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Erschienen in:

22.10.2024 | Original Article

The effect of trunk control on sitting balance and upper extremity functions in patients with subacute stroke

verfasst von: Lütfiye Akkurt, Güllü Aydın Yağcıoğlu, Cihan Caner Aksoy, Fatıma Yaman

Erschienen in: Neurological Sciences | Ausgabe 12/2024

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Abstract

Background

Impairment of trunk control is a common problem after stroke, and trunk impairment may affect many functions such as breathing, speech, limb movements and transfers.

Objective

The present study was aimed to investigate the effect of trunk control on sitting balance and upper extremity functions in individuals with subacute stroke.

Methods

A total of 30 patients with subacute stroke (14 female, 16 male) were included in this study. The mean age of the included patients was 59.80 ± 13.22 years, and the mean disease duration was 2.90 ± 1.38 months. Trunk Impairment Scale (TIS), Trunk Control Test (TCT), Function in Sitting Test (FIST), Fugl-Meyer Assessment Upper Extremity (FMA-UE), Brunnstrom Recovery Stages of Arm (BRS-A) and Brunnstrom Recovery Stages of Hand (BRS-H) were performed to the patients.

Results

The results of our study showed that there was a strong positive correlation was found between TIS and FIST (r = 0.765, p < 0.001). There was also a positive moderate correlation between TCT and FIST, FMA-UE, BRS-A and BRS-H (r = 0.67, r = 0.49, r = 0.49, r = 0.44; p < 0.05; respectively). There was a positive moderate correlation between TIS and FMA-UE, BRS-A and BRS-H (r = 0.67, r = 0.65 and r = 0.58; p < 0.005; respectively).

