Effect of Weight Shift Exercises on Leg Global Synkinesis and Gait in Patients with Stroke (체중이동 운동이 뇌졸중 환자의 다리 Global Synkinesis와 보행에 미치는 영향)

Seung-Yun Baek (백승윤)

Effect of Weight Shift Exercises on Leg Global Synkinesis and Gait in Patients with Stroke

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2021, 16(2), pp.63-70
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : December 30, 2020
Accepted : February 15, 2021
Published : May 31, 2021

Seung-Yun Baek ¹

¹세한대학교 물리치료학과

Accredited

ABSTRACT

PURPOSE: This study aimed to analyze the factors influencing the improvement of global synkinesis (GS) and gait in stroke patients by the weight shift exercise. METHODS: Twenty stroke patients were randomly assigned to experimental group I (n = 10) and experimental group II (n = 10). In experimental group I, weight shift with upper extremity exercises in a standing position were mediated and in experimental group II, upper extremity exercises in a standing position were mediated. These interventions were conducted in both groups for three sessions per week, 30 minutes per session over four weeks. Before the interventions, leg GS was measured using surface electromyography and the 10ｍ walk test (10MWT). The same parameters were measured four weeks later. RESULTS: The GS and 10MWT of the experimental group I showed that there was a statistically significant difference between dorsiflexion (p < .05) and plantarflexion (p < .01) and 10MWT (p < .01). In experimental group II, there was a statistically significant difference only in 10MWT (p < .01). The comparison between the changes in both groups showed that in the case of GS, there was a statistically significant difference in the dorsiflexion (p < .01) and plantarflexion (p < .05), and in the 10MWT too (p < .05). CONCLUSION: GS of the lower extremities was decreased by improving posture control and enlarging soft tissues due to the symmetrical weight shift in experimental group I, which turned out to be effective in improving the gait speed.

KEYWORDS

Global Synkinesis, 10ｍ walk test, Stroke

Citation status

* References for papers published after 2023 are currently being built.

[other] World Health Organization / 2014 / Stroke, Cerebrovascular accident

[journal] Geurts AC / 2005 / A review of standing balance recovery from stroke / Gait &posture 22(3) : 267~281

[journal] Kleindorfer D / 2010 / Which stroke symptoms prompt a 911 call? A populationbasedstudy / Am JEmergMed 28(5) : 607~612

[journal] Bonan IV / 2004 / Reliance on visual information after stroke. Part I: Balance on dynamic posturography / Archives of physical medicine and rehabilitation 85(2) : 268~273

[journal] Rodgers SL / 2008 / Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke / J Rehabil Res Dev 45(2) : 221~228

[journal] Goldie PA / 1996 / Maximum voluntary weight-bearing by the affected and unaffected legs in standing following stroke / Clinical Biomechanics 11(6) : 333~342

[journal] Liaw MY / 2009 / Comparison of the static and dynamic balance performance in young, middle-aged, andelderly healthy people / Chang Gung Med J 32(3) : 297~304

[journal] 이용우 / 2012 / The Relation between asymmetric weight-supporting and gait symmetry in patients with stroke / 대한물리의학회지 / 대한물리의학회 7(2) : 205~212

[journal] Dobkin BH / 2008 / Training and Exercise to drive poststroke recovery / Nature Reviews Neurology 4(2) : 76~85

[journal] Franck JA / 2017 / Changes in arm-hand function and arm-hand skill performance in patients after stroke during and after rehabilitation / PloS one 12(6) : e0179453~

[journal] Kumar KV / 2017 / Eclectic/mixed model method for upper extremity functional recovery in stroke rehabilitation : A pilot study / J Nat Sci Biol Med 8(1) : 75~81

[journal] 안진영 / 2011 / An Effect of Quality of Life on Affected Side Upper Extremity Performance Ability After a Cerebrovascular Accident : A Study of the Relationship Between MAL and SS-QOL / 대한고령친화산업학회지 / 대한고령친화산업학회 3(1) : 53~58

[journal] Lang CE / 2013 / Assessment of upper extremity impairment, function, and activity after stroke : foundations for clinical decision making / Journal of Hand Therapy 26(2) : 104~114

