Lesion location associated with balance recovery and gait velocity change after rehabilitation in stroke patients

Moon, Hyun Im; Lee, Hyo Jeong; Yoon, Seo Yeon

doi:10.1007/s00234-017-1840-0

Cited by 18 publications

(16 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many researchers report that the outcomes of conducted therapy are independent of age and sex [24][25][26]. The results of the present study confirm this observation.…”

Section: Discussionsupporting

confidence: 90%

Thermography assessment of spastic lower limb in patients after cerebral stroke undergoing rehabilitation

Nowak¹,

Mraz

2019

J Therm Anal Calorim

View full text Add to dashboard Cite

Stroke contributes to disability in adulthood. The assessment of the degree of spasticity is one of the basic methods of patient examination after stroke and is used for monitoring rehabilitative outcomes; however, no optimal scale for the unambiguous assessment of spasticity exists. Our study aimed to assess the usefulness of thermography in measuring the effects of rehabilitation in stroke patients' spastic hemiparesis. In this prospective, single-center study, 40 stroke patients with a mean age of 60.6 ± 5.5 years were enrolled. All suffered from hemiparesis. Surface temperature of the shank was assessed with infrared thermography; degree of independence with the Barthel Index; and muscle tone with the Modified Ashworth Scale. A comparison of temperature between the spastic and non-spastic posterior part of the shank was conducted. Temperature changes, severity of spasticity, and gait pattern were evaluated and compared at baseline and after 6 weeks of rehabilitation. All patients completed a rehabilitation program. The baseline temperature in the spastic extremity was significantly lower than in the normal extremity (mean temperature 28.93°C vs 30.20°C; p = 0.0001). After rehabilitation, the temperature in the spastic extremity increased significantly; however, the significant difference between the two extremities persisted (mean temperature 29.76°C vs 30.54°C; p = 0.0001). After rehabilitation, spasticity in affected extremity decreased significantly (p [ 0.001). Additionally, an improvement in gait pattern was observed. We conclude that thermography proved to be useful in the assessment of rehabilitation effects in stroke patients with spastic hemiparesis; thus, it can be considered an additional tool for determining impaired muscle tone in patients with spasticity.

show abstract

“…Many researchers report that the outcomes of conducted therapy are independent of age and sex [24][25][26]. The results of the present study confirm this observation.…”

Section: Discussionsupporting

confidence: 90%

Thermography assessment of spastic lower limb in patients after cerebral stroke undergoing rehabilitation

Nowak¹,

Mraz

2019

J Therm Anal Calorim

View full text Add to dashboard Cite

show abstract

“…Consistent with these previous studies, the present study also revealed that age, hematoma volume, and neurological severity, as measured with the NIHSS, were related to independent walking in patients with thalamic hemorrhage. Reports from rehabilitation hospitals show that there is a strong relationship between an improved functional outcome at rehabilitation hospital discharge and the early initiation of rehabilitation services [ 12 , 13 ]. Since no information on the rehabilitation interventions performed at the acute-care hospital was available in this study, this factor should be studied in the future.…”

Section: Discussionmentioning

confidence: 99%

Factors necessary for independent walking in patients with thalamic hemorrhage

et al. 2017

View full text Add to dashboard Cite

BackgroundThalamic hemorrhages cause motor paralysis, sensory impairment, and cognitive dysfunctions, all of which may significantly affect walking independence. We examined the factors related to independent walking in patients with thalamic hemorrhage who were admitted to a rehabilitation hospital.MethodsWe evaluated 128 patients with thalamic hemorrhage (75 men and 53 women; age range, 40–93 years) who were admitted to our rehabilitation hospital. The mean duration from symptom onset to rehabilitation hospital admission was 27.2 ± 10.3 days, and the mean rehabilitation hospital stay was 71.0 ± 31.4 days. Patients’ neurological and cognitive functions were examined with the National Institutes of Health Stroke Scale (NIHSS) and Mini-Mental State Examination (MMSE), respectively. The relationship between patients’ scores on these scales and their walking ability at discharge from the rehabilitation hospital was analyzed. Additionally, a decision-tree analysis was used to create a model for predicting independent walking upon referral to the rehabilitation hospital.ResultsAmong the patients, 65 could walk independently and 63 could not. The two patient groups were significantly different in terms of age, duration from symptom onset to rehabilitation hospital admission, hematoma type, hematoma volume, neurological symptoms, and cognitive function. The decision-tree analysis revealed that the patient’s age, NIHSS score, MMSE score, hematoma volume, and presence of ventricular bleeding were factors that could predict independent walking.ConclusionsIn patients with thalamic hemorrhage, the neurological symptoms, cognitive function, and neuroimaging factors at onset are useful for predicting independent walking.

