Background: Stroke patients have reduced trunk control compared to normal people. The ability to control the trunk of a stroke patient is important for gait and balance. However, there is still a lack of research methods for the characteristics of stroke control in stroke patients.
Objects: The aim of this research was to determine whether trunk position sense has any relation with balance and gait.
Methods: This study assessed trunk performance by measuring position sense. Trunk position sense was assessed using the David back concept to determine trunk repositioning error in 20 stroke patients and 20 healthy subjects. Four trunk movements (flexion, extension, lateral flexion, rotation) were tested for repositioning error and the measurement was carried out 6 times per move; these parameters were used to compare the mean values obtained. Subjects with stroke were also evaluated with clinical measures of balance and gait.
Results: There were significant differences in trunk repositioning error between the stroke group and the control group in flexion, lateral flexion to the affected side, lateral flexion to the unaffected side, rotation to the affected side, and rotation to the unaffected side. Mean flexion error: post-stroke: 7.95 ± 6.76 degrees, control: 3.32 ± 2.27; mean lateral flexion error to the affected side: 6.13 ± 3.79, to the unaffected side: 5.32 ± 3.15, control: 3.57 ± 1.92; mean rotation error to the affected side: 8.25 ± 3.09, to the unaffected side: 9.24 ± 3.94, control: 5.41 ± 1.82. There was an only significant negative correlation between the repositioning error of lateral flexion and the Berg balance scale score to the affected side (–0.483) and to the unaffected side (–0.497). A strong correlation between balance and gait was found.
Conclusion: The results of this study indicate that stroke patients exhibit greater trunk repositioning error than age-matched controls on all planes of movement except for extension. And lateral flexion has correlation with balance and gait.
This study aimed to measure the grip strength of the dominant and non dominant hands of right-handed normal adults in the supination, pronation, and neutral positions of the forearms. The subjects of this study were instructed to make the standard posture suggested by the American Society of Hand Therapists (ASHT) in order to minimize the impact of changes in the posture of the body as follows. The grips strength was statistically different between groups (p<.05). In the follow up test using Scheffe test, the grips in the neutral position and supinator position did not show any difference, while the grip in the pronation was smaller than those of the above two other positions. The grips of the mainly used forearm and non-mainly used forearm of the study target did not show any statistically significant difference in the neutral, supinator and pronation positions of the forearm. This study is expected to provide basic information for studying the impact of the positions of the forearms on grip strength, assessing the prehensility of patients in clinical settings, and setting therapeutic goals.ㅍ
The purpose of this study is to investigate the effects of closed and open kinetic chain exercise for increasing knee joint function on the knee position sense in the normal adults. Thirty normal adults(male 15, female 15; mean age: 22.13±2.58 years) were participated in this study into two groups, each with 15 people. The group I was trained that closed kinetic chain exercise on the knee joint and the group II was trained that open kinetic chain exercise on the knee joint. Exercise programs performed for 4 weeks, 3 times a week were using Shuttle 2000-1 closed kinetic chain exercise and Knee Extensor open kinetic chain exercise(HUR, Filand). The results of this study were as follows: 1) There were statistically significant decreasing of measuring error degree in 0-20。were found between before and after training in closed kinetic chain exercise(p<.05). 2) There were statistically significant decreasing of measuring error degree in 21-40。were found between before and after training in closed kinetic chain exercise(p<.05). 3) There were statistically significant decreasing of measuring error degree in 41-60。were found between before and after training in closed kinetic chain exercise(p<.05). 4) There were statistically significant decreasing of measuring error degree in 0- 20。were found between before and after training in open kinetic chain exercise(p<.05). 5) There were statistically significant decreasing of measuring error degree in 21-40。were found between before and after training in open kinetic chain exercise(p<.05). 6) There were statistically significant decreasing of measuring error degree in 41- 60。were found between before and after training in open kinetic chain exercise(p<.05). In conclusion, these results suggest that closed and open kinetic chain exercise has increased in the knee joint proprioception between before and after training. Especially, closed kinetic chain exercise could be more useful intervention than open kinetic chain exercise for increasing proprioceptive sense.
Twenty normal female subjects participated in a study designed to motion on the time required to complete manual tasks from the Jebsen Hand Function Test. The Jebsen Hand Function Test consists of seven subtests: writing; turning cards; picking up small objects; simulating feeding; stacking checkers; picking up large and light objects; picking up large and heavy objects. At this study, writing was excluded. Activities were performed with the wrist free and with the wrist immobilized by the volar splints that were flexed 40" and 80" . Data were analyzed using the MANOVA(Mu1tiple analysis of variance) and the Wilcoxon signed ranks test. The results showed that the time for performing the subtasks(turning cards, picking up small objects, stacking checkers) statistically significantly decreased during a wrist 40" flexion rather than a wrist free.
Especially when a wrist was flexed 80" , the performing time of all subtasks statistically significantly decreased rather than a wrist free. Only one subtask(simu1ating feeding), 20-29 years old female statistically significantly decreased in performing time rather than 30-39 years old female with a wrist free. This study presents that a hand function is affected by a variable wrist position.