Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/15154
ชื่อเรื่อง: Light Touch Cue Through a Cane Improves Pelvic Stability During Walking in Stroke
ผู้แต่ง: Boonsinsukh R.
Panichareon L.
Phansuwan-Pujito P.
Keywords: adult
aged
article
association
body weight
cerebrovascular accident
clinical article
clinical trial
controlled clinical trial
controlled study
crossover procedure
disease duration
electromyogram
female
gait
human
joint stability
male
muscle contraction
paresis
pelvis
rehabilitation care
semitendinous muscle
somatosensory stimulation
tensor fascia lata muscle
tertiary health care
touch
vastus lateralis muscle
walking aid
walking speed
weight bearing
Adult
Aged
Aged, 80 and over
Canes
Cross-Over Studies
Female
Gait
Humans
Male
Middle Aged
Pelvis
Physical Therapy Modalities
Postural Balance
Stroke
Walking
วันที่เผยแพร่: 2009
บทคัดย่อ: Boonsinsukh R, Panichareon L, Phansuwan-Pujito P. Light touch cue through a cane improves pelvic stability during walking in stroke. Objective: To examine the effect of a light touch cue provided through a cane on mediolateral (ML) pelvic stability during walking in subjects poststroke. Design: Crossover trial examining ML pelvic stability during walking using a cane with the force contact and touch contact methods. Setting: Physical therapy clinic, tertiary care center. Participants: Subacute patients (N=40) with stroke with a mean age of 59.6 years and mean stroke duration of 46.8 days. The average gait speed with a cane was .13m/s (.05-.29m/s). Intervention: Using a cane with the force contact and touch contact methods during walking. Main Outcome Measures: ML pelvic stability as measured by averaged peak-to-peak pelvic acceleration, muscle activation of bilateral tensor fascia latae (TFL), semitendinosus (ST), and vastus medialis (VM) using an electromyography system, and vertical cane force. Results: The average amount of cane force during touch contact and force contact cane use conditions was 2.3N and 49.3N, respectively. A light touch cue through a cane was required only when the paretic leg accepted the body weight, and this cue can provide ML pelvic stability (.16g of average pelvic acceleration) during walking to the same degree as the force contact method of cane use. However, significant increases in single-limb support duration with higher activations of TFL, VM, and ST muscles on the paretic leg were found during the paretic stance phase when using a cane in the touch contact fashion (P<.05). Conclusions: A light touch cue can be provided during walking through the use of a cane. This augmented somatosensory information provides lateral stability during walking for subjects with stroke by facilitating the activations of weight-bearing muscles on the paretic leg during the stance phase. © 2009 American Congress of Rehabilitation Medicine.
URI: https://ir.swu.ac.th/jspui/handle/123456789/15154
https://www.scopus.com/inward/record.uri?eid=2-s2.0-65749102100&doi=10.1016%2fj.apmr.2008.12.022&partnerID=40&md5=32a1e1851cb044bab70ddf0f14697122
ISSN: 39993
Appears in Collections:Scopus 1983-2021

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