Determinants of sit-to-stand tasks in individuals with hemiparesis post stroke: A review

Publication date: Available online 23 May 2015 Source:Annals of Physical and Rehabilitation Medicine Author(s): Amira Boukadida , France Piotte , Patrick Dehail , Sylvie Nadeau Background and purpose The ability to rise from a chair to reach a standing position is impaired after stroke. This paper aims to review for the first time the factors that impact the ability to rise from a chair and identify recommendations for post-stroke rehabilitation. Methods In order to analyse relevant scientific publications (French and English), the search terms “stroke”, “rehabilitation” and “sit-to-stand” (STS and its variations) were used. The initial literature search identified 122 titles and abstracts for full review and 46 were retained because both the junior and senior researchers agreed that they were aligned with the objectives of this review. Results and conclusion During STS, most individuals with hemiparesis able to stand independently presented several changes such as lateral deviation of the trunk towards the unaffected side (ipsilesional side), asymmetrical weight bearing (WB) and asymmetry of knee moment forces. Interestingly, the WB asymmetry was observed even before seat-off, when subjects with hemiparesis still had their thighs in contact with the chair suggesting a planned strategy. Among other interesting results, the time to execute the STS was longer than in controls and influenced by the sensorimotor deficits. A greater risk of falling was obse...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research