Stroke
Conditions
Keywords
lateropulsion, pusher syndrome, posture, balance, PASS, verticality perception, gait
Brief summary
Retrospective cohort study of consecutive patients investigated in a neurorehabilitation ward after a first hemispheric stroke. Postural and gait disorders in relation to referential of verticality have been analyzed in routine care.
Detailed description
300 consecutive patients, admitted in our department for neurorehabilitation after a first hemispherical stroke, have been enrolled retrospectively. During their hospitalisation, all patients have been routinely evaluated with clinical scales, evaluating motor and cognitive deficits. Postural and visual vertical (VV) assessments have been performed 1 to 4 times during in-patient-stay. The objective was to analyse the determinants of balance recovery after stroke, in particular the impact of wrong referential of verticality. Data collection was performed by means of medical records. Observation period covered from january 2012 to february 2018.
Interventions
BEHAVIORALPostural Assessment Scale for Stroke (PASS)
Postural Assessment Scale for Stroke (PASS)
Sponsors
University Hospital, Grenoble
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
first hemispheric stroke patient non-opposed to inclusion
Exclusion criteria
history of neurological disorders interfering with balance history of vestibularly disorders interfering with balance unstable medical conditions history of cognitive disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Posture | admission and monthly, up to 3 months | Change from Baseline Score of Postural Assessment Scale for Stroke (PASS) at discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Falls | at discharge, the number of falls is totalized | Monitoring of falls occuring during the hospitalization |
| Balance | admission and monthly, up to 3 months | Assessment of Balance and Posture with SCP (Scale for Contraversive Pushing) |
| Gait | admission and monthly, up to 3 months | Assessment of Gait with Lindmark test |
| Postural disorders | admission and monthly, up to 3 months | Assessment of Postural control with CDP (Computerized posturography) |
| Visual vertical perception | admission and monthly, up to 3 months | Assessment of the visual vertical (vv). Subject indicates which direction a visual line displayed on a computer screen (in darkness) is perceived as vertical in the roll plane. |
| Postural vertical perception | admission and monthly, up to 3 months | Assessment of the postural vertical (pv). Subject is seated in a specific device (CE-marked) in darkness, and indicates which direction of her/his whole body is perceived as vertical in the roll plane. |
| Walking distance | admission and monthly, up to 3 months | Assessment of walking distance with the 6-minute-walking-test (6-MWT) |
| Gait velocity | admission and monthly, up to 3 months | Assessment of gait velocity at self-prefered-velocity on 10 meters |
| Pressure sensitivity (Hand and foot) | admission and monthly, up to 3 months | Assessment of hypoesthesia with Semmes-Weinstein monofilaments test |
| Spasticity | admission and monthly, up to 3 months | Assessment of Spasticity with Ashworth Scale |
| Laterality | admission and monthly, up to 3 months | Assessment of Laterality with Edinburgh Handedness Inventory |
| Neuropsychological Assessment 10 | admission and monthly, up to 3 months | Assessment of depression with ADRS (Aphasia Depression Rating Scale) |
| Neuropsychological Assessment 1 | admission and monthly, up to 3 months | Assessment of Hemispatial Neglect with the Catherine Bergego Scale (CBS) |
| Neuropsychological Assessment 2 | admission and monthly, up to 3 months | Assessment of Hemispatial Neglect with the fluff Test |
| Neuropsychological Assessment 3 | admission and monthly, up to 3 months | Assessment of Hemispatial Neglect using 'thumb localizing test' (TLT) |
| Neuropsychological Assessment 4 | admission and monthly, up to 3 months | Assessment of Hemispatial Neglect with the 'Comb and Razor Test' |
| Neuropsychological Assessment 5 | admission and monthly, up to 3 months | Assessment of Hemispatial Neglect with the BEN ( Battery of tests for the quantitative assessment of unilateral neglect) |
| Neuropsychological Assessment 6 | admission and monthly, up to 3 months | Assessment of Apraxia with ATS (Apraxia Screen of TULIA) |
| Neuropsychological Assessment 7 | admission and monthly, up to 3 months | Assessment of Language with LAST (Language Screening Test) |
| Neuropsychological Assessment 8 | admission and monthly, up to 3 months | Assessment of Aphasia with BDAE (Boston Diagnostic Aphasia Examination) |
| Visual field defect (hemianopia/quadranopia) | admission and monthly, up to 3 months | standardized clinical examination |
| Identification of brain structures involved in the stroke | once, at 2 month | anatomical MRI |
| Disability | admission and monthly, up to 3 months | Assessment of Autonomy with FIM (Functional Independence Measure) |
Outcome results
None listed