Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Prediction of Relationship of Visual Attention Deficits to Balance and Functional Outcome in Persons with Subacute Stroke


Affiliations
1 Spb Physiotherapy College, Surat, India
2 U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, India
     

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Background: Stroke is a focal neurological disorder lasting for more than twenty-four hours, giving rise to functional disabilities in speech, vision, balance and ADL. As stroke has been found to impair vision, balance and ADL, this study is done to predict the relationship of visual attention deficits to balance and functional outcomes in persons with subacute stroke. Awareness of such relationship may be of useful assistance to the physiotherapists in planning treatment interventions in persons with subacute stroke.

Objective: To predict and estimate strength of the relationship of visual attention deficit to balance and functional outcomes in persons with subacute stroke.

Materials and Methods: 50 subjects with subacute stroke were selected for the study. All the patients were assessed on the basis of Star Cancellation Test (SCT), Berg Balance Scale (BBS) and Barthel Index (BI) for visual attention, balance and functional outcomes respectively both at the time of discharge from the hospital and also after 6 months post-stroke. At the end of the study, visual attention scores were correlated (using Pearson product correlation "r" value) with the balance scores and functional outcome scores obtained at the time of discharge from the hospital and 6 months post-stroke.

Result: Mean±SD of scores for Star Cancellation test, Berg Balance scale and Barthel index measured at the time of discharge from hospital and 6 months post stroke was 48.09±2.04, 49.86±1.91, 40.00±2.00, 42.60±1.90, 70.00±10.00, 75.10±9.92 respectively. Moreover, there was strong positive and highly significant correlation of SCT scores with BBS scores and BI scores both at the time of discharge and 6 months post stroke.

Interpretation & Conclusion: Visual attention deficit is an important factor to predict the balance and functional outcomes in persons with subacute stroke.


Keywords

Stroke, Visual Attention Deficit, Balance, Functional Outcome
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  • Susan B. O’Sullivan, Thomas J. Schmitz, Physical Rehabilitation: Assessment & treatment, 4th Edition: Jaypee Brothers, 2001:519-581

  • Hom J, Reitan RM. Generalized cognitive function after stroke. J Clin Exp Neuropsychol. 1990 Oct;12(5):644-654.

  • Pedersen PM, Jørgensen HS, Nakayama H, Raaschou HO, Olsen TS..Orientation in the acute and chronic stroke patient: impact on ADL and social activities. The Copenhagen Stroke Study. Arch Phys Med Rehabil. 1996 Apr;77(4):336-339.

  • Wade DT, Skilbeck C, Hewer RL. Selected cognitive losses after stroke. Frequency, recovery and prognostic importance. Int Disabil Stud. 1989 Jan- Mar;11(1):34-39.

  • Benson C, Lusardi P.Neurologic antecedents to patient falls. J Neurosci Nurs. 1995 Dec;27(6): 331-337.

  • Polly Laidler, Stroke Rehabilitation-structure and stratergy, 1st Edition, 1994: 99-114

  • Whyte J .Attention and arousal: basic science aspects. Arch Phys Med Rehabil. 1992 Oct;73(10):940-949.

  • Susan B. O’Sullivan, Thomas J. Schmitz, Physical Rehabilitation: Assessment & treatment, 4th Edition: Jaypee Brothers, 2001: 961-99

  • Dascy Umphred, Neurological rehabilitation, 4th Edition:821-851

  • Schmist R, Motor Control and Learning: A behavioral emphasis (2nd Edition)Champaing, IL: Human Kinetic Publisher

  • Nashner LM (1989) Sensory, neuromuscular and biomechanical contributions to human balance. In: Proceedings of the American Physical Therapy Association Forum. Nashville. TN. pp. 5-12.

  • Roberta Newton. Review of tests of standing balance abilities. Brain Injury 1989; 3(4):335-43

  • Nashler L: Evaluation of postural stability, movement and control. In Hasson(ed): Clinical exercise physiology, Philadelphia, CV Mosby, 1994

  • