Effects of performing a lateral-reaching exercise while seated on a tilted surface for severe post-stroke pusher behavior: A case series
| Autor: | Kazu Amimoto, Shigeru Makita, Kazuhiro Fukata, Mamiko Inoue, Yuji Fujino, Hidetoshi Takahashi, Masahide Inoue, Saki Kurosawa, Kohei Shida |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Hemispheric stroke Fist Sitting Fear of falling 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Sitting balance medicine Postural Balance Humans Community and Home Care Sitting Position business.industry Rehabilitation Stroke Rehabilitation Fear Trunk Stroke Post stroke Accidental Falls Neurology (clinical) medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Topics in stroke rehabilitation. 28(8) |
| ISSN: | 1945-5119 |
| Popis: | Background: For patients with severe post-stroke pusher behavior (PB), acquiring a vertical posture involves correcting paretic-sided body tilt to the non-paretic side. Active lateral sitting training may facilitate improvement in postural orientation for patients with PB. However, its effect on patients with severe PB remains unclear. Objective: To determine the effect of performing a lateral-reaching exercise in patients with severe PB seated on a tilted surface Methods: Three patients with severe PB due to right hemispheric stroke participated in our study. Using a single-case design, the intervention's effect was verified using the applied behavior analysis method. Conventional physical therapy was performed for 1 h at baseline and at follow-up. During the intervention, lateral sitting training on a tilted surface was performed 40 times per session (total, 2 sessions). PB was assessed using the Scale for Contraversive Pushing and the Burke Lateropulsion Scale, and patient-reported fear of falling. The Function in Sitting Test (FIST) and the Trunk Control Test (TCT) were administered. Results: PB improved in all patients post-intervention and persisted at follow-up. Fear of falling during the passive sitting task while moving toward the non-paretic side disappeared post-intervention and at follow-up. FIST and TCT scores improved in 2 patients. Conclusion: The lateral sitting exercise reduced severe PB in all patients; however, sitting balance and trunk performance did not improve in 1 patient. Future studies to examine the adaptability of this task and long-term effects are needed. |
| Databáze: | OpenAIRE |
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