Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Effect of progressive bridging exercise on weight-bearing during the extension phase of sit-to-stand, and on sit-to-stand ability in individuals with stroke: a randomised controlled trial [with consumer summary]
Pankheaw T, Hiengkaew V, Bovonsunthonchai S, Tretriluxana J
Clinical Rehabilitation 2022 Nov;36(11):1463-1475
clinical trial
8/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To examine the effect of a progressive bridging exercise on force, time, and pressure during the extension phase of sit-to-stand, and on sit-to-stand ability in individuals with stroke. DESIGN: A single-blinded randomised controlled trial. SETTING: Hospital. PARTICIPANTS: Forty-eight individuals with acute ischemic stroke, not at brainstem and cerebellum, randomly allocated to the intervention (n = 24) and control (n = 24) groups. Five participants dropped out during the 2-month follow-up, but they were in the intention-to-treat analysis. INTERVENTIONS: The intervention group undertook a 45-min conventional physiotherapy and a 30-min progressive bridging exercise. The control group received only the conventional exercise. MAIN MEASURES: Peak vertical ground reaction force, time to peak force, peak foot pressure, and regional peak foot pressure during the extension phase of sit-to-stand, and sitting-to-standing item of the Motor Assessment Scale were assessed before training, after 4-week training, and 2-month follow-up. RESULTS: The intervention group showed significantly (p < 0.001) less difference in peak vertical ground reaction force between feet during the extension phase of sit-to-stand than the control after 4-week training (mean +/- standard deviation; intervention, 5.38 +/- 3.99; control, 17.1 +/- 10.3) and 2-month follow-up (intervention, 6.79 +/- 3.84; control, 17.5 +/- 9.89), and demonstrated significantly (p < 0.001) higher score in sit-to-stand than the control after training [mean (interquartile range); intervention, 5 (2 to 5); control, 2 (1 to 2)] and follow-up [intervention, 2 (2 to 5); control, 2 (1 to 2)]. Both groups demonstrated peak foot pressure on the medial and lateral heels, metatarsals, and hallux regions. CONCLUSION: Progressive bridging exercise improved symmetrical weight bearing during the extension phase of sit-to-stand, consequently enhanced sit-to-stand ability in individuals with stroke.

Full text (sometimes free) may be available at these link(s):      help