Balance Assessment in Subacute Stroke Patients Using the Balance Control Trainer (BalPro)
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To demonstrate the efficacy of the balance control trainer (BCT), developed for training patients with balance problems, as a balance assessment tool in subacute stroke patients. Methods A prospective cross-sectional study was carried out on 38 subacute stroke patients in their first episode of a stroke, and having the ability to maintain a standing position without aid for at least 5 minutes. Patients were assessed using the BCT (BalPro) 43.7±35.7 days after stroke. The balance was assessed using the Berg Balance Scale (BBS), the Timed Up and Go Test (TUG), a 10-meter walking test (10mWT), a 6-minute walking test (6MWT), and the Korean version of the Modified Barthel Index. The correlation and validity between the BCT and various balance assessments were analyzed.Results Statistically significant linear correlations were observed between the BCT score and the BBS (r=0.698, p<0.001). A moderate to excellent correlation was seen between the BCT score and 11 of the 14 BBS items. The BCT scores and other secondary outcome parameters (6MWT r=0.392, p=0.048; TUG r=−0.471, p=0.006; 10mWT r=−0.437, p=0.012) had a moderate correlation.Conclusion Balance control training using the BCT (BalPro) showed significant statistical correlation with the BBS, and could therefore be a useful additional balance assessment tool in subacute stroke patients.
Abstract
Objective To demonstrate the efficacy of the balance control trainer (BCT), developed for training patients with balance problems, as a balance assessment tool in subacute stroke patients. Methods A prospective cross-sectional study was carried out on 38 subacute stroke patients in their first episode of a stroke, and having the ability to maintain a standing position without aid for at least 5 minutes. Patients were assessed using the BCT (BalPro) 43.7±35.7 days after stroke. The balance was assessed using the Berg Balance Scale (BBS), the Timed Up and Go Test (TUG), a 10-meter walking test (10mWT), a 6-minute walking test (6MWT), and the Korean version of the Modified Barthel Index. The correlation and validity between the BCT and various balance assessments were analyzed.Results Statistically significant linear correlations were observed between the BCT score and the BBS (r=0.698, p<0.001). A moderate to excellent correlation was seen between the BCT score and 11 of the 14 BBS items. The BCT scores and other secondary outcome parameters (6MWT r=0.392, p=0.048; TUG r=−0.471, p=0.006; 10mWT r=−0.437, p=0.012) had a moderate correlation.Conclusion Balance control training using the BCT (BalPro) showed significant statistical correlation with the BBS, and could therefore be a useful additional balance assessment tool in subacute stroke patients.
참고문헌 (27)
- Gresham GE, "Post-stroke rehabilitation", US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, ~ (1995)
- Tyson SF, "Balance disability after stroke", Phys Ther, 86, pp.30~38 (2006)
- Lamb SE, "Risk factors for falling in home-dwelling older women with stroke: the Women’s Health and Aging Study", Stroke, 34, pp.494~501 (2003)
- Harris JE, "Relationship of balance and mobility to fall incidence in people with chronic stroke", Phys Ther, 85, pp.150~158 (2005)
- Belgen B, "The association of balance capacity and falls selfefficacy with history of falling in community-dwelling people with chronic stroke", Arch Phys Med Rehabil, 87, pp.554~561 (2006)
- Chen IC, "Balance evaluation in hemiplegic stroke patients", Chang Gung Med J, 23, pp.339~347 (2000)
- Bonan IV, "Reliance on visual information after stroke. Part I: balance on dynamic posturography", Arch Phys Med Rehabil, 85, pp.268~273 (2004)
- "Mobility and the lower extremity" (2016)[URL]
- Geurts AC, "A review of standing balance recovery from stroke", Gait Posture, 22, pp.267~281 (2005)
- Berg K, "The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke", Scand J Rehabil Med, 27, pp.27~36 (1995)
- Flansbjer UB, "Reliability of gait performance tests in men and women with hemiparesis after stroke", J Rehabil Med, 37, pp.75~82 (2005)
- Tyson SF, "Development of the Brunel Balance Assessment: a new measure of balance disability post stroke", Clin Rehabil, 18, pp.801~810 (2004)
- Howe JA, "The Community Balance and Mobility Scale: a balance measure for individuals with traumatic brain injury", Clin Rehabil, 20, pp.885~895 (2006)
- Benaim C, "Validation of a standardized assessment of postural control in stroke patients: the Postural Assessment Scale for Stroke Patients (PASS)", Stroke, 30, pp.1862~1868 (1999)
- Perera S, "Meaningful change and responsiveness in common physical performance measures in older adults", J Am Geriatr Soc, 54, pp.743~749 (2006)
- Eng JJ, "Submaximal exercise in persons with stroke: test-retest reliability and concurrent validity with maximal oxygen consumption", Arch Phys Med Rehabil, 85, pp.113~118 (2004)
- Barozzi S, "Reliability of postural control measures in children and young adolescents", Eur Arch Otorhinolaryngol, 271, pp.2069~2077 (2014)
- Furman JM, "Posturography: uses and limitations", Baillieres Clin Neurol, 3, pp.501~513 (1994)
- Kohen-Raz R, "Application of tetra-ataxiametric posturography in clinical and developmental diagnosis", Percept Mot Skills, 73, pp.635~656 (1991)
- Sawacha Z, "Relationship between clinical and instrumental balance assessments in chronic post-stroke hemiparesis subjects", J Neuroeng Rehabil, 10, pp.95~ (2013)
- So Hyun Lee, "Feasibility and Effects of Newly Developed Balance Control Trainer for Mobility and Balance in Chronic Stroke Patients: A Randomized Controlled Trial", Annals of Rehabilitation Medicine, 36(4), pp.521~529 (2012), 대한재활의학회
- Shumway-Cook A, "Predicting the probability for falls in communitydwelling older adults", Phys Ther, 77, pp.812~819 (1997)
- Wood-Dauphinee S, "The Balance Scale: responding clinically meaningful changes", Can J Rehabil, 10, pp.35~50 (1997)
- Yelnik A, "Clinical tools for assessing balance disorders", Neurophysiol Clin, 38, pp.439~445 (2008)
- Wade DT, "Measurement in neurological rehabilitation" (1992), Oxford University Press
- Richards CL, "Gait in stroke: assessment and rehabilitation", Clin Geriatr Med, 15, pp.833~855 (1999)
- Sulter G, "Use of the Barthel index and modified Rankin scale in acute stroke trials", Stroke, 30, pp.1538~1541 (1999)