Cho Ji-Eun, Kim Hogene
Department of Rehabilitation & Assistive Technology, National Rehabilitation Center, Seoul, South Korea.
Department of Clinical Rehabilitation Research, National Rehabilitation Center, Seoul, South Korea.
Arch Rehabil Res Clin Transl. 2021 Nov 2;3(4):100165. doi: 10.1016/j.arrct.2021.100165. eCollection 2021 Dec.
To determine the main factor that predicts balance impairment in patients with chronic stroke.
Cross-sectional study.
Inpatient rehabilitation hospital and research laboratory.
A total of 57 patients (42 men, 15 women; mean age 55.7±12.2 years) with chronic symptoms after stroke.
Not applicable.
Primary outcomes were ankle functions, including strength, range of motion, and proprioception, and balance, including Berg Balance Scale score and Timed Up and Go test values. Secondary outcomes included gait kinematics, Fugl-Meyer Scale score, and Fall Efficacy Scale score.
According to the cutoff score <46 on the Berg Balance Scale and the Timed Up and Go test ≥13.5 seconds, 21 patients were classified as having a balance impairment (36.8%). Multivariable logistic regressions showed that ankle proprioception (odds ratio = 3.49; 95% confidence interval, 1.17-10.42) was a significant predictor when coupled with step length (odds ratio = 0.00; 95% confidence interval, 0.00-0.22). A cutoff score of 2.59 for the ankle proprioception value predicts balance impairment in patients with stroke (area under the curve 0.784).
Ankle proprioception can be used to predict balance impairment in patients with stroke.
确定预测慢性卒中患者平衡功能障碍的主要因素。
横断面研究。
住院康复医院和研究实验室。
共57例卒中后有慢性症状的患者（42例男性，15例女性；平均年龄55.7±12.2岁）。
不适用。
主要结局为踝关节功能，包括力量、活动范围和本体感觉，以及平衡功能，包括伯格平衡量表评分和定时起立行走测试值。次要结局包括步态运动学、Fugl-Meyer量表评分和跌倒效能感量表评分。
根据伯格平衡量表得分<46分和定时起立行走测试≥13.5秒的临界值，21例患者被归类为有平衡功能障碍（36.8%）。多变量逻辑回归显示，踝关节本体感觉（比值比=3.49；95%置信区间，1.17 - 10.42）与步长（比值比=0.00；95%置信区间，0.00 - 0.22）相结合时是一个显著的预测因素。踝关节本体感觉值的临界值为2.59可预测卒中患者的平衡功能障碍（曲线下面积为0.78）。
踝关节本体感觉可用于预测卒中患者的平衡功能障碍。
