Balance Is Associated with Quality of Life in Chronic Stroke

Schmid, Arlene A.; Puymbroeck, Marieke Van; Altenburger, Peter; Miller, Kristine K.; Combs, Stephanie A.; Page, Stephen J.

doi:10.1310/tsr2004-340

Cited by 94 publications

(66 citation statements)

References 47 publications

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“…This observed fall incidence was lower than the 76 percent that has been reported in poststroke populations [1][2] but was similar to the 30 percent rate reported for community-dwelling older adult populations [26][27]. This may have been the case because the average time since stroke was close to 7 yr and individuals might have learned to manage some fall-risk factors.…”

Section: Discussionsupporting

confidence: 71%

“…Falls are a common and serious complication after stroke, with up to 76 percent of people falling poststroke [1][2]. Both the fall risk and associated risk for fall-related injuries persist into the chronic phases of stroke recovery.…”

Section: Introductionmentioning

confidence: 99%

“…In another study, Hyndman et al found that people with chronic stroke who fell more than once (n = 10) had worse mobility, arm function, and ability to complete ADLs, as well as greater anxiety and depression, than those with one or no falls [5]. While it is known that falls are common poststroke [1][2] and fall risk factors are numerous [5,11] a key step in the development of effective interventions to reduce poststroke falls is to identify the circumstances under which people fall after stroke.…”

Section: Introductionmentioning

confidence: 99%

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Circumstances and consequences of falls among people with chronic stroke

et al. 2013

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Abstract-Falls are common after stroke; however, circumstances and consequences are relatively unknown. Our objectives were to identify the differences between fallers and non-fallers among people with chronic stroke, identify the circumstances of fall events, and examine the consequences of the falls. This is a secondary data analysis; all participants included sustained a stroke. Variables included demographics, stroke characteristics, and comorbidities. Falls were collected via self-report, and circumstances and consequences were derived from participant description of the event and categorized as appropriate. Among 160 participants, 53 (33%) reported a fall during the 1 yr period. Circumstances of falls were categorized as intrinsic or extrinsic. Location and circumstance of the fall were included: 70% occurred at home and 40% were associated with impaired physical or mental state (e.g., inattention to tying shoes). Additionally, 21% of falls were associated with activities of daily living and mobility and 34% with slips or trips. The majority who fell sustained an injury (72%). Injuries ranged from bruising to fractures, and 55% of those with an injury sought medical care (32% to emergency department). Poststroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention.

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Section: Discussionsupporting

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Circumstances and consequences of falls among people with chronic stroke

et al. 2013

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“…Recent observational studies have shown balance to be a powerful predictor of poststroke walking function [7–13] and a variable related to quality of life after stroke [14]. Specifically, individuals with better balance abilities typically present with better walking function.…”

Section: Introductionmentioning

confidence: 99%

Do Improvements in Balance Relate to Improvements in Long-Distance Walking Function after Stroke?

Awad

Reisman

Binder‐Macleod

2014

Stroke Research and Treatment

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Stroke survivors identify a reduced capacity to walk farther distances as a factor limiting their engagement at home and in community. Previous observational studies have shown that measures of balance ability and balance self-efficacy are strong predictors of long-distance walking function after stroke. Consequently, recommendations to target balance during rehabilitation have been put forth. The purpose of this study was to determine if the changes in balance and long-distance walking function observed following a 12-week poststroke walking rehabilitation program were related. For thirty-one subjects with hemiparesis after stroke, this investigation explored the cross-sectional (i.e., before training) and longitudinal (i.e., changes due to intervention) relationships between measures of standing balance, walking balance, and balance self-efficacy versus long-distance walking function as measured via the 6-minute walk test (6MWT). A regression model containing all three balance variables accounted for 60.8% of the variance in 6MWT performance (adj R 2 = .584; F(3,27) = 13.931; P < .001); however, only dynamic balance (FGA) was an independent predictor (β = .502) of 6MWT distance. Interestingly, changes in balance were unrelated to changes in the distance walked (each correlation coefficient <.17, P > .05). For persons after stroke similar to those studied, improving balance may not be sufficient to improve long-distance walking function.

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“…Impaired balance is a common problem amongst these patients, affecting up to 80% in the initial stages (3). Reduced balance can severely influence the patient's ability to perform activities of daily living and is associated with reduced quality of life (4). There is a need for reliable measurements designed to evaluate and monitor balance in the initial phase after stroke and throughout the rehabilitation process (5,6).…”

Section: Introductionmentioning

confidence: 99%

The Postural Assessment Scale for Stroke Patients: translation into Norwegian, cultural adaptation, and examination of reliability

Breistein

Gjelsvik

Jørgensen

2017

European Journal of Physiotherapy

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Background: To translate the Modified Swedish version of Postural Assessment Scale for Stroke (SwePASS) into Norwegian (SwePASS-NV) and assess its intra-and interrater reliability. Methods:Translation and cross-cultural adaptation was accomplished according to international guidelines.Forty-seven adults, suffering a stroke within the last six months, were strategically recruited and allocated into groups according to five different levels of function. Their performance on SwePASS-NV was video-recorded and then scored by three raters twice, with a minimum of 4 weeks between sessions. Relative reliability was investigated by calculating intraclass correlation coefficients (ICC 1.1 and ICC 3.1 ). Absolute reliability was analysed using within-subject standard deviation (S w ) and smallest detectable difference (SDD). For individual items, Cohen's kappa (k) and percentage of agreement were calculated. Results: The study showed excellent intra-and interrater reliability (ICC 1.1 and ICC 3.1 ≥.99) for SwePASS-NV. K-values for the individual items ranged between 0.68-1.00.Percentages of agreement ranged from 77-100%. SDD at 95% confidence interval was ≤ 2 points for intrarater assessments and ≤ 3 points for interrater assessments. Conclusion: This study demonstrated very high intra-and interrater reliability of the SwePASS-NV in adults within the first six months after stroke. All items showed very high or high agreement.

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Balance Is Associated with Quality of Life in Chronic Stroke

Abstract: In the chronic stroke population, balance impairment and fall risk are associated with lower QOL scores. If balance can be improved and maintained into the chronic phases of stroke, it is likely that individuals will benefit with improved QOL.

Cited by 94 publications

References 47 publications

Circumstances and consequences of falls among people with chronic stroke

Circumstances and consequences of falls among people with chronic stroke

Do Improvements in Balance Relate to Improvements in Long-Distance Walking Function after Stroke?

The Postural Assessment Scale for Stroke Patients: translation into Norwegian, cultural adaptation, and examination of reliability

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