Studying turn performance, trunk control, and mobility in acute stroke subjects: a cross-sectional study.

IF 2.3 3区 生物学 Q2 MULTIDISCIPLINARY SCIENCES
PeerJ Pub Date : 2024-12-03 eCollection Date: 2024-01-01 DOI:10.7717/peerj.18501
Mahima Vasyani, Akshatha Nayak, K Vijaya Kumar, Zulkifli Misri, Pema Choezom, Rinita Mascarenhas, Jaya Shanker Tedla, Srikant Natarajan
{"title":"Studying turn performance, trunk control, and mobility in acute stroke subjects: a cross-sectional study.","authors":"Mahima Vasyani, Akshatha Nayak, K Vijaya Kumar, Zulkifli Misri, Pema Choezom, Rinita Mascarenhas, Jaya Shanker Tedla, Srikant Natarajan","doi":"10.7717/peerj.18501","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Stroke leads to various impairments like motor deficits, impaired trunk control and restricted mobility. However, rehabilitation professionals often underestimate the fundamental function of turning, which is essential for daily living activities like walking, cooking, or performing household chores. Impaired turning can be attributed to motor deficits post-stroke, resulting in restricted mobility and impaired trunk movement. Therefore, the present study aimed to determine the relationship between turn performance, trunk control, and mobility in stroke patients.</p><p><strong>Materials and methods: </strong>A total of 63 first-time supratentorial stroke (<i>i.e</i>., anterior circulation stroke) patients aged 18-90 years were recruited for the study. Turn performance was assessed by asking patients to walk for 10 feet comfortably, then take a 180° turn and return to the starting position. In addition, the duration and number of steps were recorded. Following this, the Trunk Impairment Scale (TIS) and Stroke Rehabilitation Assessment of Movement (STREAM) were used to assess trunk impairment and mobility, respectively. The group turn performance was analyzed using the Kruskal-Wallis test with a <i>post hoc</i> Mann-Whitney U test for between-group comparisons. The turn duration and turn steps were correlated with age, trunk control, and mobility using Spearman's rank correlation. A regression analysis was performed to determine the association of turn performance with age, trunk control, and mobility among stroke patients.</p><p><strong>Results: </strong>Thirty stroke patients had turning difficulty, and 33 did not. Hence, they were categorized into the turning difficulty (TD) and non-turning difficulty (NTD) groups. When correlated with turn duration and the number of steps taken by the stroke patients while turning, the STREAM and TIS scores revealed a significant negative correlation (<i>p</i> < 0.001). The subjects' age showed a significant positive correlation with the turn duration and number of steps taken by stroke patients while turning (<i>p</i> < 0.001). A significant association was also found between turn performance and age and trunk control. However, there was no significant association between turn performance and mobility.</p><p><strong>Conclusion: </strong>The observed associations highlight the complexity of turning ability and trunk control necessary to complete a turn safely. Additionally, with advancing age, turn performance and turning movement are compromised in stroke patients. This indicates that turning difficulty is more pronounced in older individuals with stroke.</p>","PeriodicalId":19799,"journal":{"name":"PeerJ","volume":"12 ","pages":"e18501"},"PeriodicalIF":2.3000,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623126/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"PeerJ","FirstCategoryId":"99","ListUrlMain":"https://doi.org/10.7717/peerj.18501","RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Stroke leads to various impairments like motor deficits, impaired trunk control and restricted mobility. However, rehabilitation professionals often underestimate the fundamental function of turning, which is essential for daily living activities like walking, cooking, or performing household chores. Impaired turning can be attributed to motor deficits post-stroke, resulting in restricted mobility and impaired trunk movement. Therefore, the present study aimed to determine the relationship between turn performance, trunk control, and mobility in stroke patients.

