Article

The ability to rise from a chair to reach a standing
position is impaired after stroke. This paper aims to review for the first time
the factors that impact the ability to rise from a chair and identify
recommendations for post-stroke rehabilitation.
METHODS: In order to analyse
relevant scientific publications (French and English), the search terms "stroke",
"rehabilitation" and "sit-to-stand" (STS and its variations) were used. The initial literature search identified 122 titles and abstracts for full review and
46 were retained because both the junior and senior researchers agreed that they
were aligned with the objectives of this review. CONCLUSION: During
STS, most individuals with hemiparesis able to stand independently presented
several changes such as lateral deviation of the trunk towards the unaffected
side (ipsilesional side), asymmetrical weight bearing (WB) and asymmetry of knee
moment forces. Interestingly, the WB asymmetry was observed even before seat-off,
when subjects with hemiparesis still had their thighs in contact with the chair
suggesting a planned strategy. Among other interesting results, the time to
execute the STS was longer than in controls and influenced by the sensorimotor
deficits. A greater risk of falling was observed with a need for more time to
stabilize the body during STS and especially during the extension phase. Some
rehabilitation interventions may be effective in improving STS duration, WB
symmetry and the ability to stand independently with repeated practice (mentally
or physically) of STS tasks. However, more research is essential to further
investigate effects of specific training protocols and pursue better
understanding of this complex and demanding task, particularly for stroke
patients who need assistance during this transfer.
CI - Copyright (c) 2015 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS