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Effect of continuing repeated passive and active exercises on knee's position senses in patients with hemiplegia

KWON OS; LEE SW
NEUROREHABILITATION , 2013, vol. 33, n° 3, p. 391-397
Doc n°: 166198
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-130969
Descripteurs : AF2 - TROUBLES CIRCULATOIRES CEREBRAUX, DE52 - EXPLORATION EXAMENS BILANS - GENOU

OBJECTIVE: To determine the repeated passive movement (RPM) and repeated active
movement (RAM) exercise on position sense of the knee joint in patients with
hemiplegia. METHODS: 45 hemiplegia patients were randomly allocated to either the
control group(no exercise), RPM group, or RAM group, with 15 subjects in each
group. The exercise was repeated 60 times on the angle 10 to 100 degrees of the
knee joint with an angle speed of 120 degrees /s, with three sets for 15 minutes.
Evaluation was performed using Passive Angle Repositioning (PAR) and Active Angle
Repositioning (AAR). RESULTS: Error of positioning sense showed a decrease in PAR
and AAR in the RPM group (p < 0.01) and an increase in AAR was observed in the
RAM group (p < 0.05). In comparison of knee joint position sense error value and
rate of change among the three groups, the RPM group is decreased mostly in PAR
and AAR (p < 0.01), and Error value (p < 0.05) and rate of change (p < 0.01) of
the RAM group showed a greater increase in AAR than the control group.
CONCLUSION: RAM exercise can support an increase in proprioception on the knee
joint of hemiplegia; however, RAM exercise that causes fatigue can decrease
proprioception.

Langue : ANGLAIS

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