Correlation between mobility assessed by the Modified Rivermead Mobility Index and physical function in stroke patients

Introduction: Proprioceptive impairment is a common symptom after stroke. Clarifying how proprioception correlates with motor function after stroke may be helpful in optimizing proprioception-augmented movement training. Previous studies have shown inconsistent findings. A meta-analysis is an optimal method to explore the correlation and identify the factors contributing to these inconsistencies.Objective: To explore the correlation between proprioception and motor function after stroke through a meta-analysis, taking into account characteristics of the measurements used in these studies.Methods: We searched multiple databases until November 2021 for eligible studies that measured both proprioception and motor functions in persons with stroke and reported their correlation or data for correlation analysis. A meta-analysis of the correlations was performed. The subgroup analysis and meta-regression were further conducted to investigate potential factors contributing to the heterogeneity of correlation strength, based on the participants' characteristics, proprioception, and motor function measures.Results: In total, 28 studies comprising of 1,829 participants with stroke were included in the meta-analysis. The overall correlation between proprioception and motor function was significant (r = 0.267, p < 0.05), but there was heterogeneity across studies (I2 = 45%, p < 0.05). The results of the subgroup analysis showed proprioception of the axial segment in weight-bearing conditions (r = 0.443, p < 0.05) and upper limb without weight-bearing (r = 0.292, p < 0.05) had a stronger correlation with motor function than proprioception of the lower limb without weight-bearing. The proprioception measured through ipsilateral matching (r = 0.412, p < 0.05) showed a stronger correlation with motor function than through contralateral matching. The International Classification of Functioning, Disability, and Health (ICF) domains of motor function, movement function (r = 0.338, p < 0.05), activity performance (r = 0.239, p < 0.05), and independence (r = 0.319, p < 0.05) showed a stronger correlation with proprioception than with other domains.Conclusion: There is a significant correlation between proprioception and motor dysfunction after stroke. The proprioception measured in the axial segment under weight-bearing conditions or measured with ipsilateral matching, and motor function, specifically in the ICF domains of movement function, activity performance, and independence showed a positive contribution to the association between proprioception and motor function. The correlation does not imply causation and might be underestimated by attributes of current tests for proprioception and motor function. Further studies are needed to clarify the cause-effect relationship.

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“…The description of proprioception or motor function measures was not sufficiently clear to interpret their correlation ( 16 ).…”

Section: Methodsmentioning

confidence: 99%

Correlation Between Proprioceptive Impairment and Motor Deficits After Stroke: A Meta-Analysis Review

Chen

Lou

et al. 2022

Front. Neurol.

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“…Being able to perform this task indicates the highest level of physical functioning achievable on this measure (Park, 2016). Similarly, the most advanced task on both the Chedoke-McMaster Stroke Assessment and Rivermead Motor Assessment for individuals with prior stroke involves a hopping task, performing one-foot hopping on the hemiplegic side (Gowland et al, 1993;Park & Kim, 2016). Lastly, return to play after an anterior cruciate ligament (ACL) reconstruction requires the ability to perform a symmetrical hop to indicate optimal symmetrical functioning of the lower limbs (Zwolski, Schmitt, Thomas, Hewett, & Paterno, 2016).…”

Section: Hopping As An Assessment Toolmentioning

confidence: 99%

Bipedal hopping timed to a metronome to detect impairments in anticipatory motor control in people with mild multiple sclerosis

Kirkland

Chen

Downer

et al. 2018

Clinical Biomechanics

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“…As much as 50% of stroke survivors experience hemiplegic and hemi paresis, fatigue, and instability of posture and balance that cause difficulty in walking and carrying out daily activities 3,4 . Six months after stroke, the problems can persist and result in long-term disability 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Physical activity in stroke patients: A scoping review

Amin

Arafat

Rachmawaty

2021

J Community Empowerment for Health

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Stroke is the second leading cause of disability and death worldwide with 5.9 million deaths annually. Stroke can be followed by various clinical problems. Impaired motoric function of the extremities is the most severe post stroke disorder experienced and impacts on limitations of daily activities. The main treatment is by doing regular physical activity exercises. This review was conducted to identify physical activities that can be performed by stroke patients. This scoping review was compiled using Arksey and O'Malley's five-stage framework. A total of three databases (i.e., Pubmed, Proquest, and DOAJ) was searched with relevant keyword "physical activity OR exercise AND stroke". The articles selected are published in the last 5 years, in English, and in full text. The literature search retrieved 164 studies to be screened based on the exclusion-inclusion criteria which finally resulted in the 11 studies included in the review. The remaining 11 studies were fully read and data were extracted regarding the type of physical activity, goals, settings and outcomes. Qualitative (i.e., theme analysis) methods have been used to synthesis the data. Based on the results of the review, there are several physical activities that stroke patients can do, such as progressive resistance and balance (PRB) exercises, locomotors exercises: (walking on a treadmill with body weight support and walking on the ground), selective movements of the upper and lower trunk body in the Supine and sit using a stable support / pad or unstable support (Swiss ball), core stability training, aerobic (AT) and resistance training (RT), aerobic training, walking exercises, and task-oriented training. Several physical exercises have been identified where each of these exercises has a purpose and benefit in the recovery of physical functional stroke patients. Physical activity should be done regularly and take into account the duration, intensity, and frequency of the exercise based on patient’s ability and stamina.

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Correlation between mobility assessed by the Modified Rivermead Mobility Index and physical function in stroke patients

Cited by 5 publications

References 26 publications

Correlation Between Proprioceptive Impairment and Motor Deficits After Stroke: A Meta-Analysis Review

Correlation Between Proprioceptive Impairment and Motor Deficits After Stroke: A Meta-Analysis Review

Bipedal hopping timed to a metronome to detect impairments in anticipatory motor control in people with mild multiple sclerosis

Physical activity in stroke patients: A scoping review

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