Publication: Light Touch Cue Through a Cane Improves Pelvic Stability During Walking in Stroke
0
0
Issued Date
2009
Resource Type
Language
eng
File Type
application/pdf
Access Rights
open access
Rights
ผลงานนี้เผยแพร่ภายใต้ สัญญาอนุญาตครีเอทีฟคอมมอนส์แบบ แสดงที่มา-ไม่ใช้เพื่อการค้า-ไม่ดัดแปลง 4.0 (CC BY-NC-ND 4.0)
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Archives of Physical Medicine and Rehabilitation. VOLUME 90, ISSUE 6, P919-926, JUNE 01, 2009
Suggested Citation
Boonsinsukh, R., Panichareon, L., Phansuwan-Pujito, P. Light Touch Cue Through a Cane Improves Pelvic Stability During Walking in Stroke. Archives of Physical Medicine and Rehabilitation. VOLUME 90, ISSUE 6, P919-926, JUNE 01, 2009. doi:https://doi.org/10.1016/j.apmr.2008.12.022 Retrieved from: https://hdl.handle.net/20.500.14740/11766
Organization
Abstract
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.