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

2013 ◽  
Vol 230 (4) ◽  
pp. 233-239 ◽  
Author(s):  
KiHun Cho ◽  
GyuChang Lee
2016 ◽  
Vol 48 ◽  
pp. 400 ◽  
Author(s):  
Sukhoon Yoon ◽  
Hee Sung Lim ◽  
Ji-sun Ryu ◽  
SangKyun Park ◽  
Sangheon Park ◽  
...  

Author(s):  
Pallavi Harjpal ◽  
Moh'd Irshad Qureshi ◽  
Rakesh Krishna Kovela ◽  
Moli Jain

Background: One of the significant causes of morbidity worldwide and an essential contributor to disability is Stroke. As said by the National Stroke Association, nine post-stroke survivors out of 10 experience some degree of weakness post-stroke. The hemiplegic patients with sub-acute stroke, who will undergo training to both the lower limb overtraining to only involved side will have an improvement in balance and walking. The goal of this study is to see how much training to both the lower limb improves functional recovery in patients who have had a subacute stroke compared to unilateral, more insufficient limb training. Objective: The goal of this study was to see how training to both the lower limb overtraining to the hemiparetic lower limb on balance and walking in subacute stroke patients. Methods: A randomized clinical study with assessor blinding will be conducted with participants with subacute stroke (n=40). Participants will be randomized to one of two groups after performing baseline assessments: Group A or Group B.1st group will receive training only to the hemiparetic side, i.e., Motor Relearning Programme and Proprioceptive Neuromuscular Facilitation, and 2nd group participants will receive bilateral training, i.e., Strengthening to the unaffected side along with Motor Relearning Programme and Proprioceptive Neuromuscular Facilitation to the affected side. During the therapy period, we will assess lower limb function through static and dynamic balance, walking, and gait measures. Results: The purpose of the research is to look into the effect of training to both the lower limb overtraining to the hemiparetic lower limb on balance and walking in subacute stroke patients. The results of this study will be based on the outcome measures that are static and dynamic balance in the stroke patients and walking. Conclusion: The study's findings will shed more light on the benefits of training to both the lower limb overtraining to only involved side in patients post-stroke. If this trial proves successful, it will help post-stroke patients improve their balance and walking.


2021 ◽  
Author(s):  
Ashraf Mahmoudzadeh ◽  
Noureddin Nakhostin Ansari ◽  
Soofia Naghdi ◽  
Ehsan Ghasemi ◽  
Brandon S Shaw ◽  
...  

BACKGROUND Lower limb spasticity, as is common following a cerebrovascular attack (CVA) or stroke, can affect the balance and gait of patients. This then not only affects independence, and quality of life, but also increases the risk for other concerns, such as falling and an increased sedentariness, which could further affect health outcomes. OBJECTIVE We aimed to evaluate the effect of ankle plantar flexor spasticity severity on balance and to determine the relationship between the spasticity severity with ankle proprioception, passive range of motion (ROM), and balance confidence in post-stroke patients. METHODS Twenty-eight post-stroke patients were divided into two groups based on the level of ankle plantar flexor spasticity according to the Modified Modified Ashworth Scale (MMAS) as a High Spasticity Group (HSG) (MMAS>2) (n=14) or a Low Spasticity Group (LSG) (MMAS≤2) (n=14). The MMAS scores, Activities-Specific Balance Confidence Questionnaire, postural sway in the open and closed eyes conditions, timed up and go (TUG) test, ankle dorsiflexion passive range of motion (ROM), and ankle joint proprioception were measured. RESULTS No significant (p>0.05) differences were found between the LSG and HSG in terms of balance confidence, dynamic balance, and ankle dorsiflexion ROM. In addition, postural sway in the open and closed eye conditions was not significantly different in both the LSG and HSG for both the less affected and affected limbs. Similarly, posturography indicators in the open and closed eye conditions were not significantly different in both the LSG and HSG for both the less affected and affected limbs. However, ankle joint proprioception in terms of repositioning error angle was significantly (p≤0.05) better in the LSG compared to the HSG (p=0.01). There was also a significant relationship between TUG scores and balance confidence in the HSG(r=-0.55, p=0.04) CONCLUSIONS Our data suggests that several aspects of balance needs to be considered in the assessment and rehabilitation of post-stroke patients and there is a need to monitor entire patterns of activities to support wider engagement in rehabilitation activities. INTERNATIONAL REGISTERED REPORT RR2-10.2196/16045


