Association between the balance recovery and the independence after a severe stroke.

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY
Neurological Research Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI:10.1080/01616412.2025.2472835
Christian Gath, Vanina Lado, Matías Gianella, Lucas Bonamico, María J Russo
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引用次数: 0

Abstract

Objectives: Research is lacking on the recovery of subjects who have suffered a stroke and have severely impaired balance in the subacute stage. This study aims to analyze the association between balance recovery during inpatient rehabilitation and the level of independence in activities of daily living at discharge in severe subacute stroke patients. Secondarily, it aims to analyze the association between balance at the admission of inpatient rehabilitation after stroke and the level of independence in activities of daily living at discharge in the same sample.

Methods: A longitudinal retrospective observational cohort study was conducted. Subacute post-stroke patients who could not stand at admission were included (n = 80). A correlation analysis was undertaken. The Functional Independence Measure was used to evaluate activities of daily living performance and the Berg Balance Scale to assess balance.

Results: Correlation between balance recovery during inpatient rehabilitation and the level of independence at discharge: Spearman's rho = 0.741 (p < 0.001). Correlation between the Balance at admission and the level of independence at discharge: Spearman's rho = 0.288 (p = 0.009).

Discussion: Monitoring balance recovery after a severe stroke may be necessary to establish functional goals during inpatient rehabilitation. Low functional independence at discharge from inpatient rehabilitation post stroke cannot always be expected in subjects with severe balance impairment at admission.

严重中风后平衡恢复与独立性的关系。
目的:缺乏对中风患者在亚急性期平衡性严重受损的康复研究。本研究旨在分析重症亚急性脑卒中患者住院康复期间平衡恢复与出院时日常生活活动独立水平的关系。其次,分析同一样本脑卒中住院康复患者入院时的平衡能力与出院时日常生活活动独立水平之间的关系。方法:采用纵向回顾性观察队列研究。入院时不能站立的亚急性脑卒中后患者纳入研究(n = 80)。进行相关性分析。功能独立性量表用于评估日常生活活动表现,伯格平衡量表用于评估平衡。结果:住院康复期间平衡恢复与出院时独立水平相关:Spearman’s rho = 0.741 (p = 0.009)。讨论:监测严重中风后平衡恢复可能是必要的,以建立住院康复期间的功能目标。在入院时患有严重平衡障碍的患者中,中风后住院康复出院时功能独立性低并不总是可以预期的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neurological Research
Neurological Research 医学-临床神经学
CiteScore
3.60
自引率
0.00%
发文量
116
审稿时长
5.3 months
期刊介绍: Neurological Research is an international, peer-reviewed journal for reporting both basic and clinical research in the fields of neurosurgery, neurology, neuroengineering and neurosciences. It provides a medium for those who recognize the wider implications of their work and who wish to be informed of the relevant experience of others in related and more distant fields. The scope of the journal includes: •Stem cell applications •Molecular neuroscience •Neuropharmacology •Neuroradiology •Neurochemistry •Biomathematical models •Endovascular neurosurgery •Innovation in neurosurgery.
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