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Movement analysis of sit-to-stand: research informing clinical practice
Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Sweden.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.ORCID iD: 0000-0002-0366-4609
2015 (English)In: Physical Therapy Reviews, ISSN 1083-3196, E-ISSN 1743-288X, Vol. 20, no 3, 156-167 p.Article in journal (Refereed) Published
Abstract [en]

Background: Sit-to-stand (STS) is a crucial transfer influencing a person's independence in daily activities, as well as safety and quality of life, and is thus vital to evaluate in research and in practice. Clinical STS tests provide single values in seconds or numbers of STS. There is, however, increasing numbers of research papers reporting spatial and temporal kinematic and kinetic process STS data.

Objectives: To provide an overview of research findings from laboratory-based movement analyses regarding phases and determinants of typical STS, characteristics of successful versus failed STS transfers, and finally STS performance in some neurological conditions.

Major Findings: The STS transfer, previously regarded as mainly requiring lower limb muscle strength, is increasingly recognized as a complex transfer skill. Muscle strength, balance, foot position, chair height and the movement strategy are major determinants influencing STS performance. Scaling and timing of momentum generation throughout STS seems critical for success or failure. Sit-to-stand in stroke and Parkinson's disease (PD) is characterized by asymmetry in force generation and difficulties in switching movement direction, respectively. In-depth, knowledge regarding mechanisms of momentum control during STS sub-phases, STS failures, as well as exploration of variability in normal and atypical STS is still lacking.

Conclusions: Recent research based on instrumented movement analyses has generated better understanding of movement control during STS, but the specifics are not yet reflected in clinical assessments. There seems to be a call for clinical tools capturing determinants and process characteristics of the STS transfer for a more comprehensive evaluation in rehabilitation.

Place, publisher, year, edition, pages
Maney Publishing, 2015. Vol. 20, no 3, 156-167 p.
Keyword [en]
Sit-to-stand, Movement analysis, Momentum control, Kinematics, Kinetics
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-111935DOI: 10.1179/1743288X15Y.0000000005ISI: 000359244200003OAI: oai:DiVA.org:umu-111935DiVA: diva2:874230
Available from: 2015-11-26 Created: 2015-11-26 Last updated: 2015-12-15Bibliographically approved

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