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Indah Pramita ◽  
Mr Setiawan ◽  
Saifudin Zuhri

<p>ABSTRAK<br />Kasus stroke banyak dijumpai di lapangan, dimana penanganan pada pasien pasca stroke hanya menitik beratkan pada kemampuan motorik dan kurang memperhatikan kontrol postural. Sedangkan pada pasien pasca stroke memiliki masalah dengan kontrol postural yang berfungsi mengontrol posisi badan agar tetap tegak. Adanya masalah tersebut menghambat gerakan pada pasien pasca stroke dan mengakibatkan bertambahnya gangguan keseimbangan. Penelitian ini bertujuan untuk mengetahui manfaat latihan stabilisasi postural terhadap perbaikan keseimbangan statis dan dinamis pada pasien pasca stroke. Rancangan penelitian one group pre-test and post-test design dengan sampel sebanyak 6 orang yang diberikan latihan stabilisasi postural sebanyak 3x/minggu selama 1 bulan. Hasil Penelitian FRT sebelum perlakuan didapatkan rerata±SD sebesar 19,67±6,28 sedangkan rerata±SD FRT setelah perlakuan sebesar 25,50±5,28 dan p=0,004 (p&lt;0,05). Hal ini menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan statis pada pasien pasca stroke. Hasil TUG test sebelum perlakuan didapatkan rerata±SD sebesar 31,17±1,82 sedangkan rerata±SD TUG test setelah perlakuan sebesar 18,50±5,17 dan p = 0,027 (p &lt; 0,05). Data ini juga menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan dinamis pada pasien pasca stroke. Latihan stabilisasi postural meningkatkan keseimbangan statis dan dinamis pada pasien pasca stroke.<br />Kata kunci: Latihan, Keseimbangan , Stroke<br />ABSTRACT Many cases of stroke in the field, where the handling of post-stroke patients only focuses on motor skills and lack of attention to postural control. While in post-stroke patients have problems with postural control that controls the position of the body to remain upright. The existence of these problems hamper the movement in post-stroke patients and lead to increased disturbance of balance. This study aims to know the benefits of postural stabilization exercises to improve static and dynamic balance in patients with post stroke. This was an experimental pre using the design of a one group pre-test and post-test design. The number of subjects as many as 6 people, get as much 3x/minggu postural stabilization exercises for 1 month. Result of FRT before treatment obtained a mean ± SD of 19.67 ± 6.28 while the mean ± SD FRT after treatment for 25.50 ± 5.28 and p = 0.004 (p &lt;0.05). It shows atients with post stroke. Results TUG test before and after treatment. TUG test results obtained before treatment the mean ± SD of 31.17 ± 1.82 while the mean ± SD TUG test after treatment for 18.50 ± 5.17 and p = 0.027 (p &lt;0.05). It means there is influence between postural stabilization exercises on dynamic balance in patients with post stroke.The postural stabilization exercises enhance static and dynamic balance in patients with post stroke.<br />Keywords: Exercise, balance, Stroke</p>


2019 ◽  
Vol 7 (3) ◽  
pp. 232-237
Author(s):  
Hana Larasati ◽  
Theresia Titin Marlina

Background: stroke is a disorder of nervous system function that occurs suddenly and is caused by brain bleeding disorders that can affect the quality of life physical dimensions, social dimensions, psychological dimensions, environmental dimensions. Based on the result of Lumbu study (2015) the number of samples were 71 people collected data using the (WHOQOL-BREF). There were 56 people (78,9%) had the poor quality of life of post stroke. The mean of post-stroke quality of life domain was physical domain (45,27%), psychological domain (49,87%), social relations domain (48,15%) and environmental domain (50.01%). Objective: the purpose of the study was know the quality of life of the stroke patients in Outpatient Polyclinic of Private Hospital in Yogyakarta. Methods: used descriptive quantitative by using questionnaire test of purposive sampling system based on patients who have been affected of ischemic or hemorrhagic stroke before, number 30 respondents. Result: quality of life of stroke patient of medium physical dimension (67%), psychological dimension (71%), social dimension (67%), dimension good environment (63%). Conclusion: the quality of life of stroke patients of physical dimension, psychological dimension, and moderate social dimension, while the quality of life of stroke patients were good environmental dimension.   Keywords: Hemorrhagic stroke, ischemic stroke, quality of life


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