Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects?
Background. Poststroke impairment may lead to fall and unsafe functional performance. The underlying mechanism for the balance dysfunction is unclear. Objective. To analyze the relation between the motor level of the affected limbs and balance in poststroke subjects. Method. A prospective, cross-sec...
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doaj-1e8967f19a6e4ad689f0f91ec5c65e472020-11-24T22:02:27ZengHindawi LimitedRehabilitation Research and Practice2090-28672090-28752014-01-01201410.1155/2014/767859767859Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects?Kamal Narayan Arya0Shanta Pandian1C. R. Abhilasha2Ashutosh Verma3Pandit Deendayal Upadhyaya Institute for the Physically Handicapped (University of Delhi), Ministry of Social Justice and Empowerment, Government of India, 4 VD Marg, New Delhi 110002, IndiaPandit Deendayal Upadhyaya Institute for the Physically Handicapped (University of Delhi), Ministry of Social Justice and Empowerment, Government of India, 4 VD Marg, New Delhi 110002, IndiaPandit Deendayal Upadhyaya Institute for the Physically Handicapped (University of Delhi), Ministry of Social Justice and Empowerment, Government of India, 4 VD Marg, New Delhi 110002, IndiaPandit Deendayal Upadhyaya Institute for the Physically Handicapped (University of Delhi), Ministry of Social Justice and Empowerment, Government of India, 4 VD Marg, New Delhi 110002, IndiaBackground. Poststroke impairment may lead to fall and unsafe functional performance. The underlying mechanism for the balance dysfunction is unclear. Objective. To analyze the relation between the motor level of the affected limbs and balance in poststroke subjects. Method. A prospective, cross-sectional, and nonexperimental design was conducted in a rehabilitation institute. A convenience sample of 44 patients was assessed for motor level using Brunnstrom recovery stage (BRS) and Fugl-Meyer Assessment: upper (FMA-UE) and lower extremities (FMA-LE). The balance was measured by Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), and Functional Reach Test (FRT). Results. BRS showed moderate correlation with BBS (ρ=0.54 to 0.60; P<0.001), PASS (r=0.48 to 0.64; P<0.001) and FRT (ρ=0.48 to 0.59; P<0.001). FMA-UE also exhibited moderate correlation with BBS (ρ=0.59; P<0.001) and PASS (ρ=0.60; P<0.001). FMA-LE showed fair correlation with BBS (ρ=0.50; P=0.001) and PASS (ρ=0.50; P=0.001). Conclusion. Motor control of the affected limbs plays an important role in balance. There is a moderate relation between the motor level of the upper and lower extremities and balance. The findings of the present study may be applied in poststroke rehabilitation.http://dx.doi.org/10.1155/2014/767859 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kamal Narayan Arya Shanta Pandian C. R. Abhilasha Ashutosh Verma |
spellingShingle |
Kamal Narayan Arya Shanta Pandian C. R. Abhilasha Ashutosh Verma Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects? Rehabilitation Research and Practice |
author_facet |
Kamal Narayan Arya Shanta Pandian C. R. Abhilasha Ashutosh Verma |
author_sort |
Kamal Narayan Arya |
title |
Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects? |
title_short |
Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects? |
title_full |
Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects? |
title_fullStr |
Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects? |
title_full_unstemmed |
Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects? |
title_sort |
does the motor level of the paretic extremities affect balance in poststroke subjects? |
publisher |
Hindawi Limited |
series |
Rehabilitation Research and Practice |
issn |
2090-2867 2090-2875 |
publishDate |
2014-01-01 |
description |
Background. Poststroke impairment may lead to fall and unsafe functional performance. The underlying mechanism for the balance dysfunction is unclear. Objective. To analyze the relation between the motor level of the affected limbs and balance in poststroke subjects. Method. A prospective, cross-sectional, and nonexperimental design was conducted in a rehabilitation institute. A convenience sample of 44 patients was assessed for motor level using Brunnstrom recovery stage (BRS) and Fugl-Meyer Assessment: upper (FMA-UE) and lower extremities (FMA-LE). The balance was measured by Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), and Functional Reach Test (FRT). Results. BRS showed moderate correlation with BBS (ρ=0.54 to 0.60; P<0.001), PASS (r=0.48 to 0.64;
P<0.001) and FRT (ρ=0.48 to 0.59;
P<0.001). FMA-UE also exhibited moderate correlation with BBS (ρ=0.59; P<0.001) and PASS (ρ=0.60; P<0.001). FMA-LE showed fair correlation with BBS (ρ=0.50; P=0.001) and PASS (ρ=0.50; P=0.001). Conclusion. Motor control of the affected limbs plays an important role in balance. There is a moderate relation between the motor level of the upper and lower extremities and balance. The findings of the present study may be applied in poststroke rehabilitation. |
url |
http://dx.doi.org/10.1155/2014/767859 |
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