Standing weight-bearing distribution behavior in people with chronic hemiparesis: review and meta-analysis

Authors

  • Monike Barros Camargos Universidade de Brasília
  • Hudson Azevedo Pinheiro Universidade de Brasília
  • Michelle Rabelo Universidade de Brasília
  • Roberto de Souza Baptista Universidade de Brasília
  • Emerson Fachin-Martins Universidade de Brasília

DOI:

https://doi.org/10.13037/ras.vol14n48.3240

Keywords:

Cerebrovascular disorders, hemiplegia, postural balance, weight-bearing, review

Abstract

Although it has been reported that people with chronic hemiparesis present asymmetric distribution of weight in the standing position, some evidences also show symmetric distribution in this population. This review aimed to collect researches investigating weight-bearing distribution in the standing position on patients with hemiparesis after stroke, identifying which weight-bearing behavior has been described by authors for this population. PUBMED, EMBASE, COCHRANE, CINAHL and SCIELO databases were consulted until October 2015. It was highlighted from the selected references the following information: (1) measurements of weight-bearing distribution, (2) devices used to measure this distribution, (3) available information about psychometric properties of the device used and (4) presented concept of weight-bearing distribution. Among the references collected, those presenting data obtained by digital scales and allowing calculation of symmetry ratio were used for meta-analysis. In most of studies, as previous mentioned, prevailed the concept that subjects with chronic hemiparesis have asymmetric distribution overloading non-paretic hemibody. However, the heterogeneity among studies, the lack of parameters to define weight-bearing symmetry and little information about psychometric properties of the devices used show the necessity of further investigation.

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References

Cheng PT, Liaw MY, Wong MK, Tang FT, Lee MY, Lin PS. The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil. 1998;79(9):1043-6.

Genthon N, Rougier P, Gissot AS, Froger J, Pelissier J, Perennou D. Contribution of each lower limb to upright standing in stroke patients. Stroke. 2008;39(6):1793-9.

Geurts AC, Haart M, Nes IJ van, Duysens J. A review of standing balance recovery from stroke. Gait Posture. 2005;22(3):267-81.

Tyson SF, Hanley M, Chillala J, Selley A, Tallis RC. Balance disability after stroke. Phys Ther. 2006;86(1):30-8.

Martins EF, Araujo Barbosa PH, Menezes LT, Sousa PH, Costa AS. Is it correct to always consider weight-bearing asymmetrically distributed in individuals with hemiparesis? Physiother Theory Pract. 2011;27(8):566-71.

Chagas EF, Tavares MCGCF. A simetria e transferência de peso do hemiplégico: relação dessa condição com o desempenho de suas atividades funcionais. Fisioter. Pesqui. 2001;8(1):40-50.

Camargos AC, Rodrigues-de-Paula-Goulart F, Teixeira-Salmela LF. The effects of foot position on the performance of the sit-to-stand movement with chronic stroke subjects. Arch Phys Med Rehabil. 2009;90(2):314-9.

Teixeira-Salmela LF, Lima RCM, Lima LAO, Morais SG, Goulart F. Assimetria e desempenho funcional em hemiplégicos crônicos antes e após programa de treinamento em academia. Rev Bras Fisioter. 2005;9(2):227-33.

Martins EF, Barbosa PHFdeA, Menezes LT, Sousa PHC, Costa AS. Comparação entre medidas de descarga, simetria e transferência de peso em indivíduos com e sem hemiparesia. Fisioter Pesqui. 2011;18(3):228-34.

Menezes LTd, Barbosa PHFdA, Costa AS, Mundim AC, Ramos GC, Paz CCdSC, et al. Baropodometric technology used to analyze types of weight-bearing during hemiparetic upright position. Fisioter. Movi. 2012; 25(3):583-94.

Wells GA, Shea B, O’Connell D, Peterson JVW, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. [acesso em 2013 Sept. 1]; Available from: http://www.ohri.ca/programs/clinical_epidemiology/nosgen.pdf.

Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713-21.

Marigold DS, Eng JJ. The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke. Gait Posture. 2006;23(2):249-55.

Itotani K, Murakami M, Itotani M, Nagai A, Imabori Y, Fujimoto K, Tanaka M, Kato J. Relationship between the weight-bearing ratio on the affected lower extremity and gait ability using a portable electronic foot sensor shoe (Step Aid®) in hemiplegic stroke patients. J. Phys. Ther. Sci. 2015;27(2):321-3.

Chen HY, Wing AM. Independent control of force and timing symmetry in dynamic standing balance: Implications for rehabilitation of hemiparetic stroke patients. Hum Mov Sci. 2012;31(6):1660-9.

Lee H, Kim H, Ahn M, You Y. Effects of proprioception training with exercise imagery on balance ability of stroke patients. J Phys Ther Sci. 2015 Jan;27(1):1-4.

Park CS, Kang KY. The effects of additional action observational training for functional electrical stimulation treatment on weight bearing, stability and gait velocity of hemiplegic patients. J. Phys. Ther. Sci. 2013;25(3):1173-5.

