Balance and physical impairments after stroke

Niam, Susan; Cheung, Wayne; Sullivan, Patricia E.; Kent, Susan; Gu, Xin

doi:10.1016/s0003-9993(99)90020-5

Cited by 164 publications

(103 citation statements)

References 19 publications

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“…Literatürde üç ayr› çal›flmada inmeli hastalarda yafl, cinsiyet ve hemiplejik taraf›n dengeyi etkilemedi¤i bildirilmifltir (2,31,32). Ancak kendi verilerimizden yola ç›karak inmeli hastalar denge yönünden de¤erlendirilirken yafl›n da göz önünde bulundurulmas› gerekti¤ini düflünmekteyiz.…”

Section: G Gi Ir Ri Ifl Flunclassified

Assessment of Balance in Patients with Stroke

Kurt¹,

Delialioğlu²,

Özel³

2010

tftr

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Ö Öz ze et tA Am ma aç ç: : ‹nmeli hastalarda dengenin de¤erlendirilmesi, dengenin demografik özelliklerle, üst ve alt ekstremite motor fonksiyonu ile iliflkisinin araflt›r›lmas›, denge bozuklu¤unun hastanede yat›fl süresi ve rehabilitasyon sonuçlar›na etkisinin belirlenmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em m: : Çal›flmaya 42-75 yafllar› ars›nda toplam 158 (89 erkek, 69 kad›n) inmeli hasta al›nd›. Hastalar›n demografik verileri kaydedildi. Denge düzeyi ve postüral kontrol Berg Denge Skalas› (BDS) ve Gövde Kontrol Testi (GKT) ile, motor fonksiyon Brunnstrom Motor ‹yileflme Evrelemesi (BM‹E) ile, ambulasyon durumu Fonksiyonel Ambulasyon Skalas› (FAS) ile de¤erlendirildi. Fonksiyonel de¤erlendirmede ise Fonksiyonel Ba¤›ms›zl›k Ölçe¤i (FBÖ) kullan›ld›. B Bu ul lg gu ul la ar r: : BDS'ye göre hastaneye yat›flta hastalar›n %44,9'unda (n=71) dengenin bozuk oldu¤u, %41,1'inde (n=65) kabul edilebilir denge düzeyi-nin oldu¤u ve %13,9'unda (n=22) dengenin iyi oldu¤u saptand›. Demografik özelliklerden yaln›zca yafl›n BDS skorlar›n› etkiledi¤i; 65 yafl ve üze-ri hastalar›n (17,66±15,04) BDS skor ortalamalar›n›n 65 yafl alt›ndaki (24,14±14,67) hastalardan anlaml› flekilde daha düflük oldu¤u saptand› (p=0,007). Üst ve alt ekstremite motor fonksiyonlar› ile denge skalalar› aras›nda pozitif anlaml› korelasyon saptand›. Dengesi bozuk olan hastalar›n hastanede yat›fl süresinin di¤er iki gruba göre (kabul edilebilir denge düzeyi ve iyi dengesi olan hastalardan) anlaml› flekilde daha uzun oldu¤u saptand›. Yat›fl ve ç›k›fl FBÖ-motor skor ortalamalar›n›n denge bozuklu¤u olan grupta di¤er iki gruptan anlaml› flekilde daha düflük oldu¤u saptand›. S So on nu uç ç: : ‹nmeli hastalarda denge bozukluklar› s›k görülmekte, hem oturma hem de ayakta durma dengesinde bozukluk olabilmektedir. Denge bozuklu¤u nedeniyle hastalar›n hastanede yat›fl süreleri uzamakta ve rehabilitasyon program›ndan kazançlar› daha az olmaktad›r. Bu nedenle inmeli hastalar, rehabilitasyon program›na bafllamadan önce denge yönünden ayr›nt›l› olarak de¤erlendirilmeli ve rehabilitasyon hedefleri belirlenirken denge bozuklu¤unun olup olmad›¤› göz önünde bulundurulmal›d›r. Türk Fiz T›p Rehab Derg 2010;56:56-61. A An na ah ht ta ar r K Ke el li im me el le er r: : ‹nme, Berg Denge Skalas›, Gövde Kontrol Testi, yat›fl süresi S Su um mm ma ar ry y O Ob bj je ec ct ti iv ve e: : Assessment of balance in patients with stroke, finding out the relation between balance and demographic characteristics and motor functions of lower and upper extremities and determining the effect of balance impairment on hospital length of stay and the rehabilitation results. M Ma at te er ri ia al ls s a an nd d M Me et th ho od ds s: : The study included a total of 158 patients (89 men, 69 women) with stroke aged between 42 and 75. Patients' demographic data were recorded. Level of balance and postural control were assessed using Berg Balance Scale (BBS) and Trunk Control Test (TCT), motor function was evaluated by Brunnstrom Motor Improvement Staging (BMIS) and ambulation by Functional A...

