Clinical factors associated with trunk control after stroke: A prospective study

Martins, Laís Geronutti; Costa, Rafael Dalle Molle da; Sartor, Lorena Cristina Alvarez; Souza, Juli Thomaz de; Winckler, Fernanda Cristina; Silva, Taís Regina da; Módolo, Gabriel Pinheiro; Nunes, Hélio Rubens de Carvalho; Bazan, Silméia Garcia Zanati; Martin, Luís Cuadrado; Luvizutto, Gustavo José; Bazan, Rodrigo

doi:10.1080/10749357.2020.1805244

Cited by 8 publications

(3 citation statements)

References 32 publications

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“…Martins et al evaluated the relation between trunk function and other evaluation metrics such as National Institutes of Health Stroke Scale (NIHSS) and modified Ranking Scale (mRS) in stroke patients. Higher NIHSS and mRS scores at hospital discharge increased the risk of unsatisfactory trunk control at 90 days after stroke 12) . The systematic review of Preston et al reported the following predictors of independent walking at 3 months in patients who were nonambulatory early after stroke: younger age, good leg strength, no neglect, and good sitting and so on 13) .…”

Section: Discussionmentioning

confidence: 96%

Gait improvement in stroke patients by Gait Exercise Assist Robot training is related to trunk verticality

et al. 2022

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Various types of Gait Exercise Assist Robot (GEAR) have been developed recently, some of which have enabled early improvement in patients with stroke. However, none has yet resulted in independent walking in these patients. Hence, we conducted an exploratory study of the effect of GEAR on achieving independent walking in stroke patients. [Participants and Methods] The participants were 16 patients with severe stroke. We evaluated patients' ability to walk independently after GEAR training. The outcome measure was Stroke Impairment Assessment Set (SIAS) motor score (Hip Flexion, Knee Extension, Foot Pat, Abdominal and Verticality). Differences in five SIAS motor scores were compared between the independent and non-independent walking groups.[Results] There was statistically significant difference between the groups in terms of Verticality among the 5 SIAS items used in the present research . Verticality of SIAS score of 1 was the cut-off value for distinguishing walking independence.[Conclusion] Verticality of SIAS may be a marker of potential walking independence that can be used in rehabilitation plans using walking-assist robots in patients with stroke.

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Section: Discussionmentioning

confidence: 96%

Gait improvement in stroke patients by Gait Exercise Assist Robot training is related to trunk verticality

et al. 2022

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“…A previous study showed that trunk and head orientation impacted SVV measurements, especially in patients with postural disorders (Piscicelli et al, 2016). Martins et al (2021) reported that there is frequent loss of selective control of the trunk muscles after a stroke event, leading to an asymmetric posture and difficulty in distributing body weight support to the affected side. Thus, good alignment of the trunk in the upright position is necessary for independent sitting and for optimizing the internal model of verticality.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Verticality Perception in Older Adults With and Without Acute Stroke in Half-Lying Versus Sitting Positions

et al. 2022

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Currently, there is no research consensus regarding the influence of body position on verticality perception in acute stroke. In this study, we aimed to compare the influence of half-lying and sitting positions on measurements of the subjective visual vertical (SVV) and the subjective haptic vertical (SHV) of individuals in the acute stroke phase. In this cross-sectional study, we compared these positional experiences in two groups of participants: adults in the acute stroke phase and elderly individuals without stroke. Independent variables were stroke versus no-stroke groups, in half-lying versus sitting positions. Analyzed variables of related interest were cognition (Mini-Mental State Examination or MMSE), stroke severity (National Institutes of Health Stroke Scale or NIHSS), and trunk control (Trunk Impairment Scale or TIS). Dependent variables were visual and haptic verticality, as evaluated by SVV and SHV. There were observed differences in absolute SVV in sitting position between groups ( p = 0.021), absolute SVV in half-lying position between groups ( p = 0.033), absolute SHV in sitting position between groups ( p = 0.003), absolute SHV in half-lying position between groups ( p = 0.002), and constant SVV in half-lying position between groups ( p = 0.007). In the stroke group there was a higher coefficient of variation of SVV and SHV in the half-lying position compared to sitting position. In the sitting position, we observed a very strong correlation between the TIS and absolute SHV ( p = 0.008). We concluded that individuals in the acute phase of stroke had greater misperceptions of visual and haptic verticality than older adults without strokes and that individuals in the acute phase of stroke showed less variability in visual and haptic vertical perception in the sitting position than in the half-lying position. By implication, we should encourage the sitting position in the acute stroke phase and develop early strategies to increase the verticality perception.

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“…11 In the other studies, it was found that trunk control was correlated with core muscle strength, balance confidence, and functional independence in PwS. 12,13 However, postural control can only be achieved through the complex integration of motor and sensorial processes. 14 Sensory information should be regulated by the central nervous system to produce an adequate motor response to maintain postural control.…”

Section: Introductionmentioning

confidence: 99%

Indicators of sitting balance ability and its association with fall risk in early stroke patients

Hüseyinsinoğlu¹,

Akyol²,

Kolbaşı³

et al. 2022

NeuroAsia

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Background & Objectives: There is insufficient data establishing correlates of sitting balance performance and its association with fall risk in patients with stroke (PwS). The primary aim of this study was to examine the indicators of sitting balance in early stroke. The secondary aim was to investigate the association between sitting balance and fall risk. Methods: Thirty-three healthy subjects and 52 PwS in early stage (acute and subacute) were included. Trunk muscle strengths, trunk repositioning error, and the presence of core stabilization were recorded in both groups. Stroke patients were additionally assessed with Motricity Index (MI), Trunk Impairment Scale (TIS), and Stroke Assessment of Fall Risk (SAFR). Results: In the stroke group, all trunk muscle groups’ strength and the ratio of presence of core stabilization were statistically lower than healthy participants’ (p<0.001), whereas trunk repositioning error was found higher (p<0.001). Age (β:-0.301, p=0.01), core stabilization (β:-0.291, p=0.017), proprioception (β:-0.236, p=0.036) and MI (β:0.371, p=0.003) were found to be indicators of TIS. There was a significant association between TIS and SAFR (β:-0,713; p<0,001). The strength of trunk lateral flexors (p=0,049) and extremities on the impaired side (p=0.012) were moderators of this association. Conclusion: The trunk control in sitting was linked to core stabilization and proprioception of the trunk in PwS. The strength of trunk lateral flexors and extremities on the impaired side were moderators of the association between sitting balance and fall risk. The roles and importance of these factors in designing rehabilitation interventions need to be investigated in future studies.

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Clinical factors associated with trunk control after stroke: A prospective study

Cited by 8 publications

References 32 publications

Gait improvement in stroke patients by Gait Exercise Assist Robot training is related to trunk verticality

Gait improvement in stroke patients by Gait Exercise Assist Robot training is related to trunk verticality

Analysis of Verticality Perception in Older Adults With and Without Acute Stroke in Half-Lying Versus Sitting Positions

Indicators of sitting balance ability and its association with fall risk in early stroke patients

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