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Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
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Executive dysfunction and balance function post-stroke: A cross-sectional study.

Sara Hayes1, Claire Donnellan2, Emma Stokes3

  • 1Department of Clinical Therapies, University of Limerick, Limerick, Ireland.

Physiotherapy
|June 3, 2015
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Summary
This summary is machine-generated.

Executive dysfunction (ED) is common after stroke and significantly impacts balance. Improving executive function (EF) may be key for rehabilitation strategies aimed at enhancing post-stroke balance.

Keywords:
Balance functionExecutive dysfunctionPhysiotherapyStroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Psychology

Background:

  • Executive dysfunction (ED) is a frequent consequence of stroke.
  • Executive function (EF) plays a crucial role in motor control and balance.
  • Understanding the relationship between ED and balance post-stroke is vital for effective rehabilitation.

Purpose of the Study:

  • To determine the prevalence of ED in the post-stroke population.
  • To identify demographic and clinical differences between individuals with and without ED.
  • To investigate the independent association between EF and balance outcomes after stroke.

Main Methods:

  • A prospective, observational, cross-sectional study was conducted in four large acute hospitals.
  • A convenience sample of 100 individuals with first-time stroke was recruited.
  • Hierarchical multiple linear regression analysis was employed to assess the association between EF and balance.

Main Results:

  • Participants with ED exhibited more severe strokes, poorer global cognition, and significantly worse balance compared to those without ED.
  • Age, years of education, stroke severity, time since stroke, and EF were all independently associated with balance.
  • The final model explained 72% of the variance in balance post-stroke.

Conclusions:

  • Executive dysfunction is independently linked to impaired balance in individuals post-stroke.
  • These findings underscore the importance of considering ED in the development of rehabilitation programs.
  • Physiotherapists should integrate strategies targeting EF to improve balance outcomes in stroke survivors.