Relationship of confidence in task performance with balance and motor function after stroke
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Abstract:
The principal aim of this investigation was to relate perceived confidence in task performance without falling and observer-assessed balance, both to each other and to motor function at three different times after a fi rst stroke. Sixty-two patients 24-65 years of age participated in this study. Perceived confidence in task performance was self-reported using a Swedish modification of the Falls-Efficacy Scale (FES(S)). For observer assessments the Berg Balance Scale and the balance and motor function sections of the Fugl-Meyer Stroke Assessment Instrument were used. Assessments were performed on admission, at discharge, and at a 10-month follow-up. FES(S) was significantly associated with observer-assessed balance (rho = 0.46-0.68) and motor function (rho = 0.45-0.56) onadmission and on discharge (rho = 0.38-0.51). At follow-up these correlations were generally weaker, ranging from 0.20-0.49. We conclude that self-reported confidence in task performance is a valuable measure in clinical practice, adding information to that gained from objective assessments.Keywords:
Berg Balance Scale
Fear of falling
Stroke
Berg Balance Scale
Balance Test
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Stroke can affect balance. Balance is the ability to maintain the body in a balanced position both in static and dynamic conditions. However, the assessment of the existing balance is only done in a static state in stroke patients. The balance assessment describes the balance of stroke patients so that they can be written on asessment form and the transfer record and can determine the need for balance training as one of the rehabilitation of stroke patients. This EBN application aims to find out the use of Berg Balance Scale to assess the balance of both static and dynamic conditions in stroke patients. The method used is conducting PICO analysis, searching database, critical appraisal, and determining relevant journals. EBN implementation was carried out on 10 people who had a stroke in zone A on the 5th floor of Building A RSUPN Dr. Cipto Mangunkusumo. This study uses the Berg Balance Scale scale in Indonesian. The analysis showed that stroke patients who experienced balance disorders were 7 people and did not experience a balance of 3 people BBS can assess the balance of stroke patients in accordance with existing evidence. BBS can be used as a balance assessment in stroke patients.
Berg Balance Scale
Stroke
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Objective:To observe the effect of visual feedback balance training on balance and functional shifting in stroke patients.Methods: Thirty-two stroke patients were randomly divided into treatment group(n=17) and control group(n=15).Patients in both groups received routine physical therapy training,and those in treatment group received the visual feedback balance training via the feedback balance platform additionally.All the patients were assessed by Berg Balance Scale(BBS) and the Timed UpGo Test(TUG) before and 5 weeks after training.Results: After training for 5 weeks,BBS was significantly increased and time for TUG was significantly shortened as compared with those before training(P0.05).The improvement on BBS and TUG in the treatment group was more significant than in the control group(P0.05).Conclusion: For hemiplegic stroke patients,the balance and functional shifting can be improved by the visual feedback balance training.
Berg Balance Scale
Visual feedback
Balance training
Stroke
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Berg Balance Scale
Stroke
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Interaction between cognitive status, fear of falling, and
Fear of falling
Berg Balance Scale
Falling (accident)
Cognitive Decline
Mini–Mental State Examination
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The aging manifests in a process of physiological decline, which can result in imbalances and bring the elderly to fall. Purpose: This study is intended to achieve a purpose: efficiency of therapy s programs in seniors balance and fear of falling in the elderly. Methods: 11 elderly institutionalized patients, with an average age of 81 years old, were assigned in two groups: experimental, with 5 seniors, and control, with 6. This experimental group had 4 weeks of therapy’s programs – 5 days of weekly application. A sociodemographic interview was performed to collect all personal data. Balance was evaluated by Berg s and Tinetti s Scales. The fear of falling was evaluated by Falls Efficacy Scale (FES). The 3 scales were evaluated in two moments: before and after program s application. Results: The results showed significant differences concerning to the application of physical therapy protocol in balance, only Berg s scale (p=0,043) and in the fear of falling by FES (p=0,039). Conclusion: The result of this research concluded that physiotherapy had an important influence on the balance and fear of falling of the elderly.
Tinetti test
Fear of falling
Berg Balance Scale
Elderly people
Falling (accident)
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Berg Balance Scale
Stroke
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Objective:To investigate the difference on balance control between patients with brain injury(stroke and tramatic brain injury)and healthy subjects in order to guide clinical rehabilitation.Method:Twenty-one patients(case group)and21healthy subjects(control group)were included in the study.They were assessed with balance performance monitor(BPM)and then with Berg Balance Scale(BBS).Each subject performed the BPM twice with eyes-opened and eyes-closed respectively under the supervision of researcher.Result:Between the two groups there were significant differences on all of the indices of BPM and BBS(P0.01).For case group the change of dynamic balance function was more obvious than that of static balance function.Conclusion:①BPM and BBS are good tools for assessing balance function and BBS is used more easily.②The patients with brain injury have obvious disorders on balance control,especially on dynamic balance.
Berg Balance Scale
Stroke
Balance problems
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Objective:To explore the correlation between balance assessment equipment and Berg balance scale(BBS) in assessing balance function of hemiplegic patients.Method:Thirty stroke hemiplegic patients were assessed the balance function by using BBS and Pro-Kin balance assessment equipment which were used to test the standing balance in eye-opened and eye-closed condition.Paired-samples t test was used to compare the difference in sway length and area of body gravity between eye-opened and eye-closed condition.Then Pearson correlation coefficient was used to study the correlation between these two assessments.Result:Sway length and area were correlated negatively moderately with the total score of BBS,the 6th and 9th items(r=-0.408—-0.663).Additionally,sway length and area were correlated negatively moderately with the 8th,11th to 14th and the 1st,5th,7th items,respectively(r=-0.409—-0.590,P0.05).Sway area were correlated negatively moderately with the 7th and 8th items in eye-closed condition(r=-0.492,-0.501,P0.05).Sway length were not correlated with the total score and any items of BBS.Conclusion:Pro-Kin balance assessment can not only test the static balance function,but also predict the dynamic balance function.
Berg Balance Scale
Eyes open
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The purpose of this study was to verify which instrument better identifies recurrent falls in the elderly. Ninety-eight old people, with an average age of 80 ± 4 years, were submitted to an assessment of balance and fall risk by means of the Berg Balance Scale (BBS) and the posturographic Balance Stability System (BSS). The BBS was correlated with the BSS (r=-0.27; p=0.008), age (r=-0.38; p<0.001) and number of falls (r=-0.25; p=0.013) and the analysis of logistical regression showed that the elderly classified with fall risk on the BBS presented 2.5 (95%CI 1.08-5.78) more chance of identifying who had two falls or more over the last year. The BBS identified that the greater the age the worse the functional balance and demonstrated a greater capacity to identify falls risk suffered over the last year when compared with the BSS.
Berg Balance Scale
Fall prevention
Elderly people
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