Recovery process of vertical perception and activities of daily living in stroke: A retrospective cohort study

Abstract

It is important to clarify the recovery process of the subjective postural vertical (SPV) and activities of daily living (ADL) in stroke to help clinicians determine treatment plans. This study aimed to investigate the characteristics of the longitudinal recovery process of SPV and ADL after stroke. In total, 109 patients with stroke were enrolled in the study. Clinical assessments included the SPV and total functional independence measure (FIM), both initially and after 1 month. The SPV mean and standard deviation values indicated the directional and variability errors, respectively. The participants were categorized as follows: group A had directional and variability errors within the standard values, group B had directional errors within the standard value range and variability errors greater than the standard values, and group C had directional and variability errors greater than the standard values. A two-way analysis of variance was performed for SPV and FIM scores (p < 0.05). Groups B and C had larger SPV variability errors than group A. Furthermore, group B showed a significant improvement in variability errors after 1 month. We found that the recovery of SPV variability might be an important predictor of ADL recovery.

Effects of sitting balance training with a wedge on sitting pressure and verticality in young adults: A randomized crossover trial

“…Our results showed that sitting balance training improved variability by enhancing verticality cognition and the ability to perform activities of daily living, as supported by longitudinal studies. [4,5] However, the mechanism by which sitting balance training affects sitting pressure has not yet been clarified. On the other hand, recent reviews have revealed that various sensory and higher brain functions contribute to the vertical perception in balance components.…”

“…[14–16] Lateral truncal-tilt training can be useful for regaining balance against gravity and the adaptation can be substantial. [5,17,18] The mechanisms of trunk proprioception are affected by the participant training requirements to maintain balance after shifting their weight to a target point. It was suggested that forward reaching of the upper extremity was expected to increase the degree of CoG shift and improve sitting balance ability as its effects.…”