Topics in Stroke Rehabilitation最新文献

{"title":"Assessment of the psychometric properties of the Frailty and Injuries: Cooperative Studies of Intervention Techniques - 4 in people with stroke.","authors":"Shamay S M Ng, Peiming Chen, Tai Wa Liu, Chloe H L Li, Tony H H Tang, Jackie L Y Lau, Cindy Y K Ng, Ken C W Tang, Lily Y W Ho, Cynthia Y Y Lai, Jingjung Li, Mimi M Y Tse","doi":"10.1080/10749357.2025.2469471","DOIUrl":"https://doi.org/10.1080/10749357.2025.2469471","url":null,"abstract":"<p><strong>Background: </strong>The Frailty and Injuries: Cooperative Studies of Intervention Techniques - 4 (FICSIT-4) is a measure that assesses standing balance ability. However, the psychometric properties of the FICSIT-4 have not been examined in people with stroke.</p><p><strong>Objectives: </strong>To investigate the psychometric properties of the FICSIT-4, including its internal consistency, test - retest reliability, concurrent validity, and known-group validity, and identify the cutoff score on the FICSIT-4 that discriminates people with stroke from healthy older people.</p><p><strong>Methods: </strong>Sixty-two participants with stroke and 49 age-matched healthy controls were recruited. The FICSIT-4 was administered twice, on days 1 and 2, with a 1-week interval, to the participants with stroke to examine test - retest reliability. Various health-related measures were also administered to the stroke participants on day 1. The FICISIT-4 was only administered once, on day 1, to the healthy participants.</p><p><strong>Results: </strong>The FICIST-4 was found to exhibit fair internal consistency, good test - retest reliability and significant correlations with various health-related outcome measures. It also demonstrated known-group validity, and a score of 25 was found to distinguish people with stroke from healthy older people.</p><p><strong>Conclusion: </strong>The FICISIT-4 is a reliable and valid measure for assessing the standing balance ability of people with stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of ankle proprioception measured in weight bearing with balance and walking ability in people with stroke: a cross-sectional study.","authors":"Jinyao Xu, Jeremy Witchalls, Elisabeth Preston, Li Pan, Gengyuan Zhang, Gordon Waddington, Roger Adams, Jia Han","doi":"10.1080/10749357.2025.2469472","DOIUrl":"https://doi.org/10.1080/10749357.2025.2469472","url":null,"abstract":"<p><strong>Background: </strong>Proprioceptive deficits are common after stroke. However, limited research has investigated their relationship with functional outcomes (balance and walking ability), particularly in weight-bearing conditions.</p><p><strong>Objectives: </strong>This study aimed to investigate ankle proprioception on both sides (affected and unaffected), measured in biaxial movement directions (plantar flexion and inversion) and relationships with balance and walking ability in stroke survivors.</p><p><strong>Methods: </strong>This cross-sectional study involved 70 mild to moderate, first-time, unilateral stroke survivors. Ankle proprioception was measured in a weight-bearing standing position, using the active movement extent discrimination apparatus (AMEDA). Balance and walking ability were measured using the Berg Balance Scale (BBS), the 10-Meter Walking Test (10MWT) and the Timed Up and Go Test (TUG).</p><p><strong>Results: </strong>Ankle proprioception showed moderate correlations with balance and walking ability (0.4<|r|<0.6, all <i>p</i> < 0.001), regardless of side or movement direction. The only exception was proprioceptive acuity scores for plantar flexion movements made on the unaffected side, which were weakly correlated with BBS (<i>r</i> = 0.3, <i>p</i> = 0.006) and TUG (<i>r</i> = 0.3, <i>p</i> = 0.0015). Regression analysis indicated that ankle proprioception for inversion movement on the affected side was the only factor to independently predict balance (BBS, <i>p</i> = 0.001) and walking ability (10MWT: <i>p</i> < 0.001; TUG: <i>p</i> = 0.01). Ankle proprioception predicts 36% of the variation in BBS, 38% of the variation in 10MWT and 28% of the variation in TUG.</p><p><strong>Conclusion: </strong>Ankle proprioception showed moderate associations with balance and walking ability in people with mild to moderate stroke. These findings suggest that ankle proprioception could potentially be an indicator of post-stroke functional outcomes, warranting further investigation.