椅面前倾对脑卒中偏瘫患者坐-站转移的影响

doi:10.3969/j.issn.1006-9771.2020.07.017

Abstract

Abstract:

Objective To study the effect of chair inclination angles forward on sit-to-stand time and muscle activation of lower extremities in stroke patients with hemiplegia. Methods From January to August, 2019, 15 stroke patients with hemiplegia finished five times sit-to-stand at seat slope 0°, 10° and 20° forward. The time, and surface electromyogram (sEMG) signals of rectus femoris, hamstrings, anterior tibialis and peroneus muscle were recorded.Results The total EMG peak, root mean square and integrated electromyography (iEMG) of all the muscles decreased at seat slope 10° and 20° forward compared with those at 0° (F > 4.530, P < 0.05). The time decreased at seat slope 20° forward compared with that at 0° ( P < 0.05). Conclusion Seat inclination forward at some angles may improve the sit-to-stand performance in stroke patients with hemiplegia.

Key words: stroke, hemiplegia, sit-to-stand, chair, inclination, surface electromyography, rehabilitation

CLC Number:

R743.3

ZHOU Zhe,SHEN Xia-feng,SHEN Xiao-hua,WU Xue-jiao,WANG Feng-shuang,RONG Ji-feng,WU Yi. Effect of Chair Inclination Forward on Sit-to-Stand for Hemiplegics after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 825-829.

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[1]	Bohannon R W. Daily sit-to-stands performed by adults: a systematic review[J]. J Phys Ther Sci, 2015, 27(3): 939-942. doi: 10.1589/jpts.27.939 pmid: 25931764
[2]	Pollock A, Gray C, Culham E, et al. Interventions for improving sit-to-stand ability following stroke[J]. Cochrane Database Syst Rev, 2014, 26(5): CD007232.
[3]	Cavanaugh E J, Richardson J, McCallum C A, et al. The predictive validity of physical performance measures in determining markers of preclinical disability in community-dwelling middle-aged and older adults: a systematic review[J]. Phys Ther, 2018, 98(12): 1010-1021. doi: 10.1093/ptj/pzy109 pmid: 30256988
[4]	Brière A, Nadeau S, Lauzière S, et al. Knee efforts and weight-bearing asymmetry during sit-to-stand tasks in individuals with hemiparesis and healthy controls[J]. J Electromyogr Kinesiol, 2013, 23(2): 508-515. doi: 10.1016/j.jelekin.2012.10.014
[5]	Hamaoui A, Hassaïne M, Zanone P G. Sitting on a sloping seat does not reduce the strain sustained by the postural chain[J]. PLoS One, 2015, 10(1): e0116353. doi: 10.1371/journal.pone.0116353
[6]	van der Straaten R, Bruijnes A K B D, Vanwanseele B, et al. Reliability and agreement of 3D trunk and lower extremity movement analysis by means of inertial sensor technology for unipodal and bipodal tasks[J]. Sensors (Basel), 2019, 19(1): 141-155. doi: 10.3390/s19010141
[7]	李建华. 表面肌电图诊断技术临床应用[M]. 杭州: 浙江大学出版社, 2015: 317-319.
	Li J H. Clinical Application of Surface Electromyography Diagnostic Technique [M]. Hangzhou: Zhejiang University Press, 2015: 317-319.
[8]	Li X, Zhou P, Aruin A S. Teager-Kaiser energy operation of surface EMG improves muscle activity onset detection[J]. Ann Biomed Eng, 2007, 35(9): 1532-1538. doi: 10.1007/s10439-007-9320-z
[9]	Greve C, Hortobágyi T, Bongers R M. Flexibility in joint coordination remains unaffected by force and balance demands in young and old adults during simple sit-to-stand tasks[J]. Eur J Appl Physiol, 2019, 119(2): 419-428. doi: 10.1007/s00421-018-4035-4
[10]	Ozdil A, Iyigun G, Kalyoncu C. The comparison of clinical and computerized measurement of sitting balance in stroke patients and healthy individuals[J]. NeuroRehabilitation, 2019, 44(3): 361-368. doi: 10.3233/NRE-182634
[11]	Silva P F, Quintino L F, Franco J, et al. Trunk kinematics related to generation and transfer of the trunk flexor momentum are associated with sit-to-stand performance in chronic stroke survivors[J]. NeuroRehabilitation, 2017, 40(1): 57-67. doi: 10.3233/NRE-161390
[12]	Boukadida A, Piotte F, Dehail P, et al. Determinants of sit-to-stand tasks in individuals with hemiparesis post stroke: a review[J]. Ann Phys Rehabil Med, 2015, 58(3): 167-172. doi: 10.1016/j.rehab.2015.04.007 pmid: 26004813
[13]	刘孟, 倪朝民, 穆景颂. 基于足底压力的脑卒中偏瘫患者坐-站转移研究进展[J]. 中国临床保健杂志, 2015, 18(5): 542-545.
	Liu M, Ni C M, Mu J S. Research progress of sitting-station transfer in stroke patients with hemiplegia based on plantar pressure[J]. Chin J Clin Healthc, 2015, 18(5): 542-545.
[14]	Blache Y, Pairot de Fontenay B, Monteil K. The effects of seat height and foot placement on lumbar spine load during sit-to-stand tasks[J]. Ergonomics, 2014, 57(11): 1687-1695. doi: 10.1080/00140139.2014.948495 pmid: 25174255
[15]	Jeon W, Jensen J L, Griffin L. Muscle activity and balance control during sit-to-stand across symmetric and asymmetric initial foot positions in healthy adults[J]. Gait Posture, 2019, 71:138-144. doi: 10.1016/j.gaitpost.2019.04.030
[16]	Kerr A, Clark A, Cooke E V, et al. Functional strength training and movement performance therapy produce analogous improvement in sit-to-stand early after stroke: early-phase randomised controlled trial[J]. Physiotherapy, 2017, 103(3): 259-265. doi: S0031-9406(16)00028-6 pmid: 27107979
[17]	李芳, 安丙辰, 郑洁皎. 表面肌电图在脑卒中患者手神经肌肉功能评定中的应用[J]. 中国康复理论与实践, 2015, 31(3): 280-283.
	Li F, An B C, Zheng J J. Evaluating hand neural-muscle function after stroke with surface electromyography (review)[J]. Chin J Rehabil Theory Pract, 2015, 21(3): 280-283.
[18]	Androwis G J, Pilkar R, Ramanujam A, et al. Electromyography assessment during gait in a robotic exoskeleton for acute stroke[J]. Front Neurol, 2018, 9:630. doi: 10.3389/fneur.2018.00630
[19]	Kinoshita S, Kiyama R, Yoshimoto Y. Effect of handrail height on sit-to-stand movement[J]. PLoS One, 2015, 10(7): e0133747. doi: 10.1371/journal.pone.0133747
[20]	Kerr A, Dawson J, Robertson C, et al. Sit to stand activity during stroke rehabilitation[J]. Top Stroke Rehabil, 2017, 24(8): 562-566. doi: 10.1080/10749357.2017.1374687
[21]	Suriyaamarit D, Boonyong S. Mechanical work, kinematics, and kinetics during sit-to-stand in children with and without spastic diplegic cerebral palsy[J]. Gait Posture, 2019, 67:85-90. doi: S0966-6362(18)31654-0 pmid: 30292914
[22]	Boonyong S, Suriyaamarit D. The effects of anterior seat inclination on movement time, mechanical work and kinematics during sit-to-stand in children with spastic diplegic cerebral palsy[J]. Disabil Rehabil Assist Technol, 2019, 12:1-4. doi: 10.1080/17483107.2016.1253939
[23]	Chou S W, Wong A M, Leong C P, et al. Postural control during sit to stand and gait in stroke patients[J]. Am J Phys Med Rehabil, 2003, 82(1): 42-47. doi: 10.1097/00002060-200301000-00007
[24]	Goh H T, Tan M P, Mazlan M, et al. Social participation determines quality of life among urban-dwelling older adults with stroke in a developing country[J]. J Geriatr Phys Ther, 2019, 42(4): E77-E84. doi: 10.1519/JPT.0000000000000196
[25]	Makizako H, Shimada H, Doi T, et al. Predictive cutoff values of the five-times sit-to-stand test and the Timed "Up & Go" Test for disability incidence in older people dwelling in the community[J]. Phys Ther, 2017, 97(4): 417-424.

