The Relationship Between Balance, Disability, and Recovery After Stroke: Predictive Validity of the Brunel Balance Assessment

Tyson, Sarah; Hanley, Marie; Chillala, Jay; Selley, Andrea; Tallis, Raymond

doi:10.1177/1545968306296966

Cited by 111 publications

(87 citation statements)

References 39 publications

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“…Kim and Park (2013) reported that balance impairment leads to dependency in activities of daily living of stroke patients. Tyson et al (2007) reported that balance ability affect performance in ADL of stroke patients. In addition, according to a previous study that examined the effect of cognitive impairment on functional limitation post-stroke, cognitive impairment caused by a stroke can have far-reaching consequences on ADL (Zinn et al 2004).…”

Section: Discussionmentioning

confidence: 99%

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

Cho¹,

Lee

2013

Tohoku J. Exp. Med.

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Falling is one of the most common complications of stroke. The purpose of this study was to investigate the impact of falling on cognitive and physical function in post-stroke patients. Further, the predictive factors associated with independence of activity of daily living (ADL) in stroke patients with falls experience were investigated. Sixty-six participants were divided into 2 groups according to history of falling: faller (n = 34) and non-faller (n = 32). All participants were examined for cognitive and physical function. Static balance was measured by postural sway using a force platform. Dynamic balance was measured using the Berg Balance Scale (BBS) and the Modified Rivermead Mobility Index (MRMI), which shows the degree of performance for balance tasks. ADL was measured using the Modified Barthel Index (MBI), which shows the degree of independence. The fallers showed lower cognitive and physical function than the non-fallers (p < 0.05). This finding indicates that falling is associated with reduced physical function, as well as reduced cognitive function. In the fallers, the ADL (MBI) was moderately correlated with each of cognition [MMSE (r = 0.388, p = 0.023)], dynamic balance [MRMI (r = 0.514, p = 0.002) and BBS (r = 0.572, p < 0.000)]. In addition, regression analysis showed that BBS was a primary predictor for ADL performance (R 2 = 0.327, β = 0.572, p < 0.000). Our findings indicate that enhancement of dynamic balance is needed to improve in activities necessary for normal self-care of stroke patients with falls experience.

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Section: Discussionmentioning

confidence: 99%

“…Many studies have identified balance ability as important risk factor for independent ADL in stroke patients (Tyson et al 2007;Kim and Park 2013). Kim and Park (2013) reported that balance impairment leads to dependency in activities of daily living of stroke patients.…”

Section: Discussionmentioning

confidence: 99%

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

Cho¹,

Lee

2013

Tohoku J. Exp. Med.

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“…Many patients with post-stroke hemiparesis have balance deficits and natural decreases in muscle strength and age-related endurance [3,4]. Specifically, stroke patients usually place more weight unilaterally [5,6] and find balancing when standing/ sitting difficult [7,8].…”

Section: Introductionmentioning

confidence: 99%

Does the backrest shape of the wheelchair influence the asymmetric posture of patients with hemiparesis? A single institution pilot study

Ukita¹,

Abe²,

Nikaido³

et al. 2017

Biomed Res Clin Prac

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We have previously reported the effect of wheelchair with a unique backrest shape with pelvic and thoracic support (P-WC) on healthy individuals. However, the actual effect of P-WC on real users is still unclear. Therefore, the purpose of this study was to investigate the effect of different backrest shapes on asymmetric seated posture and pressure points in patients with hemiplegia. We compared a typical wheelchair with a flat backrest (T-WC) to P-WC. Ten subjects with hemiparesis were analyzed. Outcome measures were body alignment angles and pressure distributions of the supporting surfaces. The total seat pressure decreased (p<0.01) and total back pressure increased (p<0.05), in P-WC compared with T-WC. The head-neck was more upright (p<0.05) in P-WC than in T-WC. Moreover, the center of pressure was located in the middle of both the seat and backrest (p<0.05), and the high unilateral pressure around the ischial tuberosity was dispersed (p<0.05) in P-WC. In conclusion, the backrest shape of the P-WC contributes to reducing postural asymmetry. These results highlight the importance of the shape of the wheelchair backrest for patients with hemiparesis.

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“…Therefore, improvements in rehabilitation outcomes and goal setting are important for stroke patients 6,7) . To set suitable therapeutic goals and develop effective treatment plans, predictions need to be made about patients' expected degree of recovery 8) . Selection of assessments is an important process, but it is difficult because of the variability in causes, symptoms, severity, and the possibility of spontaneous recovery following stroke 9) .…”

Section: Introductionmentioning

confidence: 99%