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Balance evaluation in hemiplegic stroke patients.

I C Chen1, P T Cheng, A L Hu

  • 1Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Chang Gung Medical Journal
|August 25, 2000
PubMed
Summary

Stroke patients often experience balance issues, increasing fall risk. This study found right-hemispheric stroke patients demonstrated better balance control compared to left-hemispheric stroke patients, suggesting healthy limb function is key for recovery.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomechanics

Background:

  • Hemiplegic stroke frequently impairs balance during standing and walking, elevating fall risk.
  • Effective balance relies on integrated sensory and motor processes, with the right posterior parietal cortex implicated in spatial integration.
  • Previous research highlights the role of specific brain regions in spatial processing and balance.

Purpose of the Study:

  • To quantitatively compare balance control in patients with right versus left hemispheric strokes.
  • To investigate the influence of stroke laterality on balance deficits.

Main Methods:

  • Employed the SMART Balance Master for objective balance assessment in 30 hemiplegic stroke patients (14 right, 16 left) and 15 healthy controls.
  • Utilized Brunnstrom staging for motor status evaluation and the Functional Independence Measure (FIM) for functional outcomes.

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Main Results:

  • Stroke patients exhibited significantly poorer balance, particularly in dynamic stability, compared to healthy individuals.
  • Contrary to some expectations, right-hemispheric stroke patients demonstrated superior balance function over left-hemispheric stroke patients.
  • Right-hemispheric stroke patients also achieved higher FIM locomotion and mobility scores.

Conclusions:

  • The motor function of unaffected limbs appears crucial for maintaining balance in stroke survivors.
  • Findings may inform the development of more effective, tailored rehabilitation strategies for stroke patients to improve balance and reduce falls.