Journal of the Korean Academy of Clinical Electrophysiology (대한임상전기생리학회지)

The Korean Academy of Clinical Electrophysiology (대한임상전기생리학회)
권호 표지
DOI QR코드

DOI QR Code

Correlation between Balance and Lower Extremity Muscle Activity in Stroke Patients

뇌졸중 환자의 균형과 하지 근활성도와의 상관관계 연구

  • Yang, Dae-Jung (Department of Physical Therapy, Daebul University) ;
  • Kim, Je-Ho (Department of Physical Therapy, Mokpo Jung-Ang General Hospital) ;
  • Jung, Yong-Sik (Department of Physical Therapy, Mokpo Jung-Ang General Hospital) ;
  • Uhm, Yo-Han (Department of Physical Therapy, Graduate School, Daebul University) ;
  • Park, Seung-Kyu (Department of Physical Therapy, Daebul University)
  • 양대중 (대불대학교 물리치료학과) ;
  • 김제호 (목포중앙병원 물리치료실) ;
  • 정용식 (목포중앙병원 물리치료실) ;
  • 엄요한 (대불대학교 대학원 물리치료학과) ;
  • 박승규 (대불대학교 물리치료학과)
  • Received : 2012.05.02
  • Accepted : 2012.06.19
  • Published : 2012.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : In this study, stroke patients' limits of stability and functional reach test and tibialis anterior, gastrocnemius muscle of lower extremity muscle activities to evaluate the correlation. Methods : 30 adult stroke patients to participate in this study. Limits of stability were measured using biorescue, tibialis anterior and gastrocnemius muscle of muscles activities were measured with functional reach test when there was movement. Results : Limits of stability and functional reach test (r=0.753, p<0.01), RMS value of the limits of stability and tibialis anterior muscle (r=0.706, p<0.01), RMS value of the limits of stability and gastrocnemius muscle (r=0.766, p<0.01), RMS value of the functional reach test and tibialis anterior muscle (r=0.835, p<0.01), RMS value of the functional reach test and gastrocnemius muscle (r=0.663, p<0.01), RMS value of the tibialis anterior and gastrocnemius muscle (r=0.816, p<0.01) correlations are shown as statistically significant. Conclusion : The balance and lower extremity muscle activities of stroke patients were studied, and were positively correlated with the RMS value of the limits of stability and functional reach test, tibialis anterior muscle, and gastrocnemius muscle. This study has shown that stroke patients' ankle joint muscle activity can greatly.

Keywords

References

  1. 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. Arch Phys Med Rehabil. 2006;87(4):554-61. https://doi.org/10.1016/j.apmr.2005.12.027
  2. Shumway-Cook A, Wollacott MH. Motor control: translating research into clinical practice. 3rd ed. Maryland, Lippincott Williams & Wilkins. 2006;157-62.
  3. Smania N, Picelli A, Gandolfi M et al. Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/ after pilot study. Neurol Sci. 2008;29(5):313-19. https://doi.org/10.1007/s10072-008-0988-0
  4. Said CM, Goldie PA, Culham E et al. Control of lead and trail limbs during obstacle crossing following stroke. Phys Ther. 2005;85(5):413-27.
  5. De Haart M, Greurts AC, Huidekoper SC et al. Recovery of standing balance in postacute Stroke Patients: A rehabilitation cohort study. Arch phys Med Rehabili. 2004;85(6):886-95. https://doi.org/10.1016/j.apmr.2003.05.012
  6. Nashner LM, Shupert CL, Horak FB. Organization of postural control: An analysis of sensory and mechanical constraints. Prog Brain Res. 1989;80:411-8. https://doi.org/10.1016/S0079-6123(08)62237-2
  7. Nicholas DS. Balance retraining after stroke using force platform biofeedback. Phys Ther. 1997;77(5):553- https://doi.org/10.1093/ptj/77.5.553
  8. Geiger RA, Allen JB, O'Keefe J et al. Balance and mobility following stroke: Effects of physical therapy intervention with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005.
  9. McCollum G, Leen TK. Form and exploration of mechanical stability limits in erect stance. J Motor Behav. 1989;21(3):225-44. https://doi.org/10.1080/00222895.1989.10735479
  10. Tyson SF, DeSouza LH. Reliability and validity of functional balance tests post stroke. Clin Rehabil. 2004;18(8):916-23. https://doi.org/10.1191/0269215504cr821oa
  11. Tyson SF, Hanley M, Chillala J et al. Balance disability after stroke. Phys Ther. 2006;86(1):30-8. https://doi.org/10.1093/ptj/86.1.30
  12. Li L, Tong KY, Hu X. The effect of poststroke impairments on brachialis muscle architecture as measured by ultrasound. Arch Phys Med Rehabil. 2007;88(2):243-50. https://doi.org/10.1016/j.apmr.2006.11.013
  13. Metoki N, Sato Y, Satoh K et al. Muscular atrophy in the hemiplegic thigh in patients after stroke. Am J Phys Med Rehabil. 2003;82(11):862-5. https://doi.org/10.1097/01.PHM.0000091988.20916.EF
  14. Patten C, Lexell J, Brown HE. Weakness and strength training in persons with poststroke hemiplegia: rationale, method, and efficacy. J Rehabil Res Dev. 2004;41(3A): 293-312. https://doi.org/10.1682/JRRD.2004.03.0293
  15. Whitney SL, Poole JL, Cass SP. A review of balance instruments for older adults. Am J Occup Ther. 1998;52(8):666-71. https://doi.org/10.5014/ajot.52.8.666
  16. Wolfson L, Judge J, Whipple R et al. Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol A Biol Sci Med Sci. 1995;50:64-7.
  17. Daubney ME, Culham EG. Lower extremity muscle force and balance performance in adults aged 65 years and older. Phys Ther. 1999;79(12):1177-85.
  18. Kim SK. The effective factors on balance in stroke patients. Journal of Korea Sport Research. 2008;19(6):125-34. https://doi.org/10.24985/kjss.2008.19.2.125
  19. Spink MJ, Fotoohabadi MR, Wee E et al. Foot and ankle strength, range of motion, posture and deformity are associated with balance and functional ability in older adults. arch Phys Med Rehabil. 2011;92(1):68-75. https://doi.org/10.1016/j.apmr.2010.09.024
  20. Wiacek M, Hagner W, Hagner-Derengowska M et al. Correlations between postural stability and strength of lower body extremities of women population living in long-term care facilities. Arch Gerontol Geriatr. 2009;48(3):346-9. https://doi.org/10.1016/j.archger.2008.02.019
  21. Lee SR, Effect of activities performance balance training in stroke with diabetes and sensory deficit. Daegu University. Dissertation of Doctorate Degree. 2010.
  22. Lee KS. The relationship of muscle activities of neck, trunk, lower limb and balance following head rotation in stroke patients. Daegu University. Dissertation of Master's Degree. 2010.
  23. Corriveau H, Hebert R, Raiche M et al. Evaluation of postural stability in the elderly with stroke. Arch Phys Med Rehabil. 2004;85(7):1095-101. https://doi.org/10.1016/j.apmr.2003.09.023
  24. Duncan PW, Weiner DK, Chandler J et al. Functional reach: A new clinical measure of balance. Journal of Gerontology: Medical Sciences. 1990;45(6):192-7.