项目	统计值
年龄(岁)	59.60±9.36
性别(男/女, n)	10/5
身高(m)	1.68±0.03
体质量(kg)	72.27±7.09
卒中类型(梗死/出血,n)	12/3
偏瘫侧(左/右,n)	10/5
发病时间(月)	7.26±8.10
下肢Brunnstrom分期(Ⅳ/Ⅴ,n)	11/4
简化Fugl-Meyer评定量表下肢运动评分	29.83±3.09
Berg平衡量表评分	48.69±3.01
改良Barthel指数评分	89±12.15

肌肉	解剖位置
股直肌	大腿前侧中段肌腹最隆起处
腘绳肌	大腿后侧中部
胫骨前肌	膝关节与踝关节上1/4~1/3,胫骨旁开
腓肠肌内侧头	膝关节远端,中线旁开内侧2 cm

座椅前倾角	n	坐-站转移时间(s)	肌电峰值(μV)	RMS(μV)	iEMG(V·s)
0°	15	4.14±2.89	634.28±536.64	81.85±61.49	56.61±40.51
10°	15	3.33±1.49	544.91±483.41^a	75.45±57.03^a	52.36±37.11^a
20°	15	3.13±1.20^a	519.61±435.05^a	76.31±58.68^a	53.01±39.89^a
F值		6.620	9.862	7.229	4.530
P值		0.007	0.001	0.002	0.013

Effect of Chair Inclination Forward on Sit-to-Stand for Hemiplegics after Stroke

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