Sit to Stand Flashcards
What are the essential components of sit to stand? (5 points, p. 46 of manual)
- Initial foot placement, ankles in DF
- Forward inclination of the trunk with trunk extended
- Anterior translation of the knees at bottom off (DF)
- Hip, knee and ankle extension for final alignment
- Even weightbearing through both LLs throughout
What are some common kinematic deviations of STS in stroke patients? (6 points, week 4, p. 7)
- Changed muscle activation patterns
- Decreased ankle DF
- Decreased forward inclination of trunk
- Decreased WB on affected leg before starting STS
- Decreased WB on affected leg during STS
- Decreased hip and knee extension in final align.
What does the NSF recommend for STS? (1 point, week 4 p. 7)
Practice sit to stand - A.
What is a good study to quote re: STS evidence? (week 4, p. 8)
Dean (1997)
Made people with with stroke sit and reach >3000 times beyond arm’s length, which improved their ground reaction force through the affected leg, and their ability to stand up.
What are the potential impairments for decreased ankle DF? (3 points, p. 47 of manual)
Decreased strength knee flexors
Decr. sensation affected leg
Decr. ROM ankle
What are the potential impairments for decr. forward inclination of the trunk? (4 points, p. 47)
Decr. strength - Hip F, hip E, all LL extensors
Coordination of LL extensors as weight rapidly transfers
Decr. sensation of LL
Fear of falling forward
What are the potential impairments for decr. WB on affected side in STS? (3 points, p. 48)
Decr. strength of all LL extensors
Decr. sensation
Decr. coordination of LL extensors
What are the potential impairments for decr. hip extension in final alignment? (4 points, p. 48)
Strength of hip extensors and soleus
Coordination of LL extensors
Sensation
ROM - hip extension
What are the potential impairments for decr. knee extension in final alignment? (4 points, p. 48)
Strength - knee extensors and plantar flexors
Coordination of LL extensors
Sensation
ROM - knee extension
