Kossi Oyéné, Agbetou Mendinatou, Noukpo Sènadé I, Triccas Lisa T, Dossou-Yovo Daniel-Eude, Amanzonwe Elogni R, Adoukonou Thierry
National School of Public Health and Epidemiological Surveillance (ENATSE), University of Parakou, Parakou, Benin.
Unit of Neuro Rehabilitation, Department of Neurology, University Hospital of Parakou, Parakou, Benin.
S Afr J Physiother. 2021 Sep 2;77(1):1559. doi: 10.4102/sajp.v77i1.1559. eCollection 2021.
Balance impairment is the predominant risk factor for falls in stroke survivors. A fear of falling after stroke can contribute to sedentary lifestyles, increased disability and risk of recurrence, leading to poor quality of life.
To determine the frequency and factors associated with balance impairments amongst stroke survivors at the University Hospital of Parakou.
This cross-sectional study included adult stroke survivors. Stroke survivors after discharge were enrolled at the University Hospital of Parakou between 01 January 2020 and 30 September 2020. Balance impairments were measured by using the Berg Balance Scale (BBS), the Timed Up and Go (TUG) and the Get Up and Go (GUG) tests.
A total of 54 stroke survivors were included, with a mean age of 58.37 ± 12.42 years and a male predominance of 68.52%. The mean BBS score was 36.87 ± 14.34 with a minimum and a maximum of 10 and 56, respectively. Thirteen (24.07%) had balance impairments (BBS score ≤ 20), 34 (62.96%) had a TUG score ≥ 14 s (abnormal), 9 (16.67%) presented a moderate risk of falling and 6 (11.11%) presented high risk of fall with the GUG test. Post-stroke duration (odds ratio [OR] = 0.04; 95% CI: 0.04-0.30; < 0.01), severity of disability (OR = 8.33; 95% CI: 1.03-67.14; = 0.03) and the number of physiotherapy sessions (OR = 0.18; 95% CI: 0.03-0.93; = 0.02) were significantly associated with balance impairments.
Our results showed that almost one quarter of stroke survivors after discharge at the University Hospital of Parakou had balance impairments. Post-stroke duration, severity of disability and the number of physiotherapy sessions were significantly associated with balance impairments.
[AQ1] Balance should be regularly assessed in people post-stroke. Further studies should document the content of rehabilitation and any rehabilitative efforts to improve balance in people post-stroke in Benin.
平衡功能障碍是中风幸存者跌倒的主要危险因素。中风后对跌倒的恐惧会导致久坐不动的生活方式、残疾增加和复发风险，进而导致生活质量低下。
确定帕拉库大学医院中风幸存者中平衡功能障碍的发生率及其相关因素。
这项横断面研究纳入了成年中风幸存者。2020年1月1日至2020年9月30日期间，帕拉库大学医院招募了出院后的中风幸存者。使用伯格平衡量表（BBS）、定时起立行走测试（TUG）和起立行走测试（GUG）来测量平衡功能障碍。
共纳入54名中风幸存者，平均年龄为58.37±12.42岁，男性占68.52%。BBS平均得分为36.87±14.34，最低分和最高分分别为10分和56分。13名（24.07%）存在平衡功能障碍（BBS评分≤20），34名（62.96%）的TUG评分≥14秒（异常），9名（16.67%）在GUG测试中存在中度跌倒风险，6名（11.11%）存在高度跌倒风险。中风后持续时间（比值比[OR]=0.04；95%置信区间：0.04 - 0.30；P<0.01）、残疾严重程度（OR = 8.33；95%置信区间：1.03 - 67.14；P = 0.03）和物理治疗疗程数（OR = 0.18；95%置信区间：0.03 - 0.93；P = 0.02）与平衡功能障碍显著相关。
我们的研究结果表明，帕拉库大学医院出院后的中风幸存者中，近四分之一存在平衡功能障碍。中风后持续时间、残疾严重程度和物理治疗疗程数与平衡功能障碍显著相关。
中风患者应定期评估平衡功能。进一步的研究应记录康复内容以及在贝宁为改善中风患者平衡功能所做的任何康复努力。
