The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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A Study on the Correlation between Static, Dynamic Standing Balance Symmetry and Walking Function in Stroke

뇌졸중 환자의 정적, 동적 선자세 균형 대칭성과 보행 기능의 상관관계 연구

  • Kim, Joong-Hwi (Department of Physical Therapy, Collage of Medical Science, Catholic University of Daegu)
  • 김중휘 (대구가톨릭대학교 의료과학대학 물리치료학과)
  • Received : 2012.03.16
  • Accepted : 2012.04.09
  • Published : 2012.04.25
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Abstract

Purpose: The aim of the present study was to measure the standing balance symmetry of stroke patients using a force-plate with computer system, and to investigate the correlation between the standing balance symmetry and that of the walking function in stroke patients. Methods: 48 patients with stroke (34 men, 14 women, $56.8{\pm}11.72$ years old) participated in this study. Static standing balance was evaluated by the weight distribution on the affected and the nonaffected lower limbs, sway path, sway velocity, and sway frequency, which reflected the characteristic of body sway in quiet standing. Dynamic standing balance was evaluated by anteroposterior and mediolateral sway angle, which revealed the limit of stability during voluntary weight displacement. Symmetry index of static standing balance, (SI-SSB) calculated by the ratio of the affected weight distribution for the nonaffected weight distribution, and symmetric index of dynamic standing balance (SI-SDB) by the ratio of the affected sway angle for the nonaffected sway angle. Functional balance assessed by a Berg balance scale (BBS), and the functional walking by 10m walking velocity, as well as the modified motor assessment scale (mMAS). Results: Static balance scales and SI-SSB was the only correlation with BBS (p<0.05). Dynamic balance scales and SI-DSB, not only was correlated with BBS, but also with 10m walking velocity and mMAS (p<0.01). Additionally, there was a significant difference between SI-SSB and that of SI-DSB (p<0.01). Conclusion: The balance and the walking function relate to real life in the stroke showed strong relationships with the dynamic standing balance symmetry in the frontal plane and the ability of anterior voluntary weight displacement in sagittal plane.

Keywords

References

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