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KMID : 1003120180100010051
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Journal of Korean Society of Neurocognitive Rehabilitation
2018 Volume.10 No. 1 p.51 ~ p.59
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Relationship Among Postural Balance, Social Integration, and Falls Risks in Individuals With Chronic Hemiparetic Stroke
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Sim Jae-Hong
Hwang Su-Jin
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Abstract
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Objective: The purpose of this study was to investigate the relationship among postural balance, social integration, and falls risks in individuals with chronic hemiparetic stroke, and to suggest the evidence for planing and providing therapeutic exercise to prevent falls-based secondary disabilities.
Methods: Fifty-seven persons who had a diagnosed first stroke before 6 months and above participated in this study. This study measured seven clinical tools including activities-specific balance confidence scale (ABC scale), Berg Balance Scale (BBS), Dynamic Gait Index (DGI), 6-Minute Walk Test (6MWT), Trunk Impairment Scale (TIS), and Korean Version-Community Integration Questionnaire (K-CIQ). The statistical methods were descriptive statistics and correlation analysis.
Results: In non-falls risk group, the scores of ABC scale, BBS, DGI, 6MWT, and TIS were significantly greater than that in falls risk group. The score of K-CIQ was not significantly different between two groups, non-falls risk and falls risk groups. The score of K-CIQ was significantly correlated with scores of BBS, DGI, 6MWT, and TIS.
Conclusion: The results of this study suggest that there are good relationships among postural balance, gait performance, gait endurance and trunk stability in individuals with chronic hemiparetic stroke. We also suggest that therapeutic intervention program to prevent falls in persons with chronic hemiparetic stroke would involve multidementional components such as postural balance training, gait performance training, gait endurance training and trunk stability training.
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KEYWORD
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Community integration, Falls, Gait, Postural balance, Stroke
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