Oguz Semra, Demirbuken Ilksan, Kavlak Bahar, Acar Gonul, Yurdalan Saadet Ufuk, Polat Mine Gulden
a Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation , Marmara University , Istanbul , Turkey.
Top Stroke Rehabil. 2017 Oct;24(7):527-532. doi: 10.1080/10749357.2017.1322251. Epub 2017 May 4.
The objective of our study was to investigate the relationship between objective balance, fear of falling, and perceived sense of balance (PSB) in stroke patients.
Seventy patients aged 18-65 years with chronically developed hemiplegia or hemiparesis were enrolled in the study. Patients' objective balance scores, fear of falling, and PSB were obtained using the berg balance scale (BBS), the falls efficacy scale (FES), and a visual analog scale, respectively. The Standard Mini-Mental Examination was performed to exclude patients with mental disorders from the study.
There was a moderate negative correlation between PSB and BBS scores (p = 0.001, ρ = -0.588); a strong negative correlation between BBS and FES scores (p = 0.001, ρ = -0.808); and a strong positive correlation between PSB and FES scores (p = 0.001, ρ = 0.714). We found that BBS scores had negative correlation with PBS scores in left hemiplegic patients while there was no any relationship between BBS and PBS scores in right hemiplegic patients.
PSB assessment, besides the BBS, should be considered among the routine assessment methods that enable the rehabilitation team to be aware of patients' balance capacities.
本研究旨在调查中风患者的客观平衡、跌倒恐惧与平衡感知觉（PSB）之间的关系。
70名年龄在18至65岁之间、患有慢性偏瘫或轻偏瘫的患者纳入本研究。分别使用伯格平衡量表（BBS）、跌倒效能量表（FES）和视觉模拟量表获取患者的客观平衡得分、跌倒恐惧和PSB。进行标准简易精神状态检查以排除患有精神障碍的患者参与本研究。
PSB与BBS得分之间存在中度负相关（p = 0.001，ρ = -0.588）；BBS与FES得分之间存在强负相关（p = 0.001，ρ = -0.808）；PSB与FES得分之间存在强正相关（p = 0.001，ρ = 0.714）。我们发现，左侧偏瘫患者的BBS得分与PBS得分呈负相关，而右侧偏瘫患者的BBS与PBS得分之间无任何关系。
除了BBS之外，PSB评估也应被纳入常规评估方法之中，以便康复团队了解患者的平衡能力。
