Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.
Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P. O. Box 196, Gondar, Ethiopia.
BMC Neurol. 2024 Oct 14;24(1):387. doi: 10.1186/s12883-024-03885-9.
Balance impairment is one of the common impairments in patients after stroke. It can lead to depression reduced speed of mobility, dependent on assistive device and reduce quality of life. However, evidence on balance impairment and its risk factors among stroke survivors in Ethiopia was lacking particularly in the study area. Therefore, this study aimed to investigate prevalence and associated factors of balance impairment among stroke survivor's attendee at an outpatient clinic in Amara regional state comprehensive specialized hospital.
An institutional based cross-sectional study was conducted from April1-June 30, 2022. A total of 400 participants were selected using the systematic random sampling technique. Standard Berg balance scale tool and semi-structure questionnaire was used. Multicollinearity and model fitness were checked. Variables with a p-value of less than 0.25 in the Bivariable regression were entered into a multivariable logistic regression and p value < 0.05 was used as cutoff point for significant variables.
The prevalence of balance impairment was 51.5% (95% CI (46.58, 56.39). Being depressed (AOR = 12.25:95% CI (4.727, 31.779), using walking aids (AOR = 8.76:95%CI3.469, 22.117)), abnormal speed (AOR = 6.73:95%CI (2.671, 16.977)), did not have physiotherapy treatment (AOR = 3.96:95%CI (1.483, 10.586), and unmarried (AOR = 2.71, 95% CI = 1.061, 6.903) were significantly associated with balance impairment.
The prevalence of balance impairment in the study was high. Being depressed, use walking aids, did not have physiotherapy treatment, abnormal speed of mobility, and unmarried were significantly associated factors. Therefore; it is better to give greater emphasis for those factors.
平衡障碍是中风后患者常见的障碍之一。它可导致抑郁、移动速度降低、依赖辅助设备和降低生活质量。然而，在埃塞俄比亚，关于中风幸存者的平衡障碍及其危险因素的证据缺乏，特别是在研究区域。因此，本研究旨在调查阿姆哈拉地区综合专科医院门诊中风幸存者的平衡障碍患病率及其相关因素。
本研究为 2022 年 4 月 1 日至 6 月 30 日进行的一项基于机构的横断面研究。采用系统随机抽样技术抽取了 400 名参与者。使用标准伯格平衡量表工具和半结构问卷进行研究。检查多线性和模型拟合。在双变量回归中 p 值小于 0.25 的变量被纳入多变量逻辑回归，p 值<0.05 作为显著变量的截止点。
平衡障碍的患病率为 51.5%（95%CI（46.58，56.39）。抑郁（AOR=12.25：95%CI（4.727，31.779））、使用助行器（AOR=8.76：95%CI3.469，22.117））、异常速度（AOR=6.73：95%CI（2.671，16.977））、未进行物理治疗（AOR=3.96：95%CI（1.483，10.586））和未婚（AOR=2.71，95%CI=1.061，6.903））与平衡障碍显著相关。
研究中平衡障碍的患病率较高。抑郁、使用助行器、未进行物理治疗、移动速度异常和未婚是显著相关因素。因此，最好更加重视这些因素。
