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Trunk performance after stroke and the relationship with balance, gait and functional ability

Trunk performance after stroke and the relationship with balance, gait and functional ability
Trunk performance after stroke and the relationship with balance, gait and functional ability
Objective: To evaluate trunk performance in non-acute and chronic stroke patients by means of the Trunk Control Test and Trunk Impairment Scale and to compare the Trunk Control Test with the Trunk Impairment Scale and its subscales in relation to balance, gait and functional ability after stroke.
Subjects: Fifty-one stroke patients, attending a rehabilitation programme, participated in the study.
Main measures: Subjects were evaluated with the Trunk Control Test, Trunk Impairment Scale, Tinetti balance and gait subscales, Functional Ambulation Category, 10-m walk test, Timed Up and Go Test and motor part of the Functional Independence Measure.
Results: Participants obtained a median score of 61 out of 100 on the Trunk Control Test and 11 out of 23 for the Trunk Impairment Scale. Twelve participants (24%) obtained the maximum score on the Trunk Control Test; no subject reached the maximum score on the Trunk Impairment Scale. Measures of trunk performance were significantly related with values of balance, gait and functional ability. Multivariate linear regression analysis showed an additional, significant contribution of the dynamic sitting balance subscale of the Trunk Impairment Scale in addition to the Trunk Control Test total score for measures of gait and functional ability (model R2 = 0.55 - 0.62).
Conclusions: This study clearly indicates that trunk performance is still impaired in non-acute and chronic stroke patients. When planning future follow-up studies, use of the Trunk Impairment Scale has the advantage that it has no ceiling effect.
0269-2155
451-458
Verheyden, Geert
aabb1bd5-f394-4c82-ba97-7926a4255282
Vereeck, Luc
add02d29-56e8-4d85-9242-834491087c23
Truijen, Steven
3cb5c961-e49b-439e-8887-edabe1c1e16c
Troch, Mark
b546da47-7d7f-4891-aead-142a21ea69f0
Herregodts, Iris
13c582d1-99e2-4743-9331-31a45f57a305
Lafosse, Christophe
f27ecd4c-072a-4a2e-9b9b-1bc7016cf3ea
Nieuwboer, Alice
22396496-b367-4d0e-9a59-2c860c490c41
De Weerdt, Willy
e06fb9b4-cf6d-4845-9ba7-6e7bdcc19cdd
Verheyden, Geert
aabb1bd5-f394-4c82-ba97-7926a4255282
Vereeck, Luc
add02d29-56e8-4d85-9242-834491087c23
Truijen, Steven
3cb5c961-e49b-439e-8887-edabe1c1e16c
Troch, Mark
b546da47-7d7f-4891-aead-142a21ea69f0
Herregodts, Iris
13c582d1-99e2-4743-9331-31a45f57a305
Lafosse, Christophe
f27ecd4c-072a-4a2e-9b9b-1bc7016cf3ea
Nieuwboer, Alice
22396496-b367-4d0e-9a59-2c860c490c41
De Weerdt, Willy
e06fb9b4-cf6d-4845-9ba7-6e7bdcc19cdd

Verheyden, Geert, Vereeck, Luc, Truijen, Steven, Troch, Mark, Herregodts, Iris, Lafosse, Christophe, Nieuwboer, Alice and De Weerdt, Willy (2006) Trunk performance after stroke and the relationship with balance, gait and functional ability. Clinical Rehabilitation, 20 (5), 451-458. (doi:10.1191/0269215505cr955oa).

Record type: Article

Abstract

Objective: To evaluate trunk performance in non-acute and chronic stroke patients by means of the Trunk Control Test and Trunk Impairment Scale and to compare the Trunk Control Test with the Trunk Impairment Scale and its subscales in relation to balance, gait and functional ability after stroke.
Subjects: Fifty-one stroke patients, attending a rehabilitation programme, participated in the study.
Main measures: Subjects were evaluated with the Trunk Control Test, Trunk Impairment Scale, Tinetti balance and gait subscales, Functional Ambulation Category, 10-m walk test, Timed Up and Go Test and motor part of the Functional Independence Measure.
Results: Participants obtained a median score of 61 out of 100 on the Trunk Control Test and 11 out of 23 for the Trunk Impairment Scale. Twelve participants (24%) obtained the maximum score on the Trunk Control Test; no subject reached the maximum score on the Trunk Impairment Scale. Measures of trunk performance were significantly related with values of balance, gait and functional ability. Multivariate linear regression analysis showed an additional, significant contribution of the dynamic sitting balance subscale of the Trunk Impairment Scale in addition to the Trunk Control Test total score for measures of gait and functional ability (model R2 = 0.55 - 0.62).
Conclusions: This study clearly indicates that trunk performance is still impaired in non-acute and chronic stroke patients. When planning future follow-up studies, use of the Trunk Impairment Scale has the advantage that it has no ceiling effect.

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Published date: 1 May 2006

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Local EPrints ID: 44161
URI: http://eprints.soton.ac.uk/id/eprint/44161
ISSN: 0269-2155
PURE UUID: f37802a2-035f-4243-8c99-610f6066994d

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Date deposited: 16 Feb 2007
Last modified: 15 Mar 2024 09:01

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Contributors

Author: Geert Verheyden
Author: Luc Vereeck
Author: Steven Truijen
Author: Mark Troch
Author: Iris Herregodts
Author: Christophe Lafosse
Author: Alice Nieuwboer
Author: Willy De Weerdt

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