The sit-to-stand movement in elderly people: implications for functional training
DOI:
https://doi.org/10.11606/issn.2317-0190.v10i3a102462Keywords:
Movement, Rehabilitation, AgedAbstract
The sit-to-stand (STS) movement is an important activity in daily living of most persons. Difficulties to execute this movement may occur in elderly people due to intrinsic or extrinsic factors, yielding limitations to their daily living activities. This review aims to characterize the STS movement, to identify limitations that interfere on the ability of elderly people to execute this movement, and to discuss how such limitations can be minimized by Physical Therapy. The STS movement is generated by a horizontal and vertical inertial moment. Activation of tibialis anterior, soleus, gastrocnemius, quadriceps, hamstrings, gluteus maximus, abdominal, lumbar paraspinal, trapezius, and sternocleidomastoid is normally observed during this movement. Factors related to the difficulty to execute the STS movement in elderly people are physiological factors, the initial position of body-parts and the environment. Physical Therapy treatment should emphazise muscle strengthering, specific muscle stretching, and maintainence of joint range of motion in order to optimize the performance of this movement in elderly individuals. In addition, strategies such as modification of seat height, the use of seats with arm rest and adequate positioning of the feet may facilitate the ability of the elderly to perform transition from sitting to standing. Especific functional treatment can also improve motor performance and promote greater independence in these individuals.
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References
Ramos LR, Veras RP, Kalache A. Envelhecimento populacional: uma realidade brasileira. Rev Saúde Publica. 1987;21:211-24.
Chaimowick F. Os idosos brasileiros no século XXI. Demografia, Saúde e Sociedade. Belo Horizonte: Posgraduate Brasil; 1998.
Chaimowick F. A saúde dos idosos brasileiros às vésperas do século XXI: problemas, projeçoes e alternativas. Rev Saúde Publica. 1997;31:184-200.
Guralnik JM, Branch LG, Cummings SR, Curb JD. Physical performance measures in aging research. J Gerontol. 1989;44:141-6.
Pereira LSM, Magalhaes JF, Marques LM, Figueiredo VF. Análise da marcha de uma populaçao de idosos institucionalizados. Gerontologia. 1999;7;40-47.
Carr J, Shepherd R. Standing up and sitting down. In: Carr J, Shepherd R. Neurological Rehabilitation: Optimizing Motor Performance. Oxford: Butterworth-Heinemann; 1998. p.71-92.
Schenkman M, Berger RA, Rilley PO, Mann RW, Hodge WA. Whole-body movements during rising to standing from sitting. Phys Ther. 1990;70:638-51.
Hughes MA, Schenkman ML. Chair rise strategy in the functionally impaired elderly. J Rehabil Res Dev. 1996;33:409-12.
Kotake T, Dohi N, Kajiwara T, Sumi N, Koyama Y, Miura T. An analysis of sit-to-stand movements. Arch Phys Med Rehabil. 1993;74:1095-9.
Millington PJ, Myklebust BM, Shambes GM. Biomechanical analysis of the sit-to-stand motion in elderly persons. Arch Phys Med Rehabil. 1992;73:609-17.
Schultz AB, Alexander NB, Ashton-Miller JA. Biomechanical analyses of rising from a chair. J Biomech. 1992;25:1383-91.
Vander Linden DW, Brunt D, McCulloch MU. Variant and invariant characteristics of the sit-to-stand task in healthy elderly adults. Arch Phys Med Rehabil. 1994;75:653-60.
Cheng PT, Liaw MY, Wong MK, Tang FT, Lee Y, Lin PS. The sit-to-stand movement in stroke patients and correlation with falling. Arch Phys Med Rehabil. 1998;79:1043-6.
Means KM, O'Sullivan PS, Rodell DE. Balance, mobility, and falls among elderly african american women. Am J Phys Med Rehabil. 2000;79:30-9.
Nuzik S, Lamb R, Vansant A, Hirt S. Sit-to-stand movement pattern. A kinematic study. Phys Ther .1986;66:1708-13.
Janssen WG, Bussmann HB, Stam HJ. Determinants of sit-to-stand movement: a rewiew. Phys Ther. 2002;82:866-79.
Durward BR, Baer GD, Rowe PJ. Movimento Funcional Humano: mensuraçao e análise. Sao Paulo. Manole; 2001.
