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The sit-to-stand and dynamic weight-shifting ability of stroke patients is highly associated with walking performance. Therefore, in order to improve the dynamic weight-shifting ability in sit-to-stand and parallel or tandem standing, a real-time visual or auditory feedback is used in our design to allow patients to realize the weight-bearing condition (by using load cells) in both sound and affected legs immediately. It can help patients to learn to control muscle to shift weight effectively which will improve patients' walking performance. By integrating physical therapy planning with electro-mechanical technology, the goal of this study is to develop a standing balance training system by requiring patients to control their center of pressure (COP) in performing sit-to-stand and maintain a standing posture via the use of their core and lower extremity musculature.
1. Written informed consent must be obtained before any study specific procedures are undertaken.
2. The process of the experiment (brief describe)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy subjects | Other | The healthy adults who have not any neurological, musculoskeletal or rhematogical disease, a history of orthopedic surgery on spine or lower extremity. Their age should be ranged between 20 - 75 years. |
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| Stroke subjects | Experimental | Stroke patients were included if they were: (1) diagnosed with unilateral ischemic or hemorrhagic stroke; (2) a minimum of six months post stroke ; (2) able to stand without support for 1 minutes; (3) able to understand and follow verbal instructions. and (4) medically stable with physician release. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Balance function, gait ability, weight- distribution and weight-shifting | Behavioral | Healthy adults and stroke patients accepted two measurements within a week. Balance function, gait ability, weight- distribution and weight-shifting during sit-to-stand, quite standing, and weight-shifting toward the forward foot. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in performance of weight distribution after 8 sessions intervention | By using the force plate to record the ground reaction force and then to obtain weight distribution while performing the sit to stand activity | The assessments will be conducted before and after intervention (4 Weeks, 8 Sessions) |
| Changes in performance of standing balance after 8 sessions intervention | By using the force plate to obtain displacements of the center of pressure (COP) while standing and weight transfer | The assessments will be conducted before and after intervention (4 Weeks, 8 Sessions) |
| Changes in performance of static and dynamic balance after 8 sessions intervention | By using the Postural Assessment Scale of Stroke (PASS) to assess and monitor postural control. The PASS consists of 2 sections with a 4-point scale to describe each task. The total score ranges from 0 - 36. | The assessments will be conducted before and after intervention (4 Weeks, 8 Sessions) |
| Changes in performance of balance function after 8 sessions intervention | By using the Berg Balance Scale to assess balance function. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4during a series of predetermined tasks. The total score ranges from 0 - 56. | The assessments will be conducted before and after intervention (4 Weeks, 8 Sessions) |
| Changes in performance of dynamic balance after 8 sessions intervention | By using Timed Up and Go Test (TUG) to assess fall risk and measure the progress of balance. An older adult who takes ≥12 seconds to complete the TUG is at risk for falling. | The assessments will be conducted before and after intervention (4 Weeks, 8 Sessions) |
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Inclusion Criteria:
Healthy adults
a. Their age should be ranged between 20 - 75 years
Stroke patients
Exclusion Criteria:
Healthy adults
Stroke patients
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| Name | Affiliation | Role |
|---|---|---|
| Li-Jiun Liaw | Kaohsiung Medical University Department of Physical Therapy Associate Professor | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Li-Jiun Liaw | Kaohsiung City | Sanmin Dist | 80708 | Taiwan |
Currently in the submission stage ,and then share with other researchers after publication
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| Weight- distribution and weight-shifting training program | Behavioral | The stroke patients received a weight-shifting training program , 30 minutes/time, 2-5 days a week for 2-3 weeks(8 sessions). After training, they accepted a post-test within a week. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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