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A Study on the Effects of Sit-to-Stand Exercise while Wearing a Sandbag on the Affected Ankle on Balance and Gait Ability of Stroke Patients: A Randomized Controlled Trial

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(1), pp.15~26
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : December 30, 2024
  • Accepted : January 31, 2025
  • Published : February 28, 2025

손중현 1 Kim Kyoung ORD ID 2 심건우 1

1대구대 물리치료
2대구대학교

Accredited

ABSTRACT

PURPOSE: Normal people make relatively symmetrical movements compared to stroke patients suffering from hemiplegia, maintaining good balance and performing movements smoothly. Stroke patients tend to make asymmetrical movements, making them prone to losing balance and inefficient movements. Therefore, this study compared the effects of weight load on the affected side on the balance and gait abilities of stroke patients during sit-to-stand training using sandbags (STSS) and examined the impact of each. METHODS: It targeted 36 stroke patients hospitalized at D Rehabilitation Hospital. The subjects were randomized into experimental group (EG, n = 18) and a control group (CG, n = 18). The EG performed STSS on the affected side ankle. The CG performed sit-to-stand exercise without anything. Pre- and post-intervention, we measured affected side weight distribution, Timed up and go (TUG) test and gait variables. RESULTS: In the intra-group comparisons, weight distribution of the affected side (p < .05), TUG (p < .05), step length of the affected side (p < .05), step length of the unaffected side (p < .05), gait speed (p < .05) and cadence (p < .05) showed significant differences. In the between-group comparison, there were significant differences in weight distribution of the affected side (p < .05), TUG (p < .05), and unaffected side's step length (p < .05). CONCLUSION: The STSS is more effective for the balance and gait ability of stroke patients. Applying exercise STSS on the affected side could be a more effective intervention for patients with hemiplegia due to stroke, enhancing balance and gait abilities.

Citation status

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