Goulart FR, Valls-Solé J. Patterned electromyographic activity in the sit-to-stand movement. Clin Neurophysiol. 1999;110:1634-40.
Khemlani MM, Carr JH, Crosbie WJ. Muscle synergies and joint linkages in the sit-tostand under two initial foot positions. Clin Biomech. 1999;14:236-46.
Stevens C, Bojsen-Moller F, Soames RW. The influence of inicial posture on the sit-tostand movement. Eur J Appl Physiol Occup Physiol. 1989;58:687-92.
Goulart FR, Valls-Solé J. Reciprocal changes of excitability between tibialis anterior and soleus during the sit-to-stand movement. Exp Brain Res. 2001;139:391-7.
Horak FB, Nashner LM. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 1986;55:1369-81.
Fredli WG, Hallett M, Simon SR. Postural adjustments associated with rapid voluntary arm movements. Electromyographic data. J Neurol Neurosurg Psychiatry. 1984;47:611-22.
Gahery Y. Associated movements, postural adjustments and synergie: some comments about the history and significance of three motor concepts. Arch Ital Biol. 1987;125:345-60.
Vandervoort AA. Alteraçoes biológicas e fisiológicas. In: Pickles B, Compton A, Cott C, Simpson J, Vandervoort A. Fisioterapia na terceira idade. Sao Paulo: Santos; 1998. p. 67-80.
Guralnik JM, Branch LG. Physical performance measures in aging research. J Gerontol. 1989;44:141-6.
Macknight C, Rockwood K. Mobility and balance in the elderly. Postgrad Med. 1996;99:269-76.
Shumway-Cook A, Woollacott MH. Controle Motor: Teoria e aplicaçoes práticas. 2 ed. São Paulo: Manole; 2003.
Luukinen H, Koski K, Laippala P, Kivela S. Risk factors for recurrent falls in the elderly in long-term institutional care. Public Health. 1995;109:57-65.
Alexander NB, Schults AB, Warwick DN. Rising from a chair: effects of age and functional ability on performance biomechanics. J Gerontol. 1991;46:91-8.
Papa E, Cappozzo A. Sit-to-stand motor strategies investigated in able-bodied young and elderly subjects. J Biomech. 2000;33:1113-22.
Baer GD, Duward BR. Levantar e sentar. In: Duward BR, Baer GD, Rowe PJ. Movimento Funcional Humano. Sao Paulo: Manole; 2001.
Kerr KM, White JA, Barr DA, Mollan RA. Analysis of the sit-to-stand-sit movement cycle in normal subjects. Clin Biomech. 1997;12:236-45.
Doorenbosch CA, Harlaar J, Roerbroeck ME, Lankhorst GJ. Two strategies of transferring from sit-to stand; the activation of monoarticular and biarticular muscles. J Biomech. 1994;27:1299-1307.
Schenkman M, Hughes MA, Samsa G, Studenski S. The relative importance of strength and balance in chais rise of functionally impaired older individuals. J Am Geriatr Soc. 1996;44:1441-6.
Hughes MA, Myers BS, Schenkman ML. The hole of strength in rising from a chair in the funtionally impaired elderly. J Biomech. 1996;29:1509-13.
Ikeda ER, Schenkman ML, Riley PO, Hodge, WA. Influence of age on dynamics of rising from a chair. Phys Ther. 1991;71:473-81.
Schenkman M, Rilley PO, Pieper C. Sit to stand from progressively lower seat heights - alterations in angular velocity. Clin Biomech. 1996;11:153-8.
Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A. Sit-to-stand performance depends on sensation, speed, balance and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci. 2002;57:539-43.
Shepherd RB, Koh HP. Some biomechanical consequences of varying foot placement in sit-to-stand in young women. Scand J Rehabil Med. 1996;28:79-88.
Baer GD, Ashburn AM. Trunk movements in older subjects during sit-to-stand. Arch Phys Med Rehabil. 1995;76:844-9.
Burdett RG, Habasevick R, Pisciotta J, Simon SR. Biomechanical comparison of rising from two types of chair. Phys Ther. 1985;8:1177-83.
Pai YC, Rogers MW. Speed variation and resultant joint torques during sit-to-stand. Arch Phys Med Rehabil. 1991;72:881-5.
Bjlermo B, Kreuter M. The effect of two different arm positions on body weight distribution when rising from sitting to standing in stroke patients. Physiother Theory Pract. 2002;18:33-41.
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