Stroke, Vol 21, 82-86, Copyright © 1990 by American Heart Association
KJ Sandin and BS Smith
To test the hypothesis that recovering stroke patients with initially good
sitting balance or those who develop good sitting balance during
rehabilitation have better Barthel Index-based functional assessment
outcomes than recovering stroke patients with poor sitting balance, we
prospectively studied 24 of 25 consecutive stroke patients admitted to a
tertiary-care hospital rehabilitation unit. Sitting balance, a prerequisite
for most functional activities, was scored using a four- point scale
evaluating static and dynamic sitting balance on admission to the
rehabilitation unit and weekly until discharge. Functional status was
assessed using the Barthel Index 4 or 12 weeks after the stroke. We found a
strong positive correlation between Barthel Index score and each weekly
sitting balance score. Multiple evaluations over time identified those
patients whose sitting balance improved during rehabilitation in our unit;
after grouping the patients into those with normal, improved, and poor
sitting balance, we found a significant difference in the Barthel Index
scores among the three groups. The group of patients whose sitting balance
improved had higher Barthel Index scores than the group whose sitting
balance did not improve. Ongoing evaluation of sitting balance can be
helpful in anticipating functional status at discharge in stroke patients
undergoing comprehensive rehabilitation.
ARTICLES
The measure of balance in sitting in stroke rehabilitation prognosis
Department of Physical Medicine, Baylor College of Medicine, Houston, TX 77030.
This article has been cited by other articles:
 |
|
 |
|
  G. Verheyden, A. Nieuwboer, L. De Wit, H. Feys, B. Schuback, I. Baert, W. Jenni, W. Schupp, V. Thijs, and W. De Weerdt Trunk performance after stroke: an eye catching predictor of functional outcome J. Neurol. Neurosurg. Psychiatry, July 1, 2007; 78(7): 694 - 698. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Verheyden, A. Nieuwboer, A. Van de Winckel, and W. De Weerdt Clinical tools to measure trunk performance after stroke: a systematic review of the literature Clinical Rehabilitation, May 1, 2007; 21(5): 387 - 394. [Abstract] [PDF]
|
|
|
|
|
|
C. M Sackley, H. J Hill, K. Pound, and A. Foxall The intra-rater reliability of the Balance Performance Monitor when measuring sitting symmetry and weight-shift activity after stroke in a community setting Clinical Rehabilitation, July 1, 2005; 19(7): 746 - 750. [Abstract] [PDF]
|
|
|
|
|
|
G Verheyden, A Nieuwboer, J Mertin, R Preger, C Kiekens, and W De Weerdt The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke Clinical Rehabilitation, March 1, 2004; 18(3): 326 - 334. [Abstract] [PDF]
|
|
|
|
 |
|
 C.-L. Hsieh, C.-F. Sheu, I-P. Hsueh, and C.-H. Wang Trunk Control as an Early Predictor of Comprehensive Activities of Daily Living Function in Stroke Patients Stroke, November 1, 2002; 33(11): 2626 - 2630. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M H Mudie, U Winzeler-Mercay, S Radwan, and L Lee Training symmetry of weight distribution after stroke: a randomized controlled pilot study comparing task-related reach, Bo bath and feedback training approaches Clinical Rehabilitation, June 1, 2002; 16(6): 582 - 592. [Abstract] [PDF]
|
|
|
|
|
|
E S Powell, R E Pyburn, E Hill, K S Smith, M S Ribbands, J Mickelborough, and V M Pomeroy Measurement of sitting balance using the Manchester Active Position Seat (MAPS): a feasibility study Clinical Rehabilitation, June 1, 2002; 16(6): 661 - 668. [Abstract] [PDF]
|
|
|
|
|
|
H.-F. Mao, I-P. Hsueh, P.-F. Tang, C.-F. Sheu, and C.-L. Hsieh Analysis and Comparison of the Psychometric Properties of Three Balance Measures for Stroke Patients Stroke, April 1, 2002; 33(4): 1022 - 1027. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. W. Andrews and R. W. Bohannon Discharge Function and Length of Stay for Patients with Stroke are Predicted by Lower Extremity Muscle Force on Admission to Rehabilitation Neurorehabil Neural Repair, March 1, 2001; 15(2): 93 - 97. [Abstract] [PDF]
|
|
|
|
|
|
A. S Pollock, B. R Durward, P. J Rowe, and J. P Paul What is balance? Clinical Rehabilitation, April 1, 2000; 14(4): 402 - 406. [Abstract] [PDF]
|
|
|
|
|
|
C. Benaim, D. A. Perennou, J. Villy, M. Rousseaux, and J. Y. Pelissier Validation of a Standardized Assessment of Postural Control in Stroke Patients : The Postural Assessment Scale for Stroke Patients (PASS) Stroke, September 1, 1999; 30 (9): e1862 - 1868. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I Sanchez-Blanco, C Ochoa-Sangrador, L Lopez-Munain, M Izquierdo-Sanchez, and J Fermoso-Garcia Predictive model of functional independence in stroke patients admitted to a rehabilitation programme Clinical Rehabilitation, June 1, 1999; 13(6): 464 - 475. [Abstract] [PDF]
|
|
|
|
|
|
F. P. Franchignoni, L. Tesio, C. Ricupero, and M. T. Martino Trunk Control Test as an Early Predictor of Stroke Rehabilitation Outcome Stroke, July 1, 1997; 28(7): 1382 - 1385. [Abstract] [Full Text]
|
|
|
|
|
|
C. M. Dean and R. B. Shepherd Task-Related Training Improves Performance of Seated Reaching Tasks After Stroke : A Randomized Controlled Trial Stroke, April 1, 1997; 28(4): 722 - 728. [Abstract] [Full Text]
|
|
|
|
|
|
M. G. Stineman, G. Maislin, R. C. Fiedler, and C. V. Granger A Prediction Model for Functional Recovery in Stroke Stroke, March 1, 1997; 28(3): 550 - 556. [Abstract] [Full Text]
|
|