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The biomechanical investigation of the relationship between balance and muscular strength in people with chronic stroke: a pilot cross-sectional study.

Identifieur interne : 000202 ( Main/Exploration ); précédent : 000201; suivant : 000203

The biomechanical investigation of the relationship between balance and muscular strength in people with chronic stroke: a pilot cross-sectional study.

Auteurs : Mayumi Wagatsuma [États-Unis] ; Taehoon Kim [États-Unis] ; Paulo Sitagata [États-Unis] ; Eunbi Lee [États-Unis] ; Konstantinos Vrongistinos [États-Unis] ; Taeyou Jung [États-Unis]

Source :

RBID : pubmed:30741610

Descripteurs français

English descriptors

Abstract

BACKGROUND

Impaired balance and weak muscle strength are common deficits associated with stroke. Limited research has examined the relationship between balance and strength in people post-stroke.

OBJECTIVE

To investigate the association between balance and muscular strength in people post-stroke.

METHODS

A total of 11 people with chronic stroke, who were community dwelling and ambulatory, completed balance and strength assessments. A computerized dynamic posturography system was used for Limits of Stability (LOS) test, Sit-to-Stand (STS) test, and the Modified Clinical Test of Sensory Interaction on Balance (mCTSIB). Additionally, a computerized dynamometer was used to assess the isometric muscle strength of flexion/extension in the core (the trunk) and the leg (the hip, knee, and ankle). Pearson correlation analysis was used to investigate the relationship between balance and muscle strength measurements.

RESULTS

Endpoint excursion (EPE) (r = .646; p < 0.032) and maximum excursion (MXE) (r = .613; p < 0.045) of LOS test were positively correlated with core and leg strength (C&L). Specifically, both EPE (r = -.792; p < 0.004) and MXE (r = -.623; p < 0.041) in backward direction had strong correlations with C&L. Core strength also showed a positive correlation with EPE of LOS test (r = .636; p < 0.035) while the composite leg strength did not. Lastly, STS and mCTSIB tests did not demonstrate significant associations with muscle strength.

CONCLUSIONS

The results indicate that the C&L have a strong relationship with the ability to shift body weight in multiple directions, particularly backward, among people post-stroke. However, static balance and STS performance do not appear to be related to muscle strength.


DOI: 10.1080/10749357.2019.1574417
PubMed: 30741610


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Aged (MeSH)</term>
<term>Biomechanical Phenomena (MeSH)</term>
<term>Chronic Disease (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Leg (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Muscle Strength (MeSH)</term>
<term>Muscle Strength Dynamometer (MeSH)</term>
<term>Pilot Projects (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Stroke (physiopathology)</term>
<term>Torso (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Accident vasculaire cérébral (physiopathologie)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Dynamomètre pour la mesure de la force musculaire (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Force musculaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jambe (MeSH)</term>
<term>Maladie chronique (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Phénomènes biomécaniques (MeSH)</term>
<term>Projets pilotes (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tronc (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<term>Accident vasculaire cérébral</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Stroke</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Biomechanical Phenomena</term>
<term>Chronic Disease</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Strength</term>
<term>Muscle Strength Dynamometer</term>
<term>Pilot Projects</term>
<term>Postural Balance</term>
<term>Torso</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Dynamomètre pour la mesure de la force musculaire</term>
<term>Femelle</term>
<term>Force musculaire</term>
<term>Humains</term>
<term>Jambe</term>
<term>Maladie chronique</term>
<term>Mâle</term>
<term>Phénomènes biomécaniques</term>
<term>Projets pilotes</term>
<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Impaired balance and weak muscle strength are common deficits associated with stroke. Limited research has examined the relationship between balance and strength in people post-stroke.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To investigate the association between balance and muscular strength in people post-stroke.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A total of 11 people with chronic stroke, who were community dwelling and ambulatory, completed balance and strength assessments. A computerized dynamic posturography system was used for Limits of Stability (LOS) test, Sit-to-Stand (STS) test, and the Modified Clinical Test of Sensory Interaction on Balance (mCTSIB). Additionally, a computerized dynamometer was used to assess the isometric muscle strength of flexion/extension in the core (the trunk) and the leg (the hip, knee, and ankle). Pearson correlation analysis was used to investigate the relationship between balance and muscle strength measurements.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Endpoint excursion (EPE) (r = .646; p < 0.032) and maximum excursion (MXE) (r = .613; p < 0.045) of LOS test were positively correlated with core and leg strength (C&L). Specifically, both EPE (r = -.792; p < 0.004) and MXE (r = -.623; p < 0.041) in backward direction had strong correlations with C&L. Core strength also showed a positive correlation with EPE of LOS test (r = .636; p < 0.035) while the composite leg strength did not. Lastly, STS and mCTSIB tests did not demonstrate significant associations with muscle strength.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The results indicate that the C&L have a strong relationship with the ability to shift body weight in multiple directions, particularly backward, among people post-stroke. However, static balance and STS performance do not appear to be related to muscle strength.</p>
</div>
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<AbstractText Label="OBJECTIVE">To investigate the association between balance and muscular strength in people post-stroke.</AbstractText>
<AbstractText Label="METHODS">A total of 11 people with chronic stroke, who were community dwelling and ambulatory, completed balance and strength assessments. A computerized dynamic posturography system was used for Limits of Stability (LOS) test, Sit-to-Stand (STS) test, and the Modified Clinical Test of Sensory Interaction on Balance (mCTSIB). Additionally, a computerized dynamometer was used to assess the isometric muscle strength of flexion/extension in the core (the trunk) and the leg (the hip, knee, and ankle). Pearson correlation analysis was used to investigate the relationship between balance and muscle strength measurements.</AbstractText>
<AbstractText Label="RESULTS">Endpoint excursion (EPE) (r = .646; p < 0.032) and maximum excursion (MXE) (r = .613; p < 0.045) of LOS test were positively correlated with core and leg strength (C&L). Specifically, both EPE (r = -.792; p < 0.004) and MXE (r = -.623; p < 0.041) in backward direction had strong correlations with C&L. Core strength also showed a positive correlation with EPE of LOS test (r = .636; p < 0.035) while the composite leg strength did not. Lastly, STS and mCTSIB tests did not demonstrate significant associations with muscle strength.</AbstractText>
<AbstractText Label="CONCLUSIONS">The results indicate that the C&L have a strong relationship with the ability to shift body weight in multiple directions, particularly backward, among people post-stroke. However, static balance and STS performance do not appear to be related to muscle strength.</AbstractText>
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<name sortKey="Lee, Eunbi" sort="Lee, Eunbi" uniqKey="Lee E" first="Eunbi" last="Lee">Eunbi Lee</name>
<name sortKey="Sitagata, Paulo" sort="Sitagata, Paulo" uniqKey="Sitagata P" first="Paulo" last="Sitagata">Paulo Sitagata</name>
<name sortKey="Vrongistinos, Konstantinos" sort="Vrongistinos, Konstantinos" uniqKey="Vrongistinos K" first="Konstantinos" last="Vrongistinos">Konstantinos Vrongistinos</name>
</country>
</tree>
</affiliations>
</record>

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