Evidence - Principles of training - Standing Flashcards
1
Q
Cordo & Nashna, 1982
A
- Examined normal activation of leg muscles during pushing and pulling movements on a handle in standing
- muscles activated distal to proximal during pushing
- anterior leg muscles activated, during pulling, posterior leg muscle activated
- Clinical Implications: train both pushing and pulling movements
2
Q
Zattara et al, 1988
A
- Examined EMG patterns in LL during reaching tasks in normal participants
- Patterns varied with tasks, muscle activity was anticipatory on ongoing, when holding on, hand muscles turned on instead of leg muscles
- Clinical Implications: train whole tasks: include variety, amke specific, don’t hold on doing training
3
Q
De Haart et al, 2005
A
- two groups: one healthy, one post stroke - compared accuracy and speed of lateral shift over 12 weeks
- after 12 weeks, stroke patients had attained normal precision, but speed was still reduced in both directions
- Clinical implications: Train hip abductors in strength and speed, also train weight shift using cues
4
Q
Lubetsky-Vilnai, 2010
A
- Systematic review examining effects of balance training on standing balance after stroke
- One on one or group balance training effective in improving standing balance
- Clinical implications: both one on one and group balance training effective
5
Q
Kim et al, 2009
A
- Two groups: one with normal Physio ( 40 mins x 4 days x 4 weeks), one with normal Physio and 30 mins of virtual reality therapy
- added virtual therapy improved Berg Balance Scoes and were better at shifting weight with an increased gait velocity, step cadance and length
- Clinical Implications: Needs more research but Virtual reality could be helpful
6
Q
Stanton et al, 2016
A
- systematic review comparing biofeedback and usual physio in training LL activities post stroke
- Biofeedback more effective than usual PT in improving standing in patients post stroke
- Clinical implications: use biofeedback