[journal] Waller SM / 2012 / Arm training in standing alsoimproves postural control in participants with chronicstroke / Gait Posture 36(3) : 419~424

[journal] 문영준 / 2019 / The Effect of Arm Movements in the during Standing Position on Lower Limb Global Synkinesis and Balance in Stroke Patients / 국제물리치료연구학회 / 국제물리치료연구학회 10(3) : 1849~1855

[journal] Ikai T / 2003 / Dynamic postural control in patients with hemiparesis / Am J Phys Med Rehabil 82(6) : 463~469

[thesis] Shin JW / 2018 / Effects of Bilateral Reaching Task Training in Sitting on Balance, Sit to Stand, Gait inPatients with Stroke / Doctor / Graduate School of Catholic University of Pusan

[journal] Cauraugh JH / 2009 / Upper extremity improvements in chronic stroke : coupled bilateral loadtraining / Restor Neurol Neurosci 27(1) : 17~25

[journal] 방대혁 / 2017 / The Effect of Arm Training in Standing Position on Balance and Walking Ability in Patients with Chronic Stroke / 대한물리의학회지 / 대한물리의학회 12(2) : 75~82

[journal] Hwang IS / 2005 / Electromyographic analyses of global synkinesis in the paretic upper limb after stroke / Physical therapy 85(8) : 755~765

[journal] Boissy P / 2000 / Effects of upper and lower limb static exertions on global synkineses in hemiparetic subjects / Clin Rehabil 14(4) : 393~401

[other] Ejaz N / 2017 / Finger recruitment patterns during mirror movements suggest two systems for hand recovery after stroke / bioRxiv

[thesis] Park YH / 2010 / The effect of presynaptic inhibition using the TES for activity of central neuron and gait on the post-stroke hemiplegic patients / Master / Graduate School of Dong Shin University

[journal] Dean CM / 2000 / Task-related circuit training improves performance of locomotor tasks in chronic stroke : a randomized, controlled pilot trial / Arch Phys Med Rehabil 81(4) : 409~417

[journal] Haruyama K / 2017 / Effect of Core Stability Training on Trunk Function, Standing Balance and Mobility in Stroke Patients : A Randomized Controlled Trial / Neurorehabilitation and neural repair 31(3) : 240~249

[journal] 송성미 / 2016 / Evaluation of Human Body Effects during Activities of Daily Living According to Body Weight Support Rate with Active Harness System / 재활복지공학회논문지 / 한국재활복지공학회 10(1) : 47~57

[journal] 전현주 / 2014 / Effect of Auditory Biofeedback Training and Kicking Training on Weight-bearing ratio in Patient with Hemiplegia / 대한물리의학회지 / 대한물리의학회 9(4) : 363~373

[journal] Huang YC / 2011 / Conduction and morphological changes in wrist nerves immediately after bilateral sanding exercises in hemiparetic subjects / PM&R 3(10) : 933~939

[journal] Bang DH / 2016 / Effects of robot-assisted gait training on spatiotemporal gait parameters and balance inpatients with chronic stroke : A randomized controlled pilot trial / NeuroRehabilitation 38(4) : 343~349

[journal] Chen YT / 2018 / Motor overflow and spasticity in chronic stroke share a common pathophysiological process : analysis of within-limb and between-limb EMG-EMG coherence / Frontiers in neurology 9 : 795~

[thesis] Park YH / 2010 / The effect of presynaptic inhibition using the tes for activity of central neuron and gait on the post-stroke hemiplegic patients / Master / Graduate School of DonGShin University

[thesis] Lim JH / 2008 / The effects of global synkinesis on gait ability in stroke patients / Master / Graduate School of Dongshin University

[journal] Chen HC / 2008 / The beneficial effectsof a functional task target on reaching and postural balance in patients with right cerebral vascularaccidents / Motor Control 12(2) : 122~135

[journal] Lee CH / 2014 / Augmented reality-based postural control training improves gait function in patients with stroke : Randomized controlled trial / J Hong Kongphysiother 32 : 51~57

[journal] 고연주 / 2017 / The Effect of Weight-shift Training with Hula Hoop on Weight Shift Change and Gait in Stroke Patients: A Cross - Sectional Pilot Study / 대한물리의학회지 / 대한물리의학회 12(1) : 9~14

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