Effects of a program on symmetrical posture in patients with hemiplegia: A single-subject design.
OBJECTIVE
Asymmetrical posture during static stance has been identified as a common problem in persons with hemiplegia. This study examined the effect of an activity-based therapy regimen on symmetric weight bearing and midline position of center of gravity (COG) in three adult subjects with hemiplegia.


METHODS
An ABAB single-subject design was used. The intervention program, including sanding in front of a standing table and play a bean bag game, was introduced for 30 min each day during each intervention phase. Quantitative measurements of the weight distribution and the midline position of COG were taken with the Balance Master System (version 2.20).


RESULTS
Visual inspection and statistical analysis of the data revealed a significant improvement in symmetric weight distribution and midline position of COG. The study suggests that this program may be a promising alternative to a variety of postural rehabilitation programs for persons with hemiplegia.


CONCLUSIONS
Insecurity caused by poor stabilization and abnormal reactions to body weight bearing in an antigravity position might contribute to asymmetric postures. Results of this study suggest that an activity-oriented program can be effective in helping the persons with hemiplegia achieve symmetric stances.
Wu
S H
SH
Department of Rehabilitation, Chang Gung Memorial Hospital, Taipei, Taiwan.
Huang
H T
HT
Lin
C F
CF
Chen
M H
MH
D000368:Aged; D002561:Cerebrovascular Disorders / Q000150:complications / Q000534:rehabilitation; D005260:Female; D006429:Hemiplegia / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D010988:Play and Playthings; D004856:Postural Balance; D011187:Posture; D016474:Weight-Bearing