Differences in body awareness and its effects on balance function and independence in activities of daily living for stroke

Abstract

[Purpose] The present study aimed to investigate the association between body awareness with postural control and independence in performing activities of daily living in patients with hemispheric stroke. Eighty-one patients who were diagnosed with stroke participated in this study. [Participants and Methods] The participants were divided into three groups according to their risk for falls. Furthermore, these participants were classified into four groups according to their degree of independence in performing activities of daily living. This study used three measuring tools, namely the body awareness questionnaire, Berg balance scale, and modified Barthel index. [Results] Body awareness was significantly correlated with balance function in the group with low risk for falls compared with that in the group with high risk for falls. Body awareness was significantly correlated with the degree of independence in performing activities of daily living in the group that needed minimal assistance compared with the groups that needed moderate and severe assistance. Results showed that body awareness was associated with postural control and the degree of independence in performing activities of daily living in individuals with hemiparetic stroke. [Conclusion] Body awareness is among the primary factors that affect the motor function of patients with stroke in rehabilitation settings.

<p>Evaluation of Postural Stability and Transverse Abdominal Muscle Activity in Overweight Post-Stroke Patients: A Prospective, Observational Study</p>

“…Now a recognized clinical test, it is used primarily to evaluate the progress of rehabilitation and postural stability in post-stroke patients. The patient is evaluated in 14 different tasks, including (1) sitting to standing, (2) standing unsupported, (3) sitting unsupported, (4) standing to sitting, (5) transfers, (6) standing with eyes closed, (7) standing with feet together, (8) reaching forward with outstretched arm, (9) retrieving object from floor, (10) turning to look behind, (11) turning 360 degrees, (12) placing alternate foot on stool, (13) standing with one foot in front, and (14) standing on one foot. 26 Each task is graded on a 5-point scale, where 0 means that the task cannot be completed, and 4 means that the tasks are completed in a smooth and self-contained manner.…”

“…11 The control of the stable posture of the body is the essence of independent movement and is extremely important to both perform arbitrary movements and to prevent the loss of balance during the performance of movement activities. 12 Stroke leads to brain damage, including damage to the corticospinal tract, with one of the most common consequences being hemiparesis. 13 This condition prevents the patient from making any movement without complete assurance.…”

The impact of Basic Body Awareness Therapy on balance confidence and health-related quality of life in hunger strike victims with Wernicke Korsakoff Syndrome: pilot study

“…Positive effects of Basic BAT have been shown for improve quality of life, improve self-efficacy (Catalan-Matamoros et al, 2011), body awareness, balance and movement control (Gyllensten et al, 2003b;Hedlund & Gyllensten, 2010). In people who had suffered a stroke, Basic BAT, was important for balance function and daily activities (Ahn, 2018;Lindvall et al, 2016).…”

Recovery of Body Awareness After Stroke: An Observational Study

“…Intact body awareness is thought to be a major factor that supports motor function and recovery of individuals following stroke (10,41). One in two people experience impairments in sensation and perception after a stroke which interrupts the representation of the body that is held in the brain (42) and has a profound impact on an individual's body awareness (43)(44)(45)(46).…”