Analysis of hemiplegic patients' squat-to-stand movements in the bathtub Kei Funahashi 1 , Masahiro Saitou 1 , Chikae Hirano 1 , Masahito Hirano 2 , Natsue Arima 3 1Department of Occupational Therapy, Tokyo Metropolitan Rehabilitation Hospital 2Department of Physical Therapy, Tokyo Metropolitan Rehabilitation Hospital 3Department of Rehabilitation, Saiseikai Utsunomiya Hospital Keyword: (浴槽内立ち上がり動作) , 動作分析 , (片麻痺者) , Squat-to-stand movement in the tub , Analysis , Hemiplegic patient pp.327-335
Published Date 2004/8/15
  • Abstract
  • Look Inside
  • Reference
  • Cited by


 For hemiplegic patients, one of the most difficult activities in ADL involves movement in the tub. In this report, we analyzed the movement in the tub focusing on squat-to-stand movements, about which little research has been conducted.

Subjects and Methods

 In this study, we included 41 stroke patients : inpatients who were admitted to our hospital, and outpatients who were going to the hospital regularly.

 We fashioned a bathtub, with one side transparent, and performed videotape recording from a sagittal plane. The element relevant to the propriety of squat-to-stand movement in the tub was examined based on the evaluation of the body function and physical strength, which is related to movement. With regard to patients who were able to perform squat-to-stand movement in the tub, video operation analysis software was used, and the movement was divided into 5 phases. Then we created a stick picture and analyzed it by employing graphizing displacement. Results and Conclusion

 Evident from the research, patients who showed high scores in bed and tub transfers using FIM, and also high scores in grip and sit-to-stand, showed fewer difficulties in squat-to-stand movement in the tub. Thus, it is thought that the function of the less involved side is important when performing squatto-stand in the tub. Also evident from our results, with regard to patients who could stand in the tub, we were able to divide them into two groups with regard to movement. One group was named 'curve' indicating movement of the trochanter major in the locus of the stick picture, which showed the hip joint drawing an arc based on the knee joint in phase 2-4. The other group, 'corner', was named for similar reasons, and showed large forward movement of the knee joint followed by forward-then-up movement in the hip joint in phase 3.

 In the follow up study, I want to compare/contrast the two groups more closely and include in my study the position of the handrail suitable for each level of independence, and mitigation of the amount of care.

Copyright © 2004, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会