Amount of balance necessary for the independence of transfer and stair-climbing in stroke inpatients

Fujita, Takaaki; Sato, Atsushi; Ohashi, Yuji; Nishiyama, Kazutaka; Ohashi, Takuro; Yamane, Kazuhiro; Yamamoto, Yuichi; Tsuchiya, Kenji J.; Otsuki, Koji; Tozato, Fusae

doi:10.1080/09638288.2017.1289254

Cited by 13 publications

(14 citation statements)

References 26 publications

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“…A previous report showed that the transfer score of the FIM was strongly associated with balance function [17]. Other studies have reported that the lower limbs play an important role in truncal support and control of sitting balance during forward movements, particularly with regard to the centre of gravity in a sitting position that occurs during wheelchair transfer [18,19].…”

Section: Discussionmentioning

confidence: 99%

Novel lateral transfer assist robot decreases the difficulty of transfer in post-stroke hemiparesis patients: a pilot study

Koyama

Tanabe

Otaka

et al. 2020

Disability and Rehabilitation: Assistive Technology

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Purpose: The purpose of this study was to clarify whether the novel lateral transfer assist robot facilitates easier transfers compared with a wheelchair in post-stroke hemiparesis patients. Methods: This cross-sectional study enrolled 20 post-stroke hemiparesis patients, and the task difficulty of transfers was compared between a wheelchair and lateral transfer assist robot. All participants were asked to transfer from either wheelchair or lateral transfer assist robot to a platform table and back. The primary outcome was the transfer score of the Functional Independence Measure. The secondary outcome was the time required for transfer. Results: The transfer score of the Functional Independence Measure was significantly higher with lateral transfer assist robot than with wheelchair (p < .001). The transfer times from these devices to a platform table and back showed no significant differences (to device from platform table: 7.8 s, lateral transfer assist robot vs 7.6 s, wheelchair, p > .05: device to platform table: 7.1 s, lateral transfer assist robot vs 8.0 s, wheelchair, p > .05). Conclusions: Transfer with a lateral transfer assist robot is easier than with wheelchair and facilitates independence in post-stroke hemiparesis patients. ä IMPLICATIONS FOR REHABILITATION Transfer skill influences the functional independence and quality of life of a wheelchair user A novel structural mobility device-the lateral transfer assist robot (LTAR)-can facilitate transfers The LTAR could improve the degree of independence for transfers than the wheelchair, without any time loss, in post-stroke hemiparesis patients The LTAR could potentially reduce the risk for falls in various medical and care facilities ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Novel lateral transfer assist robot decreases the difficulty of transfer in post-stroke hemiparesis patients: a pilot study

Koyama

Tanabe

Otaka

et al. 2020

Disability and Rehabilitation: Assistive Technology

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“…Even though the median difference for the HIV-and HIV status unknown groups were double the median difference score of the HIV+ group, no difference was found among groups (p = 0.417). Previous studies have developed BBS cut-off scores associated with independence in various ADL (Fujita et al 2016(Fujita et al , 2017. These studies suggest that a BBS score of 40 indicates independence in functional walking ability in strokes; 41 indicates independent transfers; 42 indicates independent toileting; 44 indicates independent dressing; and 54 indicates independence in stair climbing (Fujita et al 2016(Fujita et al , 2017.…”

Section: Functional Ability and Safetymentioning

confidence: 99%

Functional outcome of stroke inpatients according to human immunodeficiency virus status: A feasibility study

Hartley

Burger

Esterhuizen

et al. 2020

African Journal of Disability

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This feasibility study aims to determine the requirements for a large descriptive cohort, to adequately describe the functional outcome of stroke patients with varying HIV status.Method: All stroke patients meeting the inclusion criteria were recruited over a 6-month period at a South African inpatient rehabilitation centre. Data were collected on admission and discharge using outcome measures including the Barthel Index (BI), Berg Balance Scale (BBS) and the use of assistive devices used to describe independence with activities of daily living (ADL), mobility and safety post-stroke. Statistical analysis was performed using Stata version 14.2. Results:The feasibility study identified appropriate procedures and barriers to a successful study in addition to describing preliminary data on participant demographics, relevant medical history and functional outcomes post-stroke. Limitations that affected feasibility included minimal recruitment sites, length of data collection period, timely communication of participant discharge plans and dates, and confirmation of participant HIV status. An appropriate comparison between sub-groups could not be made because of disproportionate group sizes, median age differences and no assessor blinding. Conclusion:To increase generalisability and the understanding of the unique HIV+ stroke profile, multiple recruitment sites, longer data collection periods, assessor blinding and agematched groups with HIV status confirmation are recommended.

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“…It is not clear what this individual improvement of the balance in OLST and TST means for the independence of patients after stroke in real everyday life. A recent study found a robust association of balance abilities measured with the Berg Balance Scale’s (BBS) with transfer and stair-climbing independence and performance [ 14 ]. The authors calculated cut-off values for independent transfer and stair-climbing for the BBS of 41/40 and 54/53 points, respectively [ 14 ].…”

Section: Main Textmentioning

confidence: 99%

“…A recent study found a robust association of balance abilities measured with the Berg Balance Scale’s (BBS) with transfer and stair-climbing independence and performance [ 14 ]. The authors calculated cut-off values for independent transfer and stair-climbing for the BBS of 41/40 and 54/53 points, respectively [ 14 ]. Our patients had BBS levels well below these limits, demonstrating the severity of our patients’ balance deficit in this study.…”

Section: Main Textmentioning

confidence: 99%

Immediate effects of rest periods on balance control in patients after stroke. A randomized controlled pilot trial

2018

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ObjectivesThis randomized controlled trial evaluates the effects of two different rest periods between as set of balance exercises after stroke during inpatient rehabilitation.ResultsTwenty patients after stroke [11 males; mean (SD) age 65.4 (11.5) years; duration of illness 5.3 (3.4) weeks; 16 (80%) left-sided strokes] were randomly allocated into two groups of either a full rest (FR) of 4 min (n = 10) or a short rest (SR) of 1 min between exercise sets (n = 10). Patients improved from baseline until immediately after exercises in one-leg standing time on the affected leg [SR: mean difference 5.1 s (SD 10.3) and FR: 2.0 s (2.4)] and tandem standing time (TST). [SR: 14.9 s (SD 24.6) and FR: 5.7 s (12.0)], but OLST and TST did not differ significantly between groups (p = 0.35 and p = 0.52, respectively).Trial registration The study was registered retrospectively in the German Register of Clinical Trials with the ID: DRKS00013979Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3450-2) contains supplementary material, which is available to authorized users.

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Amount of balance necessary for the independence of transfer and stair-climbing in stroke inpatients

Cited by 13 publications

References 26 publications

Novel lateral transfer assist robot decreases the difficulty of transfer in post-stroke hemiparesis patients: a pilot study

Novel lateral transfer assist robot decreases the difficulty of transfer in post-stroke hemiparesis patients: a pilot study

Functional outcome of stroke inpatients according to human immunodeficiency virus status: A feasibility study

Immediate effects of rest periods on balance control in patients after stroke. A randomized controlled pilot trial

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