| Influence of Hemispatial Neglect on Trunk Control in Stroke Patients. |
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Lim, Kil Byung , Kim, Dug Young , Lee, Kyung Tae |
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Department of Rehabilitation Medicine, Inje University College of Medicine, Ilsanpaik Hospital, Korea. realranma@naver.com |
| 뇌졸중 환자에서 편측 공간 무시가 체간 조절에 미치는 영향 |
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임길병, 김덕영, 이경태 |
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인제대학교 의과대학 일산백병원 재활의학교실 |
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| Abstract |
Objective
To evaluate the influence of hemispatial neglect on trunk balance control and functional ability in stroke patients.
Method
Fourty eight inpatients exhibiting (n=25) or not exhibiting (n=23) hemispatial neglect following strokes within 6 months were matched for age and sex. Hemispatial neglect was assessed with a line bisection test (LBT) and a baking tray task test (BTT). Static and dynamic trunk balance control was assessed using a Balance Master System. Static balance control was measured with a weight bearing test and a Modified Clinical Sensory Interaction Balance Test (mCSIBT). Dynamic balance control was measured using a Limit of Stability (LOS) test and a rhythmic weight shift (RWS) test. A Functional Independence Measure (FIM) for functional ability and the Brunnstrom stage assessment for motor recovery were also recorded.
Results
There was no statistical difference in the achievement of static trunk balance control between neglect and non-neglect patients. Where dynamic balance control was concerned, both LOS and RWS tests showed a deterioration in neglect patients compared to non-neglect patients (p＜0.05). The Brunnstrom stage correlated significantly with dynamic balance control only in non-neglect patients (p＜0.05) and the FIM score of neglect patients was significantly lower than that of non-neglect patients (p＜0.05).
Conclusion
Stroke patients with hemispatial neglect displayed pronounced dynamic trunk instability and functional dependency compared to patients without it. However, the recovery of dynamic balance control may not relate to the degree of motor recovery in stroke patients with hemispatial neglect. (J Korean Acad Rehab Med 2009; 33: 463-469) |
| Key Words:
Trunk control, Hemispatial neglect, Stroke |
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