Abstract
There are many assistive devices to help with raising a person from a seat. These devices are considered active as they require some balance, trunk control and weightbearing ability. There is concern that this movement is mostly passive due to fixation at the trunk and knee. This study explores the movement patterns in sit to stand transfers active and assisted.
Study Design: A fully squared repeated measures design was use. All participants (n = 20) used all conditions (n = 7) in a balanced order. Transfers were recorded with; video recordings, a 6 dimensional force plate, hip, knee and ankle positions were recorded with motion capture. Subjective evaluations for comfort and security were completed. Physical data was compared with ANOVA calculations with Bonferroni corrections.
Results: Device G scored highest for comfort, knee support and overall preference. Sling movement had a negative effect on the sensations of comfort and security. The motion analysis of the flexible knee support showed:
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People push into the floor and CoP moved towards the toe.
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More anterior knee movement (P < 0.05).
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More bodyweight through feet (P < 0.05).
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Quicker transfer of weight onto feet.
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Very low bodyweight was recorded in all lowering actions.
The use of a flexible knee support raised the subjective and physical performance of the assistive device and may improve rehabilitation responses.
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References
Burnfield JM, McCrory B (2013) Comparative kinematic and electromyographic assessment of clinician- and device-assisted sit-to-stand transfers in patients with stroke. Phys Ther 93:1331–1341
Burnfield JM, Shu Y, Buster TW et al (2012) Kinematic and electromyographic analyses of normal and device-assisted sit-to-stand transfers. Gait Posture 36:516–522
Campo M, Shiyko MP, Margulis H, Darragh AR (2013) The effect of a safe patient handling program on rehabilitation outcomes. Arch Phys Med Rehabil 94:17–22
Carr JH, Gentile AM (1994) The effect of arm movement on the biomechanics of standing up. Hum Mov Sci 13:175–193
Coghlin SS, McFadyen BJ (1994) Transfer strategies used to rise from a chair in normal and low back pain subjects. Clin Biomech 9:85–92
Hughes MA, Schenkman ML (1996) Chair rise strategy in the functionally impaired elderly. J Rehabil Res Dev 33:409–412
International classification of impairments, disabilities and handicaps. World Health Organization, Geneva (1980)
Janssen W, Bussmann H, Henk S (2002) Determinants of the sit to stand movement. J Am Phys Ther Assoc Phys Ther 82:866–897
Jeysurya J, Van der Loos M (2013) Comparison of seat, waist, and arm sit-to-stand assistance modalities in elderly population. Univ B C 50:835–844
Mathiyakom K, McNitt Grey JL (2005) Modifying center of mass trajectory during sit-to-stand tasks redistributes the mechanical demand across the lower extremity joints. Clin Biomech 20:105–111
Munton JS, Ellis MI, Wright V (1984) Use of electromyography to study leg muscle activity in patients with arthritis and in normal subjects during rising from a chair. Ann Rheum Dis 43:63–65
Pai YC, Rogers MW (1991) Speed variation and resultant joint torques during sit-to-stand. Arch Phys Med Rehabil 72:881–885
Rutherford DJ, Hurley ST, Hubley-Kozey C (2014) Sit-to-stand transfer mechanics in healthy older adults: a comprehensive investigation of a portable lifting-seat device. Disabil Rehabil Assist Technol 22:1–8
Ruszala S, Musa S (2005) An evaluation of equipment to assist patient sit-to-stand activities in physiotherapy. Physiotherapy 91:35–41
Sibella F, Galli M (2003) Biomechanical analysis od sit to stand movement in normal and obese subjects. Clin Biomech 18:745–750
Schoen DC (2004) Low back pain. Orthop Nurs 23:154–157
Schenkman ML, Riley PO, Pieper C (1996) Sit to stand from progressively lower seat heights: alterations in angular velocity. Clin Biomech 11:153–158
Slusser LR, Rice MS, Miller BK (2012) Safe patient handling curriculum in occupational therapy and occupational therapy assistant programs: a descriptive study of school curriculum within the United States of America. Work 42:385–392
Sparkes V (2000) Physiotherapy for stroke rehabilitation: a need for evidence-based handling techniques: literature review. Physiotherapy 86:348–356
Stubbs DA, Buckle PW, Hudson MP et al (1986) Backing out: nurse wastage associated with back pain. Int J Nurs Stud 23:325–336
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Fray, M., Hignett, S., Reece, A., Ali, S., Ingram, L. (2019). An Evaluation of Sit to Stand Devices for Use in Rehabilitation. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 824. Springer, Cham. https://doi.org/10.1007/978-3-319-96071-5_81
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DOI: https://doi.org/10.1007/978-3-319-96071-5_81
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