The sit-to-stand movement in stroke patients and its correlation with falling

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Deutscher übersetzter Titel:Die Bewegung des Aufstehens vom Sitzen in den Stand bei Schlaganfallpatienten und ihre Beziehung zur Sturzanfaelligkeit
Autor:Cheng, P.T.; Liaw, M.Y.; Wong, M.K.; Tang, F.T.; Lee, M.Y.; Lin, P.S.
Erschienen in:Archives of physical medicine and rehabilitation
Veröffentlicht:79 (1998), 9, S. 1043-1046, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource
Sprache:Englisch
ISSN:0003-9993, 1532-821X
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Erfassungsnummer:PU199812305781
Quelle:BISp

Abstract des Autors

Objective: To use kinetic assessment of the sit-to-stand movement as a means of sorting out those stroke patients at risk for falling. Design: A retrospective study, using a force platform to assess sit-to-stand performance and to determine its correlation with falls in stroke patients. Setting: Hospital-based rehabilitation units. Methods: Thirty-three stroke patients (18 fallers, 15 nonfallers) and 25 age-matched healthy subjects were included in this study. Subjects sat in an adjustable chair with their feet on two force plates and performed the standing up/sitting down movement at a self-paced, comfortable speed. Results: The rate of rise in force (dF/dT) was significantly lower in stroke fallers than in stroke nonfallers and healthy subjects (23.78+/-17.38, 55.23+/-31.24, and 85.96+/-42.4 percent body weight per second, respectively (p<.005)). The center of pressure sway in mediolateral direction during rising/sitting down was much greater in stroke fallers than in stroke nonfallers or healthy subjects (p<.05). Body weight distribution was asymmetric on the feet of stroke patients, with much more body weight on their sound side. Conclusions: The significantly lower rate of rise in force and greater postural sway while rising/sitting down may be useful in identifying stroke patients who are at risk for falling. Verf.-Referat