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Effect of Executive Dysfunction on Posture Control and Gait after Stroke.
Huixian Yu1,2, Qianqian Zhang1,2, Sihao Liu2
1School of Rehabilitation, Capital Medical University, China Rehabilitation Research Center, Beijing 100068, China.
Evidence-Based Complementary and Alternative Medicine : Ecam
|October 22, 2021
Summary
Executive dysfunction (ED) in stroke patients significantly impacts gait and postural control, increasing fall risk. Early focus on executive function during rehabilitation is crucial for improving balance and mobility post-stroke.
Area of Science:
- Neurorehabilitation
- Gait Analysis
- Postural Control
Background:
- Executive dysfunction (ED) is a common impairment following stroke.
- ED can significantly affect motor functions, including gait and balance.
- Understanding the relationship between ED and gait is vital for effective stroke rehabilitation.
Purpose of the Study:
- To investigate the effects of executive dysfunction (ED) on gait and postural control in individuals after stroke.
- To determine the correlation between specific measures of executive function and gait/postural parameters.
Main Methods:
- 34 stroke survivors with ED were assessed using the Stroop Color-Word Test (SCWT), 10-meter walk test (10MWT), and timed-up-and-go test (TUGT).
- Gait and postural control parameters were evaluated.
- Correlations between SCWT performance (correct answers, time, interference) and gait/postural measures were analyzed.
Main Results:
- Poorer performance on the SCWT (fewer correct answers, more interference) was significantly correlated with slower walking speed (10MWT, TUGT) and reduced bilateral symmetry.
- Executive function measures showed significant correlations with TUGT and bilateral symmetry, but not consistently with stride parameters.
- Increased time and interference on the SCWT were associated with poorer gait and postural control.
Conclusions:
- Executive dysfunction is strongly linked to impaired postural control and an increased risk of falls in stroke patients.
- Early rehabilitation strategies should prioritize addressing executive function to enhance recovery of postural control and mobility.
- Targeting executive function may accelerate the rehabilitation process and improve functional outcomes after stroke.
