The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Supporter to Rectifying the Asymmetric Sitting Posture of Post Stroke

  • Lee, In-Hee (Department of Physical Medicine and Rehabilitation, Dongsan Medical Center, Keimyung University) ;
  • Choi, Jin-Ho (Department of Physical Therapy, College of Health & Therapy, Daegu Hanny University) ;
  • Park, Sang-Young (Department of Rehabilitation Science, Daegu University)
  • Received : 2011.05.18
  • Accepted : 2011.05.31
  • Published : 2011.06.25
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Abstract

Purpose: This study determined the best adjustable height supporter for stroke patients in wheelchairs for the maintenance of a symmetric sitting posture. Methods: Thirty-one stroke participants and 20 age-matched control participants were recruited. The enrolled participants were evaluated by the Force Sensitive Application (FSA) System that was used to assess weight shift and symmetry in wheelchair sitting and assess the symmetric index (SI) of subjects according to 1, 2 and 3 cm height supporters. Results: When a 1 cm height supporter was applied to the paretic side of stroke survivors, sitting postures of stroke patients were significantly more symmetrical (p<0.01). Cross tabulation between the SI of wheelchair sitting and that of the paretic side of stroke patients caused? by a 1 cm supporter showed that 21 SIs of 26 stroke patients were improved by a 1 cm supporter to the paretic side (k=0.26, p<0.01). Conclusion: The findings of the present study demonstrate that stroke patients can maintain a more symmetrical sitting posture (than is possible when simply sitting in a wheelchair seat) if a 1 cm supporter is applied to the paretic side of stroke patients.

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References

  1. Korea national statistical office. Annual report on the cause of death statistics. 2008.
  2. Lee IH, Shin AM, Son CS, et al. Association analysis of comorbidity of cerebral infarction using data mining. J Kor Soc Phys Ther. 201022(1):75-81. https://doi.org/10.1589/jpts.22.75
  3. An SH, Lee YM, Yang KH. Effectiveness of gait training using an electromechanical gait trainer combined with simultaneous functional electrical stimulation in chronic stroke patients. J Kor Soc Phys Ther. 2008;20(1):41‐7.
  4. Milette D, Rine RM. Head and trunk movement responses in healthy children to induced versus self-induced lateral tilt. Phys Ther. 198567(11):1697-702.
  5. Jorgensen HS, Nakayama H, Raaschou HO et al. Recovery of walking function in stroke patients: The copenhagen stroke study. Arch Phys Med Rehabil. 1995;76(1):27-32. https://doi.org/10.1016/S0003-9993(95)80038-7
  6. Ham R, Aldersea P, Porter D. Wheelchair user and postural seating: A clinincal approach. New York. Churchill Livingstone. 1998.
  7. Perlmutter S, Lin F, Maksous M. Quantitative analysi of static sitting posture in chronic stroke. Gait Posture. 2010;32(1):53-6. https://doi.org/10.1016/j.gaitpost.2010.03.005
  8. Shackley CM, Hill HJ, Pound K, et al. The intra-rater reliability of balance performance monitor when measureing sitting symmetry and weight-shift activity after stroke in a community setting. Clin Rehabil. 2005;19(7):746-50. https://doi.org/10.1191/0269215505cr863oa
  9. Au-Yeung SS. Does weight-shifting exercise improve postural symmetry in sitting in people with hemiplegia? Brain Inj. 2003;17(9):789-97. https://doi.org/10.1080/0269905031000088487
  10. Nichols DS, Miller L, Colby LA, et al. Sitting balance: its relation to function in individuals with hemiparesis. Arch Phys Med Rehabil. 1996;77(9):865-9. https://doi.org/10.1016/S0003-9993(96)90271-3
  11. Park SY, Lee IH, Jeon CB, et al. Comparison of the sitting pressure of stroke patients according to seat shapes. 2010 Fall Conference of Ergonomics Society of Korea.
  12. Gil-Agudo A, De la Pana-Gonzalez A, Del Ama-Espinosa A, et al. Comparative study of pressure distribution at the usercushion interface with different cushions in a population with spinal cord injury. Clin Biomech. 200924(7):558-63. https://doi.org/10.1016/j.clinbiomech.2009.04.006
  13. Brienza DM, Karg PE, Geyer MJ, et al. The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at risk elderly wheelchair users. Arch Phys Med Rehabil. 200182(4):529-33. https://doi.org/10.1053/apmr.2001.21854
  14. Hesse S, Reiter F, Jahnke M, et al. Asymmetry of gait initiation in hemiparetic stroke subjects. Arch phys Med Rehabil. 1997;78(7):719-24 https://doi.org/10.1016/S0003-9993(97)90079-4
  15. Chen CH, Lin KH, Lu TW, et al. Immediate effect of lateral-wedged insole on stance and ambulation after stroke. Am J Phys Med Rehabil. 2010;89(1):48-55. https://doi.org/10.1097/PHM.0b013e3181c1ea8a
  16. Taylor D, Ashburn A, Ward CD. Asymmetrical trunk posture, unilateral neglect and motor performance following stroke. Clin Rehabil. 1994;8(1):48-52. https://doi.org/10.1177/026921559400800107