Impaired ability to shift weight onto the non-paretic leg in right-cortical brain-damaged patients

Ishii, Fumiyasu; Matsukawa, Noriyuki; Horiba, Mitsuya; Yamanaka, Takehiko; Hattori, Manabu; Wada, Ikuo; Ojika, Kosei

doi:10.1016/j.clineuro.2010.02.006

Cited by 20 publications

(8 citation statements)

References 24 publications

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“…58 The patients with right hemispheric lesions show a greater WBA and weaker balance abilities. 13 18 58 Moreover, a second major issue is the variety of PT: human practice and/or electromechanical devices, several different (re)learning methods (biofeedback, repetitive tasks, tasks oriented and so on), ‘top-down’ and ‘bottom-up’ approaches and so on.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of physical therapy on postural imbalance after stroke: study protocol for a systematic review and meta-analysis

et al. 2017

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IntroductionStroke frequently results in balance disorders, leading to lower levels of activity and a diminution in autonomy. Current physical therapies (PT) aiming to reduce postural imbalance have shown a large variety of effects with low levels of evidence. The objectives are to determine the efficiency of PT in recovering from postural imbalance in patients after a stroke and to assess which PT is more effective.Methods and analysisWe will search several databases from inception to October 2015. Only randomised controlled trials assessing PT to recover from poststroke postural imbalance in adults will be considered.Outcome measures will be the Berg Balance Scale (BBS), the Postural Assessment Scale for Stroke (PASS), the ‘weight-bearing asymmetry’ (WBA), the ‘centre of pressure’ (COP) and the ‘limit of stability’ (LOS). WBA, COP and LOS are measured by a (sitting or standing) static evaluation on force plate or another device.Two independent reviewers will screen titles, abstracts and full-text articles, evaluate the risk of bias and will perform data extraction. In addition to the outcomes, measures of independence will be analysed. This study will aim at determining the effects of PT on the function (WBA, COP, LOS), the activity (BBS, PASS) and the independence of patients. Subgroup analyses will be planned according to the location of brain lesion (hemispheric, brainstem or cerebellum), the time since stroke (early, late, chronic), the PT (type, main aim (direct effect or generalisation), overall duration), the type of approaches (top-down or bottom-up) and the methodological quality of studies.Ethics and disseminationNo ethical statement will be required. The results will be published in a peer-reviewed journal. This meta-analysis aims at managing the rehabilitation after postural imbalance by PT after a stroke.Trial registration numberProspero CRD42016037966;Pre-results.

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Section: Discussionmentioning

confidence: 99%

Efficiency of physical therapy on postural imbalance after stroke: study protocol for a systematic review and meta-analysis

et al. 2017

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“…In addition, this study found that stroke survivors with anosognosia had poor balance level and had more fall incidents. This finding was similar to that in previous research wherein anosognosia patients could only shift a small percentage of weight onto their non‐paretic legs, which may be correlated with dangerous behavior. For PASS, the A+N+ group experienced difficulties in positioning supine to the non‐affected side and supine to sitting on the edge of a table.…”

Section: Discussionmentioning

confidence: 99%

Anosognosia, neglect and quality of life of right hemisphere stroke survivors

Dai

Liu

Chen

et al. 2014

Euro J of Neurology

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“…Previous studies suggest that the impaired ability to shift weight onto the nonparetic leg is more pronounced in patients with right-cortical damage [ 24 ]. As such, it is not surprising that subjects in the experimental group who had left side damage showed 8.7 ± 3.9 percent improvement of weight bearing on the affected side, whereas patients with right hemispheric lesions showed only 0.89 ± 0.5 percent improvement in weight bearing.…”

Section: Discussionmentioning

confidence: 99%

Compelled Body Weight Shift Technique to Facilitate Rehabilitation of Individuals with Acute Stroke

Mohapatra

Eviota

Ringquist

et al. 2012

ISRN Rehabilitation

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Background The study evaluates the effectiveness of Compelled Body Weight Shift (CBWS) approach in the rehabilitation of individuals with stroke. CBWS involves a forced shift of body weight towards a person’s affected side by means of a shoe insert that establishes a lift of the nonaffected lower extremity. Methods Eleven patients with acute stroke were randomly assigned to experimental and control groups. The experimental group received a two-week conventional physical therapy combined with CBWS and the control group received only a two-week conventional therapy. Weight bearing, Gait velocity, Berg’s Balance, and Fugl-Meyer’s Scores were recorded before and after the intervention. Results Weight bearing on the affected side increased in the experimental group and decreased in the control group. The increase in gait velocity with treatment was significant in both the groups (P < 0.05). However, experimental group (P = 0.01) demonstrated larger improvements in gait velocity compared to the control group (P = 0.002). Berg Balance and Fugl-Meyer scores increased for both the groups. Conclusion The implementation of a two-week intervention with CBWS resulted in the improvement in weight bearing and gait velocity of individuals with acute stroke. The present preliminary study suggests that CBWS technique could be implemented as an adjunct to conventional rehabilitation program for individuals with acute stroke.

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Impaired ability to shift weight onto the non-paretic leg in right-cortical brain-damaged patients

Cited by 20 publications

References 24 publications

Efficiency of physical therapy on postural imbalance after stroke: study protocol for a systematic review and meta-analysis

Efficiency of physical therapy on postural imbalance after stroke: study protocol for a systematic review and meta-analysis

Anosognosia, neglect and quality of life of right hemisphere stroke survivors

Compelled Body Weight Shift Technique to Facilitate Rehabilitation of Individuals with Acute Stroke

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