• Weight Bearing
    • Effect Of A Cane On...
    • Effect of a Cane on Sit-to-Stand Transfer in Subjects with Hemiparesis: Influence Statistics

      Expert Impact

      Concepts for whichthey havehas direct influence:Weight bearing,Movement muscle,Subjects hemiparesis,Symmetry weight,Stand sts,Paresis posture,Force plates,Lower extremity.

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      Effect of a Cane on Sit-to-Stand Transfer in Subjects with Hemiparesis


      OBJECTIVE: The aim of this study was to determine the effect of using a cane on movement time, joint moment, weight symmetry, and muscle activation patterns during sit-to-stand (STS) transfer in healthy subjects and subjects who have had a stroke.

      DESIGN: Nine subjects with hemiparesis (mean [SD] age, 61.11 [12.83] yrs) and nine healthy adults (mean [SD] age, 63.11 [10.54] yrs) were included. The subjects with hemiparesis performed STS transfer in two randomly assigned conditions: (1) without a cane and (2) with a cane. The healthy subjects performed only STS transfer without a cane. A three-dimensional motion system, force plates, and eletromyography were used to examine STS transfer. The symmetry index between the two limbs was calculated.

      RESULTS: The movement time of the subjects with hemiparesis in both conditions without a cane and with a cane was longer than that of the healthy subjects without a cane (P < 0.025). However, STS transfer with a cane in the subjects with hemiparesis resulted in shorter movement time, greater knee extensor moment of the paretic limb, and more symmetry of weight bearing than in those without a cane (P < 0.05). The sequence of muscle onset tended to improve with a cane in the subjects with hemiparesis.

      CONCLUSIONS: Cane use may promote more symmetrical STS transfers rather than compensation by the unaffected limb.

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