title: Lower extremity muscle activation and function in progressive task-oriented training on the supplementary tilt table during stepping-like movements in patients with acute stroke hemiparesis.
abstract: An effective and standardized method for applying a tilt table as a supplementary treatment in the early rehabilitation of stroke patients is still missing. The aim of this study was to determine the influence of progressive task-oriented training on the tilt table on the improvement in lower extremity (LE) muscle activation and clinical function in subjects with hemiplegia due to stroke. Thirty-nine subjects with acute stroke were randomly allocated to three groups; control group, tilt table group, and task-oriented training group on the tilt table, with 13 patients, respectively. All of the subjects received the routine therapy for half an hour, and subjects in the experimental groups additionally received training on two different tilt table applications for 20min a day, five times a week for three weeks. The effect of tilt table applications was assessed using the surface electromyography (EMG) analysis during stepping-like movements on the tilt table for LE muscle activation and clinical scores for function. Our results showed that there was a significantly greater increase in the EMG patterns of the extensors and flexors of the affected leg muscles during flexion and extension movements of both legs and clinical scores in patients undergoing the progressive task-oriented training on the tilt table compared to the other groups. These findings suggest that progressive task-oriented training on the tilt table can improve LE muscle activation and clinical scores of functional performance for early rehabilitation of subjects with acute stroke.
authors: Department of Health Science, The Graduate School, Korea University, Jeongneung 3-Dong, Seongbuk-Gu, Seoul 136-703, Republic of Korea. Electronic address: dreampt@korea.ac.kr.
authors: Chang-Yong
authors: CY
authors: Kim
authors: Department of Epidemiology and Health Informatics, The Graduate School of Public Health, Korea University, Anam-Dong, Seongbuk-Gu, Seoul 136-703, Republic of Korea. Electronic address: jssmile89@daum.net.
authors: Jung-Sun
authors: JS
authors: Lee
authors: Department of Physical Therapy, College of Health Science, Korea University, Jeongneung 3-Dong, Seongbuk-Gu, Seoul 136-703, Republic of Korea. Electronic address: hdkimx1234@daum.net.
authors: Hyeong-Dong
authors: HD
authors: Kim
authors: Department of Physical Therapy, College of Health Science, Korea University, Jeongneung 3-Dong, Seongbuk-Gu, Seoul 136-703, Republic of Korea. Electronic address: junokim@korea.ac.kr.
authors: Junesun
authors: J
authors: Kim
authors: Department of Physical Therapy, Daejeon Health and Sciences College, 77-3, Gayang 2-Dong, Dong-Gu, Daejeon 300-711, Republic of Korea. Electronic address: ihlee@hit.ac.kr.
authors: In-Hak
authors: IH
authors: Lee
mesh_terms: D000328:Adult; D000368:Aged; D004576:Electromyography / Q000379:methods; D005260:Female; D020233:Gait Disorders, Neurologic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D007866:Leg / Q000503:physiopathology*; D035002:Lower Extremity / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology; D018482:Muscle, Skeletal / Q000503:physiopathology*; D010291:Paresis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D011897:Random Allocation; D016059:Range of Motion, Articular / Q000502:physiology; D020521:Stroke / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology*; D018667:Tilt-Table Test / Q000379:methods*
keywords: Acute stroke; Electromyography; Functional performance; Task-oriented training; Tilt table