Materials and methods: A total of 63 first-time supratentorial stroke (i.e., anterior circulation stroke) patients aged 18-90 years were recruited for the study. Turn performance was assessed by asking patients to walk for 10 feet comfortably, then take a 180° turn and return to the starting position. In addition, the duration and number of steps were recorded. Following this, the Trunk Impairment Scale (TIS) and Stroke Rehabilitation Assessment of Movement (STREAM) were used to assess trunk impairment and mobility, respectively. The group turn performance was analyzed using the Kruskal-Wallis test with a post hoc Mann-Whitney U test for between-group comparisons. The turn duration and turn steps were correlated with age, trunk control, and mobility using Spearman's rank correlation. A regression analysis was performed to determine the association of turn performance with age, trunk control, and mobility among stroke patients.

Results: Thirty stroke patients had turning difficulty, and 33 did not. Hence, they were categorized into the turning difficulty (TD) and non-turning difficulty (NTD) groups. When correlated with turn duration and the number of steps taken by the stroke patients while turning, the STREAM and TIS scores revealed a significant negative correlation (p < 0.001). The subjects' age showed a significant positive correlation with the turn duration and number of steps taken by stroke patients while turning (p < 0.001). A significant association was also found between turn performance and age and trunk control. However, there was no significant association between turn performance and mobility.

Conclusion: The observed associations highlight the complexity of turning ability and trunk control necessary to complete a turn safely. Additionally, with advancing age, turn performance and turning movement are compromised in stroke patients. This indicates that turning difficulty is more pronounced in older individuals with stroke.

研究急性中风受试者的转弯表现、躯干控制和活动能力:一项横断面研究。
背景:中风导致各种损伤,如运动缺陷,躯干控制受损和活动受限。然而,康复专业人士往往低估了翻身的基本功能,这对于走路、做饭或做家务等日常生活活动是必不可少的。卒中后的运动缺陷可导致转向受损,导致活动受限和躯干运动受损。因此,本研究旨在确定脑卒中患者的转弯表现、躯干控制和活动能力之间的关系。材料与方法:共招募63例18-90岁的幕上脑卒中(即前循环脑卒中)首发患者。通过要求患者舒适地步行10英尺,然后180°转弯并返回到起始位置来评估转弯性能。此外,还记录了持续时间和步数。随后,采用躯干损伤量表(TIS)和卒中康复运动评估量表(STREAM)分别评估躯干损伤和活动能力。使用Kruskal-Wallis检验和事后Mann-Whitney U检验分析组间比较。使用Spearman等级相关分析,转弯持续时间和转弯步数与年龄、躯干控制和行动能力相关。对脑卒中患者进行回归分析,以确定转弯表现与年龄、躯干控制和活动能力的关系。结果:卒中患者有翻身困难30例,无翻身困难33例。因此,将它们分为转弯困难组(TD)和非转弯困难组(NTD)。STREAM和TIS评分与卒中患者翻身时长和翻身步数呈显著负相关(p < 0.001)。受试者的年龄与卒中患者的翻身时间和翻身步数呈显著正相关(p < 0.001)。在转弯性能与年龄和躯干控制之间也发现了显著的关联。然而,在转弯表现和机动性之间没有显著的联系。结论:观察到的关联突出了转弯能力和躯干控制的复杂性,这是安全完成转弯所必需的。此外,随着年龄的增长,脑卒中患者的转身表现和转身运动受到损害。这表明老年中风患者的转身困难更为明显。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
PeerJ
PeerJ MULTIDISCIPLINARY SCIENCES-
CiteScore
4.70
自引率
3.70%
发文量
1665
审稿时长
10 weeks
期刊介绍: PeerJ is an open access peer-reviewed scientific journal covering research in the biological and medical sciences. At PeerJ, authors take out a lifetime publication plan (for as little as $99) which allows them to publish articles in the journal for free, forever. PeerJ has 5 Nobel Prize Winners on the Board; they have won several industry and media awards; and they are widely recognized as being one of the most interesting recent developments in academic publishing.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信