Common practices of physical therapists in De La Salle Health Sciences Campus affiliated centers regarding sit-to-stand training for stroke patients

Date of Completion

2006

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Stroke, Physical Therapist, Physical Conditioning, Human

Abstract

This descriptive study that aims to determine the common practices of physical therapist of De La Salle-Health Sciences Campus affiliated centers regarding sit-to-stand training STS for stroke patients. A total of eighty-three licensed physical therapist from various DLS-HSC affiliated made questionnaires, licensed physical therapist responded to questions concerning the three phases of STS training namely initiation, execution, and progression phases. Results of the study showed that all of the respondents incorporate STS training as part of stroke rehabilitaiton. Ninety-nine percent of the respondents set criteria under iniatation phase. The following are the qualifications for the patients to undergo STS training: patient's age should be > 60 years old, has mesomorph body built, has normal grade in sitting balance and fair grade in standing balance, and has a muscle grade of at least 3/5 on all lower extremity and trunk muscles. Most of the respondents initiate STS training < 3 months post-stroke. With regards to execution phase, the following are their considerations: initial foot placement backward, initial flexion of the trunk segments at the hips, shoulder movement upon slight flexion of the trunk, knee movement backward immediately after thighs-off, hip, knee and ankle extension sequence. Majority of the respondents position themselves in front of the patient with their knee directly over the patient's patella, use chair with high seat height with back support, and without arm rest during the STS training. Furthermore, majority of the respondents give other PT intervention during STS training. These include electrotherapy modalities like FES, and therapeutic exercise like NDT exercise. In terms of considering different parameters in performing STS training, majority of them perform STS training three time a week with ten repetitions each treatment session and should have a slow speed in performing it. Lastly, with regards to progression phase, majority of them progress the training by incorporating various activities while doing STS training. In conclusion, Sit-to-stand training is incorporated as part of stroke rehabilitation in the different DLS-HSC affiliated centers. Though some respondents have different training practices, still they share a common principle in STS training.

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