Abstract:
OBJECTIVE:To examine the physiologic and functional recovery of standing balance and health-related quality of life (HRQOL) in people after mild and moderate stroke. DESIGN:Inception cohort study with evaluations at 1 month and 3 months poststroke. SETTING:Laboratory. PARTICIPANTS:Twenty-nine volunteers who had sustained a stroke. Subjects were categorized into mild and moderate groups. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Functional balance was assessed (Clinical Outcome Variables Scale [COVS]) and physiologic measures (electromyography, postural sway) were taken when subjects stood quietly on a force platform and when they performed a rapid unilateral arm-raise perturbation. The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) was administered to evaluate HRQOL. RESULTS:Subjects in the mild group were approaching maximal scores on the COVS (87.7+/-4.1/91) at 3 months poststroke, yet had significant impairment in paretic muscle activation patterns when compared with healthy subjects. Subjects in the moderate group had increased paretic muscle activation over the 2 months, accompanied by significant increases of 10.7+/-5.9 points on the COVS. For both groups, there was significantly less postural sway on the paretic than the nonparetic leg and significant improvements in the SF-36 (physical component) over time. CONCLUSIONS:Subjects recovering from a stroke showed a significant improvement in physical HRQOL and functional and physiologic balance, yet the physiologic balance recovery was not complete even in the mild group.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Garland SJ,Ivanova TD,Mochizuki Gdoi
10.1016/j.apmr.2006.11.023subject
Has Abstractpub_date
2007-02-01 00:00:00pages
218-27issue
2eissn
0003-9993issn
1532-821Xpii
S0003-9993(06)01531-0journal_volume
88pub_type
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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更新日期:2004-04-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
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