Yumiko Nito, OTR, Sachiko Tsubakino OTR, MS, Eri Suzuki, OTR, Toshiaki Sato, OTR, PhD
Jpn J Compr Rehabil Sci 10: 60-64, 2019
Objective: This study investigated the characteristics
of sitting balance using a body pressure distribution
measuring system in acute stroke patients, together
with a comparison of independence and dependence in
toileting activities.
Methods: The subjects were 15 men and 15 women
(n=30, mean age 70±13 years). We divided the
subjects into two groups: those who performed
their toileting activities independently (independence
group, I-group) and those who were dependent in
toileting activities (dependence group, D-group). The
pressure ratio of the gluteal and sole regions was used
as an analysis parameter for comparison between the
non-paretic side and paretic side. We evaluated the
activities of daily living using the Barthel Index (BI)
and the Brunnstrom Recovery Stages (BRS).
Results: The difference in the pressure of the nonparetic
side and paretic side of the I-group was
4%±2%, and that of the D-group was 19%±8%. The
pressures in the I-group were significantly lower than
those in the D-group (p<0.01). As a standard of the
toileting activities in the I-group, the differences
between the non-paretic side and paretic side were less
than 10%. The BI and BRS scores were significantly
better in the D-group (p<0.01).
Conclusion: This study was able to visualize the
parameter using the pressure ratio of the gluteal and
sole regions at the sitting position using a body
pressure distribution measuring system for acute
stroke patients, and its effectiveness was confirmed.
The standard of toileting activities in the independent
subjects showed that the differences between the nonparetic
side and paretic side were less than 10% for
acute stroke patients.
Key words: acute stroke patients, pressure ratio of gluteal and sole region, toileting activity