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of social determinents of health on stroke rehabilitation service utilization measured during acute stroke hospitalization.","authors":"Heather Shaw Bonilha, Tianwen Ma, Shyam Prabhakaran, Lori J Bhadsavle, Samir R Belagaje, Debra Blanke, Laura Henriquez, Danielle Starnes, Hannah Christopher, Jacqueline Cabral, Teri Walczak, Fadi Nahab","doi":"10.1080/10749357.2025.2466391","DOIUrl":"https://doi.org/10.1080/10749357.2025.2466391","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation is the primary method of promoting functional recovery post-stroke. Identification of patients for rehabilitation services during the acute stroke hospitalization is essential to delivery of rehabilitation services. Social determinants of health (SDOH) impact health care and health outcomes in a myriad of ways, but it is unknown whether SDOH affects rehabilitation services utilization.</p><p><strong>Objectives: </strong>This study elucidates the relationship of, and additional explanatory value of, county-level metrics of SDOH on rehabilitation services utilization during acute inpatient hospitalization for stroke.</p><p><strong>Methods: </strong>Using the American Heart Association Get with the Guidelines®-Stroke registry and the Institute for Health Metrics and Evaluation data, we investigated the impact of SDOH on rehabilitation services utilization over the years ranging from 2010 to 2019 in hospitalized ischemic stroke or intracerebral hemorrhage stroke patients. Analyses focused on determining which county-level SDOH metrics influenced rehabilitation services utilization using generalized linear mixed models. Akaike Information Criterion was used for model selection.</p><p><strong>Results: </strong>County-level SDOH improved the predictive ability of the models to determine who would be transferred to a rehabilitation facility and who would be referred for rehabilitation after discharge. We found indicators that county-level metrics of high school education (<i>p</i> = 0.0003), being foreign-born (<i>p</i> < 0.001), and rurality of the hospital (<i>p</i> = 0.004) influenced rehabilitation services utilization.</p><p><strong>Conclusions: </strong>SDOH impact rehabilitation utilization after acute stroke hospitalization. Future studies should focus on both individual- and county-level metrics of SDOH and their impact on access to rehabilitation. This information should be used to develop interventions to improve the equity of rehabilitation utilization after stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of somatosensory discrimination training on motor and functional recovery in patients with stroke: a systematic review and meta-analysis.","authors":"Federico Temporiti, Giorgia Marino, Paola Adamo, Claudio Cordani, Roberto Gatti","doi":"10.1080/10749357.2025.2463285","DOIUrl":"https://doi.org/10.1080/10749357.2025.2463285","url":null,"abstract":"<p><strong>Background: </strong>Somatosensory discrimination training (SDT) consists of a peripheral stimulation of somatosensory receptors followed by the request to discriminate among different stimuli features. Such approach has been adopted to promote motor learning after stroke, but results are still controversial. This systematic review aimed at investigating SDT effects on motor and functional recovery in patients with stroke.</p><p><strong>Methods: </strong>A systematic literature search was performed using PubMed, EMBASE, CINAHL, and Cochrane Library from inception until January 2025. Randomized controlled trials investigating the effects of SDT delivered alone and/or in combination with other rehabilitative approaches in patients with stroke were included. Two reviewers performed data extraction and assessed methodological quality using the revised Cochrane risk of bias tool. Pooled or un-pooled effects were computed as mean difference or standardized mean difference with 95% confidence interval, while evidence certainty was rated using the GRADE approach.</p><p><strong>Results: </strong>Nine studies (264 participants) were included. Low evidence supported SDT plus task-oriented rehabilitation to improve upper limb function (MD 0.2 points, CI₉₅ 0.1, 0.3 points on Fugl-Meyer Assessment Upper Extremities) and gait performance (MD 0.21 m/s, CI₉₅ 0.15, 0.27 m/s on 10-Meter Walk Test from a single study) after stroke, while no effects were found for motor impairment, manual dexterity, static balance and disability (low to very low evidence).</p><p><strong>Conclusions: </strong>The addition of SDT to task-oriented rehabilitation led to better motor and functional improvements than task-oriented rehabilitation alone in patients with stroke. However, evidence certainty was very low to low and further high-quality studies are required.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapy interventions for pelvic floor dysfunctions in stroke survivors - a scoping review of literature.","authors":"Sanya Anklesaria, Rukmini Padiyar, John M Solomon, Kari Bø, Aparna R Pai, Chythra R Rao, Shashikiran Umakanth, Preetha Ramachandra","doi":"10.1080/10749357.2025.2463284","DOIUrl":"https://doi.org/10.1080/10749357.2025.2463284","url":null,"abstract":"<p><strong>Background: </strong>Pelvic floor dysfunction (PFD) are common following stroke. Physiotherapy interventions such as pelvic floor muscle training (PFMT) seems to be effective in the general population with PFD, but its usefulness in stroke patients has rarely been addressed.