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Research Article  |   January 1996
Effects of a Program on Symmetrical Posture in Patients With Hemiplegia: A Single-Subject Design
Author Affiliations
  • Shin-Han Wu is Director of Therapists, Department of Rehabilitation, Chang Gung Memorial Hospital, 199 Tung Hwa North Road, Taipei 10591, Taiwan
  • Hwei-Tau Huang is Occupational Therapist, Department of Rehabilitation, Chang Gung Memorial Hospital, Taipei, Taiwan
  • Chi-Fang Lin is Occupational Therapist, Department of Rehabilitation, Chang Gung Memorial Hospital, Taipei, Taiwan
  • Mei-Hsiang Chen is Occupational Therapist, Taichung Rehabilitation Hospital, Taichung, Taiwan
Article Information
Research
Research Article   |   January 1996
Effects of a Program on Symmetrical Posture in Patients With Hemiplegia: A Single-Subject Design
American Journal of Occupational Therapy, January 1996, Vol. 50, 17-23. doi:10.5014/ajot.50.1.17
American Journal of Occupational Therapy, January 1996, Vol. 50, 17-23. doi:10.5014/ajot.50.1.17
Abstract

Objectives. Asymmetrical posture during static stance has been identified as a common problem in persons with hemiplegia. This study examined the effect of an activity-based therapy regimen on symmetric weight bearing and midline position of center of gravity (COG) in three adult subjects with hemiplegia.

Method. An ABAB single-subject design was used. The intervention program, including sanding in front of a standing table and play a bean bag game, was introduced for 30 min each day during each intervention phase. Quantitative measurements of the weight distribution and the midline position of COG were taken with the Balance Master System (version 2.20).

Results. Visual inspection and statistical analysis of the data revealed a significant improvement in symmetric weight distribution and midline position of COG. The study suggests that this program may be a promising alternative to a variety of postural rehabilitation programs for persons with hemiplegia.

Conclusion. Insecurity caused by poor stabilization and abnormal reactions to body weight bearing in an antigravity position might contribute to asymmetric postures. Results of this study suggest that an activity-oriented program can be effective in helping the persons with hemiplegia achieve symmetric stances.