Kim Da-Sol, Ko Myoung-Hwan, Won Yu Hui, Park Sung-Hee, Seo Jeong-Hwan, Kim Gi-Wook
Department of Physical Medicine & Rehabilitation, Chonbuk National University Medical School, Jeonju, Korea.
Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Brain Neurorehabil. 2019 Oct 21;13(1):e2. doi: 10.12786/bn.2020.13.e2. eCollection 2020 Mar.
We measured the difference of sitting pressure between the affected and unaffected sides (DSPAU) using sitting pressure measured with a force platform to identify sitting imbalance. The aim of this study is to investigate the relations between sitting balance and functional status or parameters according to characteristics stroke patients. We examine changes in DSPAU and functional assessment before and after a 3 week of rehabilitation in hemiplegic stroke patients (n = 73). These pre- and post-treatment data according to stroke characteristics, and correlations between the DSPAU and functional scales were analyzed. The DSPAU was greater in the non-ambulatory group compared to the ambulatory group, in patients who scored lower in the Medical Research Council (MRC) scores, and in patients whose the MRC scores for the lower limbs were lower than of the upper limbs. We observed that a decrease in the DSPAU was associated with an improvement in functional assessment parameters following rehabilitation. Further, changes in DSPAU were significantly correlated to the Modified Barthel Index. We observed that a decrease in DSPAU was associated with an improvement in functional parameters following rehabilitation. In conclusion, repeated measurements of sitting balance using DSPAU may be helpful to predict motor and functional recovery in stroke patient with hemiplegia.
我们使用测力平台测量的坐姿压力来测量患侧与未患侧之间的坐姿压力差异(DSPAU),以识别坐姿失衡。本研究的目的是根据中风患者的特征,研究坐姿平衡与功能状态或参数之间的关系。我们检查了73例偏瘫中风患者在3周康复治疗前后的DSPAU变化和功能评估。分析了这些治疗前后的数据与中风特征的关系,以及DSPAU与功能量表之间的相关性。与非卧床组相比,非行走组的DSPAU更大,医学研究委员会(MRC)评分较低的患者以及下肢MRC评分低于上肢的患者的DSPAU更大。我们观察到,康复后DSPAU的降低与功能评估参数的改善相关。此外,DSPAU的变化与改良Barthel指数显著相关。我们观察到,康复后DSPAU的降低与功能参数的改善相关。总之,使用DSPAU重复测量坐姿平衡可能有助于预测偏瘫中风患者的运动和功能恢复。