Conclusion

In conclusion, trunk control has been shown to be a factor associated with sitting balance and upper extremity function in patients with subacute stroke.
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Literatur
1.
Zurück zum Zitat Owolabi MO, Thrift AG, Mahal A et al (2022) Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health 7:e74–e85CrossRefPubMed Owolabi MO, Thrift AG, Mahal A et al (2022) Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health 7:e74–e85CrossRefPubMed
2.
Zurück zum Zitat Castellassi CS, Ribeiro EAF, de Carvalho Fonseca V et al (2009) Confiabilidade Da versão Brasileira Da escala de deficiências de tronco em hemiparéticos. Fisioterapia em Movimento (Physical Therapy Movement) 22 Castellassi CS, Ribeiro EAF, de Carvalho Fonseca V et al (2009) Confiabilidade Da versão Brasileira Da escala de deficiências de tronco em hemiparéticos. Fisioterapia em Movimento (Physical Therapy Movement) 22
3.
Zurück zum Zitat Pellicciari L, Sodero A, Campagnini S et al (2023) Factors influencing trunk control recovery after intensive rehabilitation in post-stroke patients: a multicentre prospective study. Top Stroke Rehabil 30:109–118CrossRefPubMed Pellicciari L, Sodero A, Campagnini S et al (2023) Factors influencing trunk control recovery after intensive rehabilitation in post-stroke patients: a multicentre prospective study. Top Stroke Rehabil 30:109–118CrossRefPubMed
6.
Zurück zum Zitat Liao C-F, Liaw L-J, Wang R-Y et al (2015) Electromyography of symmetrical trunk movements and trunk position sense in chronic stroke patients. J Phys Ther Sci 27:2675–2681CrossRefPubMedPubMedCentral Liao C-F, Liaw L-J, Wang R-Y et al (2015) Electromyography of symmetrical trunk movements and trunk position sense in chronic stroke patients. J Phys Ther Sci 27:2675–2681CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Dickstein R, Shefi S, Marcovitz E, Villa Y (2004) Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clin Neurophysiol 115:790–796CrossRefPubMed Dickstein R, Shefi S, Marcovitz E, Villa Y (2004) Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clin Neurophysiol 115:790–796CrossRefPubMed
8.
Zurück zum Zitat Iso F, Mitsunaga W, Yamaguchi R et al (2022) Relationship among trunk control, activities of daily living, and upper extremity function during the first week after stroke in patients with acute cerebral infarction. J Phys Ther Sci 34:315–319CrossRefPubMedPubMedCentral Iso F, Mitsunaga W, Yamaguchi R et al (2022) Relationship among trunk control, activities of daily living, and upper extremity function during the first week after stroke in patients with acute cerebral infarction. J Phys Ther Sci 34:315–319CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Arslan SA, Uğurlu K, DEMİRCİ C, KESKİN D (2021) Investigating the relation between upper extremity function and trunk control, balance and functional mobility in individuals with stroke. J Health Sci Med 4:127–131 Arslan SA, Uğurlu K, DEMİRCİ C, KESKİN D (2021) Investigating the relation between upper extremity function and trunk control, balance and functional mobility in individuals with stroke. J Health Sci Med 4:127–131
12.
Zurück zum Zitat Wee SK, Hughes A-M, Warner MB et al (2015) Effect of trunk support on upper extremity function in people with chronic stroke and people who are healthy. Phys Ther 95:1163–1171CrossRefPubMed Wee SK, Hughes A-M, Warner MB et al (2015) Effect of trunk support on upper extremity function in people with chronic stroke and people who are healthy. Phys Ther 95:1163–1171CrossRefPubMed
14.
15.
Zurück zum Zitat Fugl-Meyer AR, Jääskö L, Leyman I et al (1975) A method for evaluation of physical performance. Scand J Rehabil Med 7:13–31CrossRefPubMed Fugl-Meyer AR, Jääskö L, Leyman I et al (1975) A method for evaluation of physical performance. Scand J Rehabil Med 7:13–31CrossRefPubMed
16.
Zurück zum Zitat Brunnstrom S (1966) Motor testing procedures in hemiplegia: based on sequential recovery stages. Phys Ther 46:357–375CrossRefPubMed Brunnstrom S (1966) Motor testing procedures in hemiplegia: based on sequential recovery stages. Phys Ther 46:357–375CrossRefPubMed
17.
Zurück zum Zitat Gorman SL, Radtka S, Melnick ME et al (2010) Development and validation of the function in sitting test in adults with acute stroke. J Neurol Phys Ther 34:150–160CrossRefPubMed Gorman SL, Radtka S, Melnick ME et al (2010) Development and validation of the function in sitting test in adults with acute stroke. J Neurol Phys Ther 34:150–160CrossRefPubMed
18.
Zurück zum Zitat Erol BN, Aydoğan Arslan S, Yaşar E et al (2022) Reliability and validity of the Turkish version of function in sitting test (FIST-T) in stroke. Top Stroke Rehabil 29:49–57CrossRefPubMed Erol BN, Aydoğan Arslan S, Yaşar E et al (2022) Reliability and validity of the Turkish version of function in sitting test (FIST-T) in stroke. Top Stroke Rehabil 29:49–57CrossRefPubMed
19.
Zurück zum Zitat Schober P, Boer C, Schwarte LA (2018) Correlation coefficients: appropriate use and interpretation. Anesth Analg 126:1763–1768CrossRefPubMed Schober P, Boer C, Schwarte LA (2018) Correlation coefficients: appropriate use and interpretation. Anesth Analg 126:1763–1768CrossRefPubMed
20.
Zurück zum Zitat Verheyden G, Vereeck L, Truijen S et al (2006) Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil 20:451–458CrossRefPubMed Verheyden G, Vereeck L, Truijen S et al (2006) Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil 20:451–458CrossRefPubMed
21.
Zurück zum Zitat Verheyden G, Nieuwboer A, Van de Winckel A, De Weerdt W (2007) Clinical tools to measure trunk performance after stroke: a systematic review of the literature. Clin Rehabil 21:387–394CrossRefPubMed Verheyden G, Nieuwboer A, Van de Winckel A, De Weerdt W (2007) Clinical tools to measure trunk performance after stroke: a systematic review of the literature. Clin Rehabil 21:387–394CrossRefPubMed
