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Comparative Kinematic and Electromyographic Assessment of Clinician- and Device-Assisted Sit-to-Stand Transfers in Patients With Stroke

Judith M. Burnfield, Bernadette McCrory, Yu Shu, Thad W. Buster, Adam P. Taylor, Amy J. Goldman
DOI: 10.2522/ptj.20120500 Published 1 October 2013
Judith M. Burnfield
J.M. Burnfield, PT, PhD, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital, 5401 South St, Lincoln, NE 68506 (USA).
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Bernadette McCrory
B. McCrory, PhD, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital.
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Yu Shu
Y. Shu, PhD, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital.
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Thad W. Buster
T.W. Buster, MS, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital.
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Adam P. Taylor
A.P. Taylor, BS, BA, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital.
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Amy J. Goldman
A.J. Goldman, PT, DPT, Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospital.
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Figures

Figure 1.
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Figure 1.

VERA-LIFT sit-to-stand device.

Figure 2.
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Figure 2.

Sit-to-stand transfer conditions: CA=clinician-assisted, D-NE=device-assisted with no patient effort, D-BE=device-assisted with patient's best effort, D-CA=device-assisted with verbal and physical guidance from the clinician.

Figure 3.
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Figure 3.

Ensemble-averaged (n=10) sagittal-plane mean joint angles (degrees) of the trunk, pelvis, hip, thigh, knee, and ankle recorded during sit-to-stand transfers with clinician-assisted (CA, solid line), device-assisted with no patient effort (D-NE, dotted line), device-assisted with patient's best effort (D-BE, dash-dotted line), and device-assisted with verbal and physical guidance from the clinician (D-CA, dashed line) conditions.

Tables

Table 1.
Table 1.

Selected Clinical and Anthropometric Characteristics of the Study Participants at the Time of Admission

  • a Mean (SD).

  • b Median (range).

  • c Ranges from 18 (total dependence) to 126 (total independence).

  • d Ranges from 13 (total dependence) to 91 (total independence).

Table 2.
Table 2.

Comparison of Mean (SD) Start, Peak, and End Joint Angles (°) During Sit-to-Stand Transfersa

  • ↵a CA=clinician-assisted, D-NE=device-assisted with no patient effort, D-BE=device-assisted with patient's best effort, D-CA=device-assisted with verbal and physical guidance from the clinician, ALL=other 3 conditions, F test statistic from the parametric analysis of variance tests, chi-square test statistic from nonparametric Friedman analysis of variance on ranks tests.

Table 3.
Table 3.

Comparison of Mean (SD) Peak and Mean (% MVC) Muscle Activity During Sit-to-Stand Transfersa

  • ↵a MVC=maximum voluntary contraction, CA=clinician-assisted, D-NE=device-assisted with no patient effort, D-BE=device-assisted with patient's best effort, D-CA=device-assisted with verbal and physical guidance from the clinician, F test statistic from the parametric analysis of variance tests.

Videos

Video Abstract

Video abstract of the study's major findings, a demonstration of the four experimental conditions, and a brief discussion of safe patient handling in rehabilitation.

Supplementary Data

Video

Files in this Data Supplement:

  • Video - Video abstract of the study's major findings, a demonstration of the four experimental conditions, and a brief discussion of safe patient handling in rehabilitation. Running time: 3:06 (183 MB)
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Vol 93 Issue 10 Table of Contents
Physical Therapy: 93 (10)

Issue highlights

  • Exercise Interventions for Upper Limb Dysfunction Due to Breast Cancer Treatment
  • Quality in Physical Therapist Clinical Education
  • Physical Performance in Thai Elderly People
  • Shared Decision Making in Physical Therapy
  • Kinematic and EMG Assessment of Sit-to-Stand Transfers in Patients With Stroke
  • Physical Therapy Benefit in a Typical Blue Cross Blue Shield Preferred Provider Organization Plan
  • Conceptual Limitations of Balance Measures for Community-Dwelling Older Adults
  • Validity of the Dynamic Gait Index in People With Multiple Sclerosis
  • Individual Responsiveness of 2 Measures
  • Outcome Measures for People With Stroke
  • Efficacy of TENS in the Clinical Setting
  • Self-Reported Aging-Related Fatigue
  • The Next Evolution
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Comparative Kinematic and Electromyographic Assessment of Clinician- and Device-Assisted Sit-to-Stand Transfers in Patients With Stroke
Judith M. Burnfield, Bernadette McCrory, Yu Shu, Thad W. Buster, Adam P. Taylor, Amy J. Goldman
Physical Therapy Oct 2013, 93 (10) 1331-1341; DOI: 10.2522/ptj.20120500

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Comparative Kinematic and Electromyographic Assessment of Clinician- and Device-Assisted Sit-to-Stand Transfers in Patients With Stroke
Judith M. Burnfield, Bernadette McCrory, Yu Shu, Thad W. Buster, Adam P. Taylor, Amy J. Goldman
Physical Therapy Oct 2013, 93 (10) 1331-1341; DOI: 10.2522/ptj.20120500
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