Song G, Hwangbo G. The effect of a rehabilitational sliding machine and conventional neurological physical therapy on the balance of patients with hemiplegia. J. Phys. Ther. Sci. 2015;27(1):171-3.

Hung JW, Chou CX, Hsieh YW, Wu WC, Yu MY, Chen PC, Chang HF, Ding SE. Randomized comparison trial of balance training by using exergaming and conventional weight-shift therapy in patients with chronic stroke. Arch Phys Med Rehabil. 2014;95(9):1629-37.

Adegoke BO, Olaniyi O, Akosile CO. Weight bearing asymmetry and functional ambulation performance in stroke survivors. Glob J Health Sci. 2012;4(2):87-94.

Don Kim K, Lee HJ, Lee MH, Hwangbo G. Effect of ankle-foot orthosis on weight bearing of chronic stroke patients performing various functional standing tasks. J Phys. Ther. Sci. 2015;27(4):1059-61.

Mansfield A, Danells CJ, Zettel JL, Black SE, McIlroy WE. Determinants and consequences for standing balance of spontaneous weight-bearing on the paretic side among individuals with chronic stroke. Gait Posture. 2013;38(3):428-32.

Lewek MD, Bradley CE, Wutzke CJ, Zinder SM. The relationship between spatiotemporal gait asymmetry and balance in individuals with chronic stroke. J Appl Biomech. 2014;30(1):31-6.

Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44.

Aruin AS, Hanke T, Chaudhuri G, Harvey R, Rao N. Compelled weightbearing in persons with hemiparesis following stroke: the effect of a lift insert and goal-directed balance exercise. J Rehabil Res Dev. 2000;37(1):65-72.

Peurala SH, Könönen P, Pitkänen K, Sivenius J, Tarkka IM. Postural instability in patients with chronic stroke. Restor Neurol Neurosci. 2007;25(2):101-8.

Lisinski P, Huber J, Gajewska E, Szlapinski P. The body balance training effect on improvement of motor functions in paretic extremities in patients after stroke. A randomized, single blinded trial. Clin Neurol Neurosurg. 2012;114(1):31-6.

Marklund I, Klassbo M. Effects of lower limb intensive mass practice in poststroke patients: single-subject experimental design with long-term follow-up. Clin Rehabil. 2006;20(7):568-76.

Pereira LC, Botelho AC, Martins EF. Relationships between body symmetry during weight-bearing and functional reach among chronic hemiparetic patients. Rev Bras Fisioter. 2010;14(3):229-66.

Balthazar RB, de Sousa PHC, de Araujo Barbosa PHF, de Menezes LT, Costa AS, Carneiro DVA, da Silva Marães VRF, Martins EF. Could heart rate variability be associated with weight-bearing asymmetries in cerebrovascular diseases? International Journal of Case Reports and Images 2012;3(2):1-5.

Hurkmans HL, Bussmann JB, Benda E, Verhaar JA, Stam HJ. Techniques for measuring weight bearing during standing and walking. Clin Biomech (Bristol, Avon). 2003;18(7):576-89.

Bohannon RW, Tinti-Wald D. Accuracy of weightbearing estimation by stroke versus healthy subjects. Percept Mot Skills. 1991;72(3 Pt 1):935-41.

Bohannon RW, Waters G, Cooper J. Perception of unilateral lower extremity weightbearing during bilateral upright stance. Percept Mot Skills. 1989;69(3 Pt 1):875-80.

Rothstein JM. Measurement in Physical Therapy. New York: Churchill Livingstone; 1985.

Winstein CJ, Pohl PS, Cardinale C, Green A, Scholtz L, Waters CS. Learning a partial-weight-bearing skill: effectiveness of two forms of feedback. Phys Ther. 1996;76(9):985-93.

Scianni A, Teixeira-Salmela LF, Ada L. Challenges in recruitment, attendance and adherence of acute stroke survivors to a randomized trial in Brazil: a feasibility study. Rev Bras Fisioter. 2012;16(1):40-5.

Dickstein R, Nissan M, Pillar T, Scheer D. Foot-ground pressure pattern of standing hemiplegic patients. Major characteristics and patterns of improvement. Phys Ther. 1984;64(1):19-23.

Lu RR, Li F, Wu Y, Hu YS, Xu XL, Zou RL, Hu XF. Demonstration of posturographic parameters of squat-stand activity in hemiparetic patients on a new multi-utility balance assessing and training system. J Neuroeng Rehabil. 2013;10:37. doi: 10.1186/1743-0003-10-37.

Babyar SR, Peterson MG, Bohannon R, Perennou D, Reding M. Clinical examination tools for lateropulsion or pusher syndrome following stroke: a systematic review of the literature. Clin Rehabil. 2009;23(7):639-50.

Johannsen L, Broetz D, Karnath HO. Leg orientation as a clinical sign for pusher syndrome. BMC Neurol. 2006;6:30. doi: 10.1186/1471-2377-6-30.

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Published

2016-05-19

Issue

Vol. 14 No. 48 (2016): Revista de Atenção à Saúde

Section

ARTIGOS DE REVISÃO

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