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Neurorehabilitation and Neural Repair: An International Journal of Translational Science for Researchers and Clinicians

Resumen/Descripción – provisto por la editorial en inglés
Neurorehabilitation & Neural Repair (NNR) offers innovative and reliable reports relevant to functional recovery from neural injury and long term neurologic care. The journal's unique focus is evidence-based basic and clinical practice and research. NNR deals with the management and fundamental mechanisms of functional recovery from conditions such as stroke, multiple sclerosis, Alzheimer's disease, brain and spinal cord injuries, and peripheral nerve injuries.
Palabras clave – provistas por la editorial

No disponibles.

Disponibilidad
Institución detectada Período Navegá Descargá Solicitá
No detectada desde mar. 1999 / hasta dic. 2023 SAGE Journals

Información

Tipo de recurso:

revistas

ISSN impreso

1545-9683

ISSN electrónico

1552-6844

Editor responsable

SAGE Publishing (SAGE)

País de edición

Estados Unidos

Fecha de publicación

Tabla de contenidos

Advances in Stroke Recovery Scientific Conference 2023 Abstracts

Palabras clave: General Medicine.

Pp. 154596832311632

Recovery of Quiet Standing Balance and Lower Limb Motor Impairment Early Poststroke: How Are They Related?

Jonas SchröderORCID; Wim SaeysORCID; Elissa EmbrechtsORCID; Ann Hallemans; Laetitia YperzeeleORCID; Steven Truijen; Gert KwakkelORCID

<jats:sec><jats:title>Background</jats:title><jats:p> Recovery of quiet standing balance early poststroke has been poorly investigated using repeated measurements. </jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p> To investigate (1) the time course of steady-state balance in terms of postural stability and inter-limb symmetry, and (2) longitudinal associations with lower limb motor recovery in the first 3 months poststroke. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Forty-eight hemiparetic subjects (age: 58.9 ± 16.1 years) were evaluated at weeks 3, 5, 8, and 12 poststroke. Motor impairments concerned the Fugl-Meyer assessment (FM-LE) and Motricity Index total score (MI-LE) or ankle item separately (MI-ankle). Postural stability during quiet 2-legged stance was calculated as the net center-of-pressure area (COP<jats:sub>Area</jats:sub>) and direction-dependent velocities (COP<jats:sub>Vel-ML</jats:sub> and COP<jats:sub>Vel-AP</jats:sub>). Dynamic control asymmetry (DCA) and weight-bearing asymmetry (WBA) estimated inter-limb symmetries in balance control and loading. Linear mixed models determined (1) time-dependent change and (2) the between- and within-subject associations between motor impairments and postural stability or inter-limb symmetry. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Time-dependent improvements were significant for FM-LE, MI-LE, MI-ankle, COP<jats:sub>Area</jats:sub>, COP<jats:sub>Vel-ML</jats:sub>, and COP<jats:sub>Vel-AP</jats:sub>, and tended to plateau by week 8. DCA and WBA did not exhibit significant change. Between-subject analyses yielded significant regression coefficients for FM-LE, MI-LE, and MI-ankle scores with COP<jats:sub>Area</jats:sub>, COP<jats:sub>Vel-ML</jats:sub>, and COP<jats:sub>Vel-AP</jats:sub> up until week 8, and with WBA until week 12. Within-subject regression coefficients of motor recovery with change in COP<jats:sub>Area</jats:sub>, COP<jats:sub>Vel-ML</jats:sub>, COP<jats:sub>Vel-AP</jats:sub>, DCA, or WBA were generally non-significant. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Postural stability improved significantly in the first 8 weeks poststroke, independent of lower limb motor recovery at the most affected side within subjects. Our findings suggest that subjects preferred to compensate with their less affected side, making metrics reflecting inter-limb asymmetries in balance invariant for change early poststroke. Clinical Trial Registration: Clinicaltrials.gov. unique identifier NCT03728036. </jats:p></jats:sec>

Palabras clave: General Medicine.

Pp. 530-544