</p><p><strong>Objectives: </strong>We aimed to explore existing physiotherapy interventions and their influence in managing PFD in men and women stroke survivors.</p><p><strong>Methods: </strong>Eight major databases were searched from inception to date using appropriate keywords and search strings. We included experimental studies comparing physiotherapy to control interventions/alternate treatments. PFD were grouped under urinary incontinence (UI), bowel dysfunction (BD), and sexual dysfunctions (SD) based on the studies. Two reviewers independently screened the title and abstract, to determine the included studies and the third author resolved disputes.</p><p><strong>Results: </strong>Fourteen studies were identified of which ten focused on the management of UI, one on BD, and three on the management of SD. PFMT was predominantly used to manage UI independently or combined with other forms of treatment such as timed voiding, intermittent catheterization, acupuncture, and drug therapy. BD was managed using anal sphincter strengthening exercises, PFMT, and bowel training. Management of SD for both men and women included comfortable and safe sexual position training, stretching, and PFMT. Studies found significant improvement in terms of symptoms of bladder and bowel incontinence, number of incontinence episodes and muscle strength on digital palpation of the pelvic floor muscles.</p><p><strong>Conclusion: </strong>Physiotherapy interventions including PFMT may help in managing the symptoms and improving the quality of life of stroke survivors with PFD.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive validity of obstacle-crossing test variations in identifying fallers after inpatient rehabilitation for stroke.","authors":"Prudence Plummer, Megan E Schliep, Lina Jallad, Ehsan Sinaei, Jody A Feld, Vicki S Mercer","doi":"10.1080/10749357.2024.2437327","DOIUrl":"https://doi.org/10.1080/10749357.2024.2437327","url":null,"abstract":"<p><strong>Background: </strong>The ability to step over an obstacle is often evaluated as part of fall-risk and balance assessments. Although different obstacle-crossing tests exist, their comparative predictive validity in stroke is unknown.</p><p><strong>Objectives: </strong>To examine the predictive validity of different obstacle depths and different obstacle-crossing tests, including a novel, custom-height test and an existing \"one-size-fits-all\" obstacle test, for predicting post-stroke fallers.</p><p><strong>Methods: </strong>46 independently ambulatory adults with stroke completed a custom-height obstacle-crossing test with 3 depths (0.5-inch, 1.5-inch, 3.0-inch) and the Functional Gait Assessment (FGA) 1-3 days before hospital discharge. Falls were tracked prospectively for 3 months using fall calendars and fortnightly phone calls.</p><p><strong>Results: </strong>35% of participants fell at least once in 3 months. Test accuracy was not significantly different between obstacle depth conditions. However, the 0.5-inch obstacle depth condition demonstrated the highest sensitivity and specificity, and participants who failed were 9 times more likely to fall in the first 3 months after discharge than those who passed (95% CI 1.9, 42.1; <i>p</i> = 0.005). Performance on the obstacle item of the FGA at hospital discharge was not significantly associated with fall status at 3 months post-discharge and had a 50% floor effect.</p><p><strong>Conclusions: </strong>The ability to step over a custom-height obstacle may be a good indicator of post-stroke fall status 3 months after hospital discharge. Subtle increases in obstacle depth did not significantly alter accuracy. The \"one-size-fits-all\" obstacle test from the FGA had poor predictive validity at discharge from inpatient rehabilitation for stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and validation of the Persian version of the Preparedness Assessment for the Transition Home After Stroke instrument: a methodological study.","authors":"Hossein Bakhtiari-Dovvombaygi, Zahra Rahmaty, Maryam Rassouli, Vahid Zamanzadeh, Kosar Pourhasan, Abbas Abbaszadeh","doi":"10.1080/10749357.2025.2450947","DOIUrl":"https://doi.org/10.1080/10749357.2025.2450947","url":null,"abstract":"<p><strong>Background: </strong>The successful transition of stroke patients from hospital to home relies on the preparedness of caregivers. Assessing this preparedness is crucial, but existing tools need adaptation and validation for Iranian caregivers.