 2005;22(2):126-131.
- Millington PJ, Myklebust BM, Shambes GM. Biomechanical analysis of the sit-to-stand motion in elderly persons. Archives of Physical Medicine and Rehabilitation. 1992;73(7):609-617.
- Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Archives of Physical Medicine and Rehabilitation. 2010;91(3):407-413.
- Ouellette MM, LeBrasseur NK, Bean JF, et al. High-intensity resistance training improves muscle strength, self-reported function, and disability in long-term stroke survivors. Stroke. 2004;35(6):1404-1409.
- Park HJ, Oh DW, Choi SJ, et al. Study on asymmetrical EMG activation pattern of selected trunk and thigh muscles on gait velocity of individuals with post-stroke hemiparesis during sit-to-stand movement. Physical Therapy Korea. 2012:19(2);29-38.
- Patterson KK, Parafianowicz I, Danells CJ, et al. Gait asymmetry in community-ambulating stroke survivors. Archives of Physical Medicine and Rehabilitation. 2008;89(2):304-310.
- Prudente C, Rodrigues-de-Paula F, Faria CD. Lower limb muscle activation during the sit-to-stand task in subjects who have had a stroke. American Journal of Physical Medicine & Rehabilitation. 2013;92(8):666-675.
- Schenkman M, Berger RA, Riley PO, et al. Whole-body movements during to standing from sitting. Physical Therapy. 1990;70(10):638-648.
- Thielman G, Kaminski T, Gentile AM. Rehabilitation of reaching after stroke: comparing 2 training protocols utilizing trunk restraint. Neurorehabilitation and Neural Repair. 2008;22(6):697-705.
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- DOI : http://dx.doi.org/10.21598/JKPNFA.2018.16.1.59
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