Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Cho, Ki Hun; Lee, GyuChang

doi:10.1620/tjem.230.233

Cited by 26 publications

(23 citation statements)

References 27 publications

(32 reference statements)

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“…Chou et al28 found a moderate correlation between the MBI and RMI. Authors reported that a dynamic balance was measured using the RMI in the evaluation of falls.…”

Section: Discussionmentioning

confidence: 96%

“…There was a strong positive correlation between MBI and RMI in our study. In the aforementioned study,28 because of the lack of separate BRS scores it is difficult to discuss the effects of lower extremity BRS values on falls. Pure motor stroke was reported as the most common result of lacunar infarct, but the prognosis was found better than other stroke syndromes 29.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke

Memis

Kozanoğlu

Kelle

et al. 2016

NSJ

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Objective:To determine the effects of demographic and clinical characteristics on mobility, disability, and activities of daily life of patients with stroke.Methods:This cross-sectional clinical study was performed in the Department of Physical Medicine and Rehabilitation in Cukurova University Faculty of Medicine in Adana, Turkey, between February 2011 and December 2011. The study included 126 patients with stroke. The Brunnstrom recovery scale (BRS), functional ambulation classification scale (FACS), modified Barthel index (MBI), modified Rankin scale (MRS), and Rivermead mobility index (RMI) were used in the evaluation of the functional status of stroke patients. Correlations between each scale and parameters including age, etiology, and duration of hemiplegia were assessed.Results:The major etiology of stroke was found as ischemic (77%). Hypertension was a major risk factor in both genders (72% for males, 85% for females). Statistically significant differences were found between ischemic and hemorrhagic stroke patients regarding the RMI, MBI, BRS, and the FACS (p<0.001). Age had a poor negative correlation with the FACS and RMI.Conclusion:It is suggested that age is an important risk factor for the development of stroke, but it has no strong effect on functional status and disability in patients with stroke. The BRS, FACS, MBI, MRS, and RMI scales can be used in stroke patients whether they are under or over 65 years old in order to evaluate functional status and disability.

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“…Chou et al28 found a moderate correlation between the MBI and RMI. Authors reported that a dynamic balance was measured using the RMI in the evaluation of falls.…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke

Memis

Kozanoğlu

Kelle

et al. 2016

NSJ

View full text Add to dashboard Cite

show abstract

“…In addition, depression leads to reduced attention and to an increased risk of falling45, 46 ) . Falling is reportedly associated with reduced ADL47, 48 ) . Therefore, the falling risk induced by PSD may be associated with low independence levels in ADL.…”

Section: Discussionmentioning

confidence: 99%

Post-stroke depression inhibits improvement in activities of daily living in patients in a convalescent rehabilitation ward

Tsuchiya

Fujita

Sato³

et al. 2016

J Phys Ther Sci

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[Purpose] There have been no investigations into the improvement of activities of daily living among patients suffering from post-stroke depression on admission to convalescent rehabilitation wards in Japan. This study aimed to assess the improvement of activities in daily living in patients with or without post-stroke depression at the time of admission to a convalescent rehabilitation ward. [Subjects and Methods] This retrospective study included 108 stroke patients divided into two groups according to their Geriatric Depression Scale 15-item short form scores. Activities of daily living were assessed using the Functional Independence Measure. The degree of improvement on the Functional Independence Measure was defined as the difference between scores on admission and at discharge. [Results] The Functional Independence Measure gain score was significantly different from the Functional Independence Measure total score. There was a significant interaction between time period and post-stroke depression factors for the Functional Independence Measure total score. A multiple regression analysis revealed a significant association between Geriatric Depression Scale score and Functional Independence Measure total score. [Conclusion] The present study suggests that post-stroke depression has a negative impact on recovery of activities of daily living and on rehabilitation outcomes in a convalescent rehabilitation ward setting.

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“…[1] Ischemic stroke is a significant cause of gait imbalance and falling, [2,3] with incidence of stroke more than tripling between the 35 and 44 to 65 and 73-year-old age groups. [4,5] Autonomic dysfunction has proven to be both a risk factor and also as a symptom poststroke, attributing to the increased fall risk in stroke survivors.…”

Section: Introductionmentioning

confidence: 99%

Poststroke alterations in heart rate variability during orthostatic challenge

et al. 2017

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Older adults following recovery from ischemic stroke have a higher incidence of orthostatic hypotension, syncope, and fall risk, which may be related to impaired autonomic responses limiting the ability to maintain cerebral blood flow. Thus, we investigated cerebrovascular and cardiovascular regulation in 23 adults ≥55 years of age, 10 diagnosed with ischemic stroke, and 13 age-matched healthy controls when sitting at rest and upon standing to compare differences of autonomic variables at ∼7 months (218 ± 41 days) poststroke.Arterial blood pressure via finger plethysmography, muscle-pump baroreflex via electromyography, heart rate variability via 3-lead ECG, and cerebral blood flow velocity via transcranial Doppler were analyzed while sitting for 5 minutes and then during quiet standing for 5 minutes.From the seated to standing position, the stroke group had significantly greater decline in the low frequency component of heart rate variability (164 [79] vs 25 [162] ms2; P = 0.043). All other cardiovascular parameters and assessments of autonomic function were not significantly different between the two groups.Our findings support the hypothesis of continued autonomic dysfunction after recovery from ischemic stroke, with potential attenuation of the cardiovascular response to standing. However, further investigation is required to determine the mechanisms underlying the increased risk of orthostatic hypotension, syncope, and falls poststroke.

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Impaired Dynamic Balance Is Associated with Falling in Post-Stroke Patients

Cited by 26 publications

References 27 publications

Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke

Assessment of demographic and clinical characteristics on functional status and disability of patients with stroke

Post-stroke depression inhibits improvement in activities of daily living in patients in a convalescent rehabilitation ward

Poststroke alterations in heart rate variability during orthostatic challenge

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