</p><p><strong>Objectives: </strong>This study aimed to translate, culturally adapt, and validate the Persian version of the \"Preparedness Assessment for the Transition Home After Stroke\" (PATH-s) for use among Iranian caregivers of stroke survivors. It also assessed the association of patient and caregivers' characteristic association with the final PATH score.</p><p><strong>Methods: </strong>The PATH-s was translated and culturally adapted using the Backward-Forward translation method and expert consultations. Face and content validity were ensured through input from both caregivers and experts. Participants were recruited from two referral hospitals in Tehran, Iran. The sample consisted of 386 caregivers, 74.4% female with a mean age of 47.18 years (SD = 12.2). Construct validity was assessed using Exploratory and Confirmatory Factor Analyses (EFA and CFA). Convergent validity was evaluated through the correlation with Zarit Burden Interview scores. Reliability was tested through internal consistency (Cronbach's alpha) and test-retest reliability (Intraclass Correlation Coefficient, ICC).</p><p><strong>Results: </strong>The factor analysis revealed a seven-factor structure with robust fit indices (CFI = 0.92, TLI = 0.90, RMSEA = 0.068, SRMR = 0.074). Convergent validity was supported by a significant negative correlation with the Zarit Burden Interview (<i>r</i> = -0.27, <i>p</i> < 0.001). Reliability analysis showed good internal consistency (Cronbach's alpha = 0.84) and excellent test-retest reliability (ICC = 0.96).</p><p><strong>Conclusions: </strong>The Persian version of PATH-s is a valid and reliable tool for assessing caregiver preparedness in Iran. Its use can improve patient outcomes and caregiver support during hospital-to-home transitions.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Satisfaction, user experiences, and initial efficacy of a technology-supported self-management intervention (iSMART) to improve post-stroke functioning: a remoted randomized controlled trial.","authors":"Yating Lei, Zhaoying Li, Quoc Bui, Olivia DePaul, Ginger E Nicol, David C Mohr, Mandy W M Fong, Christopher L Metts, Sunghoon I Lee, Stephanie E Tomazin, Alex W K Wong","doi":"10.1080/10749357.2025.2450950","DOIUrl":"https://doi.org/10.1080/10749357.2025.2450950","url":null,"abstract":"<p><strong>Background: </strong>Self-management interventions empower individuals to manage their chronic conditions and daily life after stroke. However, traditional in-person self-management interventions often face transportation and geographical barriers. Digital interventions may offer a solution to address this gap.</p><p><strong>Objectives: </strong>This pilot randomized controlled trial (RCT) aimed to examine treatment satisfaction, user experiences, and the initial effect of the interactive Self-Management Augmented by Rehabilitation Technologies (iSMART) intervention in stroke survivors to improve post-stroke functioning.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 24) with mild-to-moderate chronic stroke completed a parallel, 2-arm, nonblinded, remote RCT. They were randomly assigned to either a 12-week iSMART or a control intervention (post-stroke information). iSMART was a technology-based self-management intervention involving skill-building education, human coaching, and text messaging. Participants completed a battery measuring treatment satisfaction, use experiences, and function and participation outcomes at baseline and post-intervention.</p><p><strong>Results: </strong>iSMART participants expressed greater satisfaction with their treatment (<i>r</i> = 0.387), healthcare environment (<i>r</i> = 0.454), relationships with providers (<i>r</i> = 0.374), and higher expectations for positive treatment outcomes (<i>r</i> = 0.328) than control participants, with medium effect sizes. The iSMART group rated the overall program and its coaching, skill-building, and text messaging components as helpful. iSMART participants showed a medium effect in improving overall post-stroke functioning, but control participants showed a small effect. Moreover, iSMART participants showed moderate-to-large effects in improving hand function (<i>r</i> = 0.699), mobility (<i>r</i> = 0.499), memory and thinking (<i>r</i> = 0.436), communication (<i>r</i> = 0.416), social participation (<i>r</i> = 0.307), community reintegration (<i>r</i> = 0.652), and perceived recovery (<i>r</i> = 0.545).</p><p><strong>Conclusions: </strong>Our results provide initial evidence that iSMART supports stroke survivors in managing chronic conditions and enhancing post-stroke functioning.