22.
Zurück zum Zitat Lee K, Lee D, Hong S et al (2021) The relationship between sitting balance, trunk control and mobility with predictive for current mobility level in survivors of sub-acute stroke. PLoS ONE 16:e0251977CrossRefPubMedPubMedCentral Lee K, Lee D, Hong S et al (2021) The relationship between sitting balance, trunk control and mobility with predictive for current mobility level in survivors of sub-acute stroke. PLoS ONE 16:e0251977CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Ishiwatari M, Honaga K, Tanuma A et al (2021) Trunk impairment as a predictor of activities of daily living in acute stroke. Front Neurol 12:665592CrossRefPubMedPubMedCentral Ishiwatari M, Honaga K, Tanuma A et al (2021) Trunk impairment as a predictor of activities of daily living in acute stroke. Front Neurol 12:665592CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Helmy H, Emara T, Arafa M et al (2014) Impact of trunk control on balance and functional abilities in chronic stroke patients. Egypt J Neurol Psychiatr Neurosurg 51:327–331 Helmy H, Emara T, Arafa M et al (2014) Impact of trunk control on balance and functional abilities in chronic stroke patients. Egypt J Neurol Psychiatr Neurosurg 51:327–331
25.
Zurück zum Zitat An S-H, Park D-S (2017) The effects of trunk exercise on mobility, balance and trunk control of stroke patients. J Korean Soc Phys Med 12:25–33CrossRef An S-H, Park D-S (2017) The effects of trunk exercise on mobility, balance and trunk control of stroke patients. J Korean Soc Phys Med 12:25–33CrossRef
26.
Zurück zum Zitat Zi-yan FAN, Bao-jin LI, Ling-yi L et al (2020) Effects of trunk control training on dynamic sitting balance and trunk function in hemiplegia patients after acute stroke. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) 51:847–852 Zi-yan FAN, Bao-jin LI, Ling-yi L et al (2020) Effects of trunk control training on dynamic sitting balance and trunk function in hemiplegia patients after acute stroke. JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) 51:847–852
27.
Zurück zum Zitat Cabanas-Valdés R, Bagur-Calafat C, Girabent-Farrés M et al (2017) Long-term follow-up of a randomized controlled trial on additional core stability exercises training for improving dynamic sitting balance and trunk control in stroke patients. Clin Rehabil 31:1492–1499CrossRefPubMed Cabanas-Valdés R, Bagur-Calafat C, Girabent-Farrés M et al (2017) Long-term follow-up of a randomized controlled trial on additional core stability exercises training for improving dynamic sitting balance and trunk control in stroke patients. Clin Rehabil 31:1492–1499CrossRefPubMed
28.
Zurück zum Zitat Cabanas-Valdés R, Bagur-Calafat C, Girabent-Farrés M et al (2016) The effect of additional core stability exercises on improving dynamic sitting balance and trunk control for subacute stroke patients: a randomized controlled trial. Clin Rehabil 30:1024–1033CrossRefPubMed Cabanas-Valdés R, Bagur-Calafat C, Girabent-Farrés M et al (2016) The effect of additional core stability exercises on improving dynamic sitting balance and trunk control for subacute stroke patients: a randomized controlled trial. Clin Rehabil 30:1024–1033CrossRefPubMed
29.
Zurück zum Zitat Silva P, Franco J, GUSMãO A et al (2015) Trunk strength is associated with sit-to-stand performance in both stroke and healthy subjects. Eur J Phys Rehabil Med 51:717–724PubMed Silva P, Franco J, GUSMãO A et al (2015) Trunk strength is associated with sit-to-stand performance in both stroke and healthy subjects. Eur J Phys Rehabil Med 51:717–724PubMed
30.
Zurück zum Zitat Hernandez ED, Galeano CP, Barbosa NE et al (2019) Intra-and inter-rater reliability of Fugl-Meyer assessment of upper extremity in stroke. J Rehabil Med 51:652–659CrossRefPubMed Hernandez ED, Galeano CP, Barbosa NE et al (2019) Intra-and inter-rater reliability of Fugl-Meyer assessment of upper extremity in stroke. J Rehabil Med 51:652–659CrossRefPubMed
31.
Zurück zum Zitat Baker K, Cano SJ, Playford ED (2011) Outcome measurement in stroke: a scale selection strategy. Stroke 42:1787–1794CrossRefPubMed Baker K, Cano SJ, Playford ED (2011) Outcome measurement in stroke: a scale selection strategy. Stroke 42:1787–1794CrossRefPubMed
32.
Zurück zum Zitat Lang CE, Bland MD, Bailey RR et al (2013) Assessment of upper extremity impairment, function, and activity after stroke: foundations for clinical decision making. J Hand Ther 26:104–115CrossRefPubMed Lang CE, Bland MD, Bailey RR et al (2013) Assessment of upper extremity impairment, function, and activity after stroke: foundations for clinical decision making. J Hand Ther 26:104–115CrossRefPubMed
34.
Zurück zum Zitat Wee SK, Hughes AM, Warner MB et al (2015) Impact of trunk control on upper extremity function in subacute and chronic stroke patients and healthy controls. Physiotherapy 101:e1619CrossRef Wee SK, Hughes AM, Warner MB et al (2015) Impact of trunk control on upper extremity function in subacute and chronic stroke patients and healthy controls. Physiotherapy 101:e1619CrossRef
35.
Zurück zum Zitat Karthikbabu S, Chakrapani M, Ganeshan S et al (2012) A review on assessment and treatment of the trunk in stroke: a need or luxury. Neural Regen Res 7:1974–1977PubMedPubMedCentral Karthikbabu S, Chakrapani M, Ganeshan S et al (2012) A review on assessment and treatment of the trunk in stroke: a need or luxury. Neural Regen Res 7:1974–1977PubMedPubMedCentral
Metadaten
Titel
The effect of trunk control on sitting balance and upper extremity functions in patients with subacute stroke
verfasst von
Lütfiye Akkurt
Güllü Aydın Yağcıoğlu
Cihan Caner Aksoy
Fatıma Yaman
Publikationsdatum
22.10.2024
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 12/2024
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-024-07817-w

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