show abstract

“…Moon и соавт. [15], в котором не было выявлено различий в изменении скорости ходьбы и сохранении равновесия между группами с супра-и субтенториальной локализацией инсульта. Различия, с одной стороны, могут быть объяснены достоверно более выраженными двигательными нарушениями в исследовании Н.…”

Section: заключениеunclassified

“…[15]. Средний балл по шкале FIM при поступлении и при выписке со-ставил 57±24/72±30 [15], в нашем исследовании -118±6/122±4 соответственно, t>5,42, p=0,000. Необходимо отметить, что выраженные двигательные расстройства могут маскировать нарушения равновесия.…”

Section: заключениеunclassified

“…Moon и соавт. [15] при ретроспективном ис-следовании больных с выраженными нарушениями движения (средний балл по шкале FIM -72,4±30,5) не выявили связи между супра-или субтенториальной локализацией очага и нарушением равновесия по шкале Берга.…”

unclassified

See 1 more Smart Citation

A relationship between the movement pattern and lesion location in the early rehabilitation period after ischemic stroke

Belayeva

Martynov

Pehova

et al. 2019

Z. nevrol. psikhiatr. im. S.S. Korsakova

View full text Add to dashboard Cite

Резюме Цель исследования. Изучение особенности двигательного стереотипа в раннем восстановительном периоде ишемического инсульта в бассейне внутренней сонной артерии и в вертебрально-базилярной системе. Материал и методы. Обследованы 11 пациентов на 4-6-й неделе после ишемического инсульта. Из них женщин было 5, мужчин-6, средний возраст 57,2±5,2 года. Исходно общий балл по шкале NIHSS составил 6,2±0,8, парез руки/кисти-3,9±0,7/3,7±0,8 балла, парез ноги/стопы-4,3±0,6/4,0±0,5 балла. Очаг в бассейне внутренней сонной артерии локализован у 7 человек, в вертебрально-базилярной системе-у 4. Обследование проводили при поступлении и через 2-2,5 нед. Оценивали динамику по шкалам FIM и спастичности Ашфорта, тесту ловкости кисти (NHPT) и TUG-тесту, шкале равновесия Берга и 20-балльной шкале головокружений, шкале MMSE, опросникам Бека и Спилбергера. Видеоанализ движений выполняли на комплексе Physiomed Smart («Physiomed», Германия) по протоколу Davis. Результаты. На фоне реабилитационных мероприятий у всех больных отмечено уменьшение выраженности парезов, улучшение по шкалам FIM, Ашфорта и Берга, тесту NHPT и TUGтесту. Больные с очагом в вертебрально-базилярной системе в отличие от больных с очагом в бассейне внутренней сонной артерии имели нарушения равновесия, выявляемые по 20-балльной шкале головокружения. У всех больных при видеоанализе отмечены изменения двигательного стереотипа в виде укорочения длины и увеличения ширины шага, уменьшения скорости и удлинения цикла шага, более выраженные при локализации очага в вертебрально-базилярной системе. Отличительной особенностью при локализации очага в вертебрально-базилярной системе был наклон таза вперед, а при локализации очага в бассейне внутренней сонной артерии-перекос таза. Заключение. Локализация очага при легком ишемическом инсульте может влиять на особенности восстановления и стереотип движений, что рекомендуется учитывать при реабилитации этих больных.

show abstract

Lesion location associated with balance recovery and gait velocity change after rehabilitation in stroke patients

Abstract: Initial balance function as well as the interval between stroke onset and the initiation of therapy might influence balance recovery and gait velocity changes. Damage to the insula and internal capsule also affected gait velocity change after rehabilitation.

Cited by 18 publications

References 51 publications

Thermography assessment of spastic lower limb in patients after cerebral stroke undergoing rehabilitation

Thermography assessment of spastic lower limb in patients after cerebral stroke undergoing rehabilitation

Factors necessary for independent walking in patients with thalamic hemorrhage

A relationship between the movement pattern and lesion location in the early rehabilitation period after ischemic stroke

Contact Info

Product

Resources

About