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Section: G Gi Ir Ri Ifl Flunclassified

Assessment of Balance in Patients with Stroke

Kurt¹,

Delialioğlu²,

Özel³

2010

tftr

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“…This parameter measures the average absolute displacement around the mean COP and has been employed by numerous researchers. 3,5,11,54,55 RMS velocity has been defined as the distribution of COP displacements over time. 2,5,54,55 A decrease in both RMS amplitude and RMS velocity represents an increased ability to preserve an upright stance.…”

Section: Root-mean-square Amplitude and Velocitymentioning

confidence: 99%

Center-of-Pressure Parameters Used in the Assessment of Postural Control

Palmieri

Ingersoll

Stone

et al. 2002

Journal of Sport Rehabilitation

360

264

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Objective: To define the numerous center-of-pressure derivatives used in the assessment of postural control and discuss what value each might provide in the assessment of balance. Data Sources: MEDLINE and SPORTDiscus were searched with the terms balance, postural control, postural sway, and center of pressure. The remaining citations were collected from references of similar papers. A total of 67 references were studied. Conclusions:Understanding what is represented by each parameter used to assess postural control is crucial. At the present time the literature has failed to demonstrate how the variables reflect changes made by the postural-control system. Until it can be shown that the center of pressure and its derivatives actually reveal changes in the postural-control system, the value of using these measures to assess deficits in postural control is minimized. Key Words: forceplate, center of pressure, balance Palmieri RM, Ingersoll CD, Stone MB, Krause BA. Center-of-pressure parameters used in the assessment of postural control.

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“…Furthermore, significant differences in postural sway were found among different stances after stroke [16]. In addition, Niam S et al [18] found that the dynamic postural control was impaired in stroke patients. Additionally, Corriveau H et al [19] found that there were abnormalities of static posturography in stroke compared with healthy controls.…”

Section: Discussionmentioning

confidence: 97%

“…De Haart M et al [17] reported that impaired dynamic equilibrium reflects a disruption of sensory, visual and vestibular input or motor weakness. In addition, Niam S et al [18] explained that postural sway after stroke was related to visual condition, stance position, and proprioception. Additionally, Bonan IV et al [20] reported that patients with hemiplegia seem to rely on visual input and sensory input deprivation.…”

Section: Discussionmentioning

confidence: 99%

Postural Stability and Balance Training Program in Hemiparetic Stroke Patients

et al. 2013

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Aim: To compare limits of stability (LOS) between stroke patients and control group and to evaluate the effects of balance training program on hemiplegic stroke patients.Setting: Balance clinic, physical medicine and rehabilitation hospital, Kuwait. Materials and Methods:A total of 36 ambulatory hemiplegic stroke patients and 34 age-matched healthy individuals as control group were recruited in this study. All patients and healthy individuals were evaluated by the LOS test.Results: There were a significant increased RT (sec), a significant decreased MVL (deg/sec), a significant decreased EPE (%), a significant decreased MXE (%) and a significant decreased directional control(DCL) (%) in stroke patients compared to control group (p < 0.01). Moreover, a significant decreased RT, a significant increased MVL (deg/sec), a significant increased EPE (%) and a significant increased MXE(%) after training compared to results before training in stroke patients (p < 0.01). However, no significant difference of DCL (%) after training compared to results before training in stroke patients (p >0.05). Conclusion:There were significantly worse in parameters of LOS test in stroke patients. Moreover, significant enhancement of some parameters of LOS test after training in stroke patients was found.

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Balance and physical impairments after stroke

Cited by 164 publications

References 19 publications

Assessment of Balance in Patients with Stroke

Assessment of Balance in Patients with Stroke

Center-of-Pressure Parameters Used in the Assessment of Postural Control

Postural Stability and Balance Training Program in Hemiparetic Stroke Patients

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