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing minimal clinically important difference of modified dynamic gait index in people with subacute stroke.","authors":"Fabiola Giovanna Mestanza Mattos, Thomas Bowman, Cristina Allera Longo, Serena Bocini, Michele Gennuso, Francesca Marazzini, Francesco Giuseppe Materazzi, Elisa Pelosin, Martina Putzolu, Silvia Salvalaggio, Andrea Turolla, Susanna Mezzarobba, Davide Cattaneo","doi":"10.1080/10749357.2024.2437326","DOIUrl":"https://doi.org/10.1080/10749357.2024.2437326","url":null,"abstract":"<p><strong>Background: </strong>People with stroke (PwST) often have significant balance limitations, making it crucial to focus rehabilitation on improving mobility and reducing the risk of falls. The Modified Dynamic Gait Index (MDGI) is recommended for measuring balance in various neurological conditions, but a minimal clinically important difference (MCID) score specific to PwST is missing.</p><p><strong>Objectives: </strong>To calculate the MCID of the MDGI in PwST during the subacute phase.</p><p><strong>Methods: </strong>This study is a secondary analysis utilizing data from an observational longitudinal study. Forty-four PwST met the inclusion criteria such as age > 18 years, diagnosis of cerebral infarction or hemorrhage within 180 days, and Mini-Mental State Examination ≥ 21. Participants received at least 10 sessions of tailored physiotherapy to improve balance and gait. Balance was assessed using the MDGI and the Activities-specific Balance Confidence Scale (ABC) before and after intervention. The MCID was determined using an anchor-based approach, with the ABC serving as the anchor.</p><p><strong>Results: </strong>Statistically significant improvements were observed in mean MDGI change scores of 19.5(14.6) points, (<i>p</i> < 0.01) and ABC change scores of 27.1(25.3) points, (<i>p</i> < 0.01). The MCID for the MDGI total score was identified as 17.5 points. The Spearman correlation between MDGI and ABC change scores was 0.51 (<i>p</i> < 0.01).</p><p><strong>Conclusions: </strong>An MCID of 17.5 points for the MDGI total score indicates clinically meaningful improvements in balance and gait performance in subacute PwST undergoing rehabilitation. This value provides a robust metric for evaluating the efficacy of balance-related interventions in this population.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-5"},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of core stability exercises on functional outcomes in early subacute stroke recovery: a randomized controlled trial.","authors":"Rosa Cabanas-Valdés, Lídia Boix-Sala, Marta Ferrer-Solà, Montserrat Grau-Pellicer, Nuria Gracia-Pí, Neus Torrella-Vivó, Marta Morales-Zafra, Eric Esteve-Hernández, Juan-Antonio Guzmán-Bernal, Fernanda-Maria Caballero-Gómez, Begoña Molina-Hervás, Samira González-Hoelling, Ana Lobato-Bonilla, Carlos López-de-Celis, Esther Cánovas, Gerard Urrútia","doi":"10.1080/10749357.2024.2439712","DOIUrl":"https://doi.org/10.1080/10749357.2024.2439712","url":null,"abstract":"<p><strong>Background: </strong>The core is important in providing local strength and balance and is central to almost all kinetic chains of daily activities.</p><p><strong>Objective: </strong>This study aimed to assess the effectiveness of additional Core Stability Exercises (CSE) to conventional physiotherapy (CP) versus CP alone to improve dynamic sitting balance, coordination, trunk function, and stepping (gait) as a primary outcome and functional sitting balance, postural control, standing balance and fall risk, lower limb spasticity, activities of daily living, degree of disability, and quality of life for early subacute stroke recovery.</p><p><strong>Methods: </strong>A multicentre parallel, randomized, controlled, assessor-blinded trial was conducted. Eighty-seven early stroke survivors initiated (≤30 days) were divided into two groups. Experimental group (EG) performed CSE in addition to CP and the control group (CG) performed CP alone for 5-day/week for 5-week. Outcomes were assessed at the beginning and end of the intervention (5-week) and follow-up (12-week). Quality of life was assessed at 5-week and 12- week. Variables were analyzed using a repeated-measures analysis of variance (ANOVA), with Bonferroni's post-hoc test. All statistical tests were performed for 0.05 significance level and 95% confidence interval.</p><p><strong>Results: </strong>Eighty-three individuals were analyzed 40 in the EG and 43 in the CG. Differences between groups were shown favoring EG regarding dynamic sitting balance, trunk coordination/function (Spanish-Trunk Impairment Scale), lower limb spasticity (modified-Ashworth Scale) and balance (Spanish-Postural Assessment Scale). No differences were observed for the other outcomes.</p><p><strong>Conclusions: </strong>CSE in addition to CP improves dynamic sitting balance, trunk coordination/function, lower-limb spasticity, and balance in early recovery post-stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}