Abstract
Elderly patients face difficulty in performing the sit-to-stand motion; hence, their dependency on assistive devices for activities of daily living is increasing. However, the existing devices do not provide support according to the individual’s characteristics. This study aimed to develop a sit-to-stand motion assistive chair that detects the user’s weight using a load sensor and assists them to stand up by adjusting the speed themselves as per their weight and preference. Additionally, we investigated the feasibility of the developed device. A device for assisting patients in the sit-to-stand motion in rising up from the chair by electrical motorization was developed. This device senses the load on the seat plate using the load sensor and transmits it to the display through which the users can control the speed themselves using the speed control device. To test its feasibility, the electromyographic muscle activation was analyzed for the erector spinae, quadriceps, tibialis anterior, and gastrocnemius muscles in the sit-to-stand motion using this device in five healthy adults. When compared with the non-use of the device, the use of the developed assistive chair device significantly decreased the muscle activation of the erector spinae, quadriceps, tibialis anterior, and gastrocnemius by 37.27%, 20.44%, 14.50%, and 10.56% on the left and by 17.98%, 24.48%, 32.61%, and 6.05% on the right, respectively. The assistive device with a pressure sensor can effectively assist elderly patients with reduced muscle strength and balance in performing the sit-to-stand motion.
Similar content being viewed by others
References
United Nations, Department of Economic and Social Affairs, Population Division (2020) World population ageing 2019 (ST/ESA/SER.A/444)
Frontera WR, Hughes VA, Lutz KJ, Evans WJ (1991) A cross-sectional study of muscle strength and mass in 45- to 78-yr-old men and women. J Appl Physiol 71:644–650
Goodpaster BH, Carlson CL, Visser M et al (2001) Attenuation of skeletal muscle and strength in the elderly: the health ABC study. J Appl Physiol 90:2157–2165
Konrad HR, Girardi M, Helfert R (1999) Balance and aging. Laryngoscope 109:1454–1460
Pirker W, Katzenschlager R (2017) Gait disorders in adults and the elderly: a clinical guide. Wien Klin Wochenschr 129:81–95
Runge JW (1993) The cost of injury. Emerg Med Clin North Am 11:241–253
Visser M, Schaap LA (2011) Consequences of sarcopenia. Clin Geriatr Med 27:387–399
Moller J (2003) Projected costs of fall related injury to older persons due to demographic change in Australia. Commonwealth of Australia
Smith MT, Baer GD (1999) Achievement of simple mobility milestones after stroke. Arch Phys Med Rehabil 80:442–447
Lomaglio MJ, Eng JJ (2005) Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture 2:126–131
Chou SW, Wong AM, Leong CP, Hong WS, Tang FT, Lin TH (2003) Postural control during sit-to stand and gait in stroke patients. Am J Phys Med Rehabil 82:42–47
Camargos AC, Rodrigues-de-Paula-Goulart F, Teixeira-Salmela LF (2009) The effects of foot position on the performance of the sit-to-stand movement with chronic stroke subjects. Arch Phys Med Rehabil 90:314–319
Ivanoff SD, Sonn U (2005) Changes in the use of assistive devices among 90-year-old persons. Aging Clin Exp Res 17:246–251
Garçon L, Khasnabis C, Walker L et al (2016) Medical and assistive health technology: meeting the needs of aging populations. Gerontologist 56(Suppl 2):S293-302
Seven YB, Akalan NE, Yucesoy CA (2008) Effects of back loading on the biomechanics of sit-to-stand motion in healthy children. Hum Mov Sci 27:65–79
Alexander NB, Galecki AT, Nyquist LV et al (2000) Chair and bed rise performance in ADL-impaired congregate housing residents. J Am Geriatr Soc 48:526–533
Cheng PT, Wu SH, Liaw MY, Wong AM, Tang FT (2001) Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil 82:1650–1654
Kim JH, Hong JS, Chun KJ, Jung KT (2009) The development of lift chair for older adults’ safety. J Ergon Soc Korea 28:161–166
Kim HJ, Yeo HJ, Kim SS, Chang SH, Lee SH, Bae IS (2015) Development of non-motorized lifting chair for the elderly. J Soc Korea Ind Syst Eng 38:226–232
Ahray A, Yang WS, Inada M, Nakamatus K (2018) Development of the lift assist chair for the elderly people “rakutateru.” Procedia Comput Sci 131:31–37
Hughes VA, Frontera WR, Wood M et al (2001) Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J Gerontol A 56:B209–B217
Anders C, Wagner H, Puta C, Grassme R, Petrovitch A, Scholle HC (2007) Trunk muscle activation patterns during walking at different speeds. J Electromyogr Kinesiol 17:245–252
Yamako G, Chosa E, Totoribe K, Fukao Y, Deng G (2017) Quantification of the sit-to-stand movement for monitoring age-related motor deterioration using the nintendo wii balance board. PLoS ONE 12:e0188165
Hong SK, Lee GC (2020) Development of sit-to-stand assistive chair using a pneumatic cylinder: a feasibility test. Phys Ther Rehabil Sci 9:197–200
Alexander NB (1994) Postural control in older adults. J Am Geriatr Soc 42:93–108
Manetta J, Franz LH, Moon C, Perell KL, Fang M (2002) Comparison of hip and knee muscle moments in subjects with without knee pain. Gait Posture 16:249–254
Messier SP, Glasser JL, Ettinger WH Jr, Craven TE, Miller ME (2002) Declines in strength and balance in older adults with chronic knee pain: a 30-month longitudinal, observational study. Arthritis Rheum 47:141–148
Guccione AA, Felson DT, Anderson JJ et al (1994) The effects of specific medical conditions on the functional limitations of elders in the Framingham study. Am J Public Health 84:351–358
Funding
Authors state no funding involved.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Authors state no conflict of interest.
Ethical approval
The protocol for the research project has been approved by the Kyungnam University ethics committee within which the work was undertaken. The research conforms to the provisions of the Declaration of Helsinki in 1995. All participants gave informed consent for the research, and that their anonymity was preserved.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Lee, K., Ha, S., Lee, K. et al. Development of a sit-to-stand assistive device with pressure sensor for elderly and disabled: a feasibility test. Phys Eng Sci Med 44, 677–682 (2021). https://doi.org/10.1007/s13246-021-01015-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13246-021-01015-0