Trunk Control Test as an Early Predictor of Stroke Rehabilitation Outcome

Franchignoni, Franco; Tesio, Luigi; Ricupero, C.; Martino, Maria Teresa Di

doi:10.1161/01.str.28.7.1382

Cited by 256 publications

(174 citation statements)

References 18 publications

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“…Finally, some tests utilized to assess trunk balance during the performance of activities with the upper limbs were considered. [8][9][10] Grossly, trunk control can be classified in static and dynamic control depending on the presence of an external force. In the proposed scale, static control was assessed by three items that evaluate the maintenance of the sitting posture for 10 s with variations in posture of the lower extremities.…”

Section: Methodsmentioning

confidence: 99%

“…There are tests to clinically assess trunk control in other pathologies of the central nervous system (CNS) that have yielded important data, not only for the initial evaluation of these patients but also for follow-up, prognosis and the degree of functional independence. 9 The Berg balance scale, which was originally created to determine the risk of falls among elderly patients, was analyzed for use in SCI patients in two studies. 10,11 Both of them determined that the Berg scale has a ceiling effect.…”

Section: Introductionmentioning

confidence: 99%

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Proposal and validation of a clinical trunk control test in individuals with spinal cord injury

et al. 2014

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Study design: One of the problems that arise in spinal cord injury (SCI) is alteration in trunk control. Despite the need for standardized scales, these do not exist for evaluating trunk control in SCI. Objective: To propose and validate a trunk control test in individuals with SCI. Setting: National Institute of Rehabilitation, Mexico. Methods: The test was developed and later evaluated for reliability and criteria, content, and construct validity. Results: We carried out 531 tests on 177 patients and found high inter-and intra-rater reliability. In terms of criterion validity, analysis of variance demonstrated a statistically significant difference in the test score of patients with adequate or inadequate trunk control according to the assessment of a group of experts. A receiver operating characteristic curve was plotted for optimizing the instrument's cutoff point, which was determined at 13 points, with a sensitivity of 98% and a specificity of 92.2%. With regard to construct validity, the correlation between the proposed test and the spinal cord independence measure (SCIM) was 0.873 (P ¼ 0.001) and that with the evolution time was 0.437 (P ¼ 0.001). For testing the hypothesis with qualitative variables, the Kruskal-Wallis test was performed, which resulted in a statistically significant difference between the scores in the proposed scale of each group defined by these variables. Conclusion: It was proven experimentally that the proposed trunk control test is valid and reliable. Furthermore, the test can be used for all patients with SCI despite the type and level of injury.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Proposal and validation of a clinical trunk control test in individuals with spinal cord injury

et al. 2014

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“…No presente estudo, os indivíduos com hemiparesia apresentaram diferenças na ativação muscular em comparação com o grupo controle, no entanto, os participantes desta amostra apresentaram uma alta pontuação na escala de funcionalidade. Alguns estudos 16,17 indicaram que o controle de tronco é um importante preditor da funcionalidade após o Ave, mas indivíduos crônicos são capazes de adaptar-se, como por exemplo, aumentando a mobilidade do tronco superior e diminuindo o deslocamento da pelve 18 ou realizando movimentos em massa 3 , o que diminui o impacto das alterações motoras do tronco nas atividades de vida diária.…”

Section: Discussionunclassified

Alterações eletromiográficas dos músculos do tronco de pacientes com hemiparesia após acidente vascular encefálico

Marcucci

Cardoso

Berteli

et al. 2007

Arq. Neuro-Psiquiatr.

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Resumo -o acidente vascular encefálico é a principal causa de incapacidade crônica em adultos, porém poucos estudos avaliaram a motricidade do tronco nestes indivíduos. Objetivo: Comparar a atividade mioelétrica do tronco entre indivíduos hemiparéticos e controle. Método: Foram avaliados oito indivíduos hemiparéticos e oito controles, por meio de eletromiografia de superfície (emGs), durante atividades de flexão dos membros inferiores e rotação do tronco em supino; levantar e elevação dos membros superiores na posição sentada. Resultados: o músculo reto abdominal parético apresentou maior ativação que o grupo controle (p=0,031) durante a flexão dos membros inferiores. os músculos oblíquos apresentaram, bilateralmente, maior ativação na elevação dos membros inferiores do que na rotação (p=0,014 e p=0,002, respectivamente). Não houve diferenças entre músculos eretores durante as atividades. Conclusão: os mús-culos flexores do tronco de indivíduos hemiparéticos apresentaram alterações motoras no reto abdominal do lado parético e realizam compensações por meio dos oblíquos externos.PAlAvRAs-ChAve: acidente vascular cerebral, paresia, eletromiografia, atividade motora. electromyographic alterations of trunk muscle of patients with post-stroke hemiparesisABstRACt -stroke is the main cause of chronic disability in adults, but few studies evaluated the trunk motor activity in affected subjects. Objective: to compare the myoelectrical activity of trunk muscle in hemiparetic and control subjects. Method: eight hemiparetic and eight control subjects were assessed during lower extremities flexion and trunk rotation in supine position; stand up and rise up upper extremities in seated position. Results: Paretic rectus abdominis presented a higher activation than control group (p=0.031) during lower extremities elevation. Obliquus externus abdominis showed a bilateral higher activation during lower extremities elevation than rotation activities (p=0.014 and p=0.002, respectively). there was no difference in extension activities comparison. Conclusion: trunk flexor muscles of hemiparetic subjects demonstrated motor alterations in rectus abdominis of paretic side and compensations were used with Obliquus externus. o acidente vascular encefálico (Ave) é a principal causa de incapacidade crônica em adultos. Cerca de 50 a 70% dos indivíduos acometidos recuperam a independência funcional e, após seis meses, cerca de 50% apresentam hemiparesia/hemiplegia 1 . os déficits motores encontrados após a ocorrência de um Ave decorrem da lesão dos neurônios motores superiores que controlam os músculos distais e proximais 2 . os músculos responsáveis pela movimentação do tronco estão relacionados com o movimento voluntá-rio de membros e também com a realização de atividades de vida diária 3,4 . Poucos estudos 2,5-8 avaliaram a atividade motora do tronco de indivíduos com hemiparesia por meio de parâmetros biomecânicos como a eletromiografia de superfície (emGs). estes estudos verificaram que após um Ave os indivíduos podem apresentar uma dimin...

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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 an Early Predictor of Stroke Rehabilitation Outcome

Cited by 256 publications

References 18 publications

Proposal and validation of a clinical trunk control test in individuals with spinal cord injury

Proposal and validation of a clinical trunk control test in individuals with spinal cord injury

Alterações eletromiográficas dos músculos do tronco de pacientes com hemiparesia após acidente vascular encefálico

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

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