Trunk control test as a functional predictor in stroke patients

Duarte, Esther; Marco, Ester; Muniesa, Josep M.; Belmonte, R.; Diaz, P; Tejero, Marta; Escalada, Ferrán

doi:10.1080/165019702760390356

Cited by 155 publications

(103 citation statements)

References 17 publications

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“…Through the above results, increased muscle activities in rotation muscles in normal and hemiplegic groups during head rotation helped to stabilize participants' trunks. This result was similar to those of a study by Duarte 20 that reported unstable trunk control in stroke patients, as well as a study result by Roby-Brami et al 21 claiming that inefficient postural movements were caused by the limited range of motion of joints, as well as loss of appropriate coordination in trunk.…”

Section: Discussionsupporting

confidence: 81%

Variations in Stroke Patients’ Muscle Activity during Head Rotation in Non-Paretic-Side Weight Bearing

Lee¹,

Choe

Lee³

2015

J Kor Phys Ther

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Purpose: This study aimed to determine the interaction among the neck, trunk, and lower extremities on the non-paretic side in head rotation along with non-paretic-side weight shifting of stroke patients. To compare stroke patients' ability to control posture through muscle activity variation related to pertubation during head rotation along with the non-paretic limb. Methods: We tested 15 hemiplegic patients and 15 normal individuals. Each group's muscle activity was measured by electromyography in neutral head position and head rotation position. We compared each group's resu lt based on measured values in patients' non-paretic neck muscles, trunk muscles, and lower limbs muscles activation. Results:The study showed that muscle activity increased in the sternocleidomastoid muscle (102.26%, 53.00%), splenius capitis muscle (97.93%, 54.93%), erector spinae muscle (241.00%, 127.60%), external oblique abdominal muscle (256.66%, 152.00%), and internal oblique abdominal muscle (252.80%, 152.6%), peroneus longus muscle (117.53%, 137.13%) and gastrocnemius muscle (119.06%, 137.20%), while the results for the sternocleidomastoid muscle, splenius capitis muscle, erector spinae muscle, external oblique abdominal muscle, internal oblique abdominal muscle, peroneus longus muscle, and gastrocnemius muscle showed a statistically significant difference (p< 0.05). Conclusion: It is hard for stroke patients to engage in normal movement control under suggested conditions because of the insufficient movement against gravity on the stroke patient's non-paretic side and impaired cooperative patterns. To solve these problems, patients need their bodies to improve through effective movement, resulting in advanced control of their effective and functional activity.

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Section: Discussionsupporting

confidence: 81%

Variations in Stroke Patients’ Muscle Activity during Head Rotation in Non-Paretic-Side Weight Bearing

Lee¹,

Choe

Lee³

2015

J Kor Phys Ther

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“…[1][2][3] A variety of functional scales measuring balance are commonly used with people with stroke; however, only a few are specifically designed for this use. 4 Benaim et al 4 developed a new scale, the Postural Assessment Scale for Stroke patients (PASS), that directly addressed the need for an assessment tool that specifically measures balance in people with stroke.…”

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confidence: 99%

Developing a Short Form of the Postural Assessment Scale for People With Stroke

Chien

Lin

Wang

et al. 2007

Neurorehabil Neural Repair

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Objective. To develop a Short Form of Postural Assessment Scale for Stroke patients (SFPASS) with sound psychometric properties (including reliability, validity, and responsiveness).Methods. This study consisted of 2 parts: developing the SFPASS and cross-validation. In the 1st part, 287 people with stroke were evaluated with the PASS at 14-and 30-day poststroke intervals. The authors reduced the number of test items that constitute the PASS by more than half (i.e., making 5-, 6-, and 7-item sets) and simplified the scoring system (i.e., collapsing the 4-level scale in the original PASS into a 3-level scale [PASS-3L]), making both 4-L and 3-L versions available. Thus, a total of 6 SFPASSs were generated. In addition, 2 external criteria, the Barthel activities of daily living index and the Fugl-Meyer motor test, were used to examine the validity of the 6 SFPASSs. The psychometric properties of the new 6 SFPASSs were compared with each other as well as with those of the original PASS to determine which scale outperformed the others. In the 2nd part of the study, the authors crossvalidated the best SFPASS using another independent sample of 179 people with stroke. Results. All 6 SFPASSs demonstrated good reliability, validity, and responsiveness. However, the Bland-Altman plots showed that only the 5-item PASS-3L demonstrated no systematic trend between the difference and mean score of the 5-item PASS-3L and the original PASS. The 5-item PASS-3L also had psychometric properties similar to those of the original PASS, as demonstrated in a crossvalidation sample. Conclusion. The authors' results provide strong evidence that the 5-item PASS-3L has sound psychometric properties in people with stroke. The 5-item PASS-3L is simple and fast to administer and is thus recommended.

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“…Sin embargo, a pesar de las pruebas convincentes de que el rendimiento del tronco es un importante predictor del resultado funcional después del ACV, las investigaciones que evalúan los resultados de la rehabilitación específica de este segmento son limitadas [12][13][14].…”

Section: Introductionunclassified

Rehabilitación del control de tronco en pacientes con accidente cerebrovascular mediante una interfaz inercial: Resultados preliminares

Aburto

2018

DOCTUMH

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El Accidente Cerebrovascular (ACV) es un conjunto de trastornos neurológicos causado por la alteración del flujo vascular cerebral, el cual se manifiesta en alteraciones funcionales variadas dependiendo de la región encefálica afectada. Las alteraciones en el control de tronco y el balance son problemas típicos que limitan el desempeño de los pacientes posteriormente al ACV y, por tanto, su recuperación constituye uno de los principales objetivos de la rehabilitación convencional. El propósito de este estudio fue evaluar un programa para la rehabilitación de tronco mediante una interfaz humano-computadora inercial, identificando los efectos en el control de tronco y balance en pacientes con ACV. Los resultados preliminares mostraron cambios positivos en el control del tronco posteriormente al programa, sin embargo, no se encontraron cambios en la función de balance. Estudios futuros con mayor número de participantes y un grupo control, podrían ayudar a demostrar la utilidad de la interfaz inercial en la rehabilitación posterior al ACV.

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Trunk control test as a functional predictor in stroke patients

Cited by 155 publications

References 17 publications

Variations in Stroke Patients’ Muscle Activity during Head Rotation in Non-Paretic-Side Weight Bearing

Variations in Stroke Patients’ Muscle Activity during Head Rotation in Non-Paretic-Side Weight Bearing

Developing a Short Form of the Postural Assessment Scale for People With Stroke

Rehabilitación del control de tronco en pacientes con accidente cerebrovascular mediante una interfaz inercial: Resultados preliminares

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