Alterative verbal commands could improve motor performance of patients with stroke

World Physical Medicine and Rehabilitation Conference

November 12-13, 2018 Istanbul, Turkey

Chattraporn Nantawanichakorn, Bundit Prommanon, Pipatana Amatachaya, Thiwabhorn Thaweewannakij, Sawitri Wanpen and Sugalya Amatachaya

Khon Kaen University, Thailand
Rajamangala University of Technology Isan, Thailand
Bandit Physical Therapy Clinic, Thailand

Posters & Accepted Abstracts: Physiother Rehabil

Abstract :

The unilateral impairments limit ability of lower limb loading and daily movements of patients with stroke. External feedback has been suggested as an effective rehabilitation strategy but there was no clear evidence on effects of verbal commands on the ability to execute daily activities for these individuals. Thus, the study compared effects of verbal commands on the Lower Limb Loading during Sit-To-Stand (LLL-STS) in 21 ambulatory individuals with stroke. The participants sat on a standard armless chair with their feet placed separately on two digital load cells. Then they were instructed to perform a sit-to-stand movement in two conditions, including, at their usual manner and at their optimal manner with the attempt to equally put their body-weight on the lower limbs as good as they could. The levels of LLL-STS were automatically recorded while they executed the tasks by digital load cells. The findings indicated that the amount of LLL-STS on the non-affected leg was approximately 24% greater than that of the affected leg while they performed the task at their usual manners. However, these differences were obviously reduced to only 15% of their body-weight when they were told to performed the task at their optimal manners. The findings suggest that the participants retained some capability that they did not usually access. Verbal commands played crucial roles to promote symmetrical LLL-STS that may subsequently benefit stability, ability of walking completion, and risk of future musculoskeletal disorders of these individuals.

Biography :

Chattraporn Nantawanichakorn is a Neurological Physiotherapist and currently a Masters student in a Physical Therapy program at Khon Kaen University, Thailand.

E-mail: fernnymumu@gmail.com