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Floor-to-Stand Performance Among People Following Stroke.

Angela F Davis1, Dennis W Klima2, Amanda Leonard3

  • 1Krannert School of Physical Therapy, University of Indianapolis, Indianapolis, Indiana, USA.

Physical Therapy
|September 10, 2023
PubMed
Summary

The timed supine-to-stand test (TSS) effectively measures floor-to-stand ability in stroke survivors, correlating with gait, balance, and confidence. This aids in assessing functional mobility and developing targeted interventions.

Keywords:
Cerebrovascular AccidentMovementPhysical ExaminationStroke

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Area of Science:

  • Rehabilitation science
  • Neurology
  • Physical therapy

Background:

  • Floor-to-stand performance is crucial for functional mobility but understudied in stroke recovery.
  • Stroke survivors face increased fall risks and challenges in returning to a standing position after a fall.

Purpose of the Study:

  • To examine the relationship between the timed supine-to-stand test (TSS) and physical performance measures (gait, balance, confidence) in subacute stroke patients.
  • To analyze the strategies employed during the TSS.

Main Methods:

  • A cross-sectional study involving 58 subacute stroke adults.
  • Participants completed the TSS and various physical performance assessments.

Main Results:

  • TSS completion time showed significant correlations with the Timed "Up & Go" Test, gait speed, Dynamic Gait Index, and balance confidence.
  • The quadruped position and Timed "Up & Go" Test time explained 32% of the variance in TSS time.
  • Gait device users were more likely to use a chair to stand.

Conclusions:

  • The TSS is a valid measure for assessing floor-to-stand performance in stroke survivors.
  • Findings can inform functional mobility assessments and guide the development of interventions to enhance floor-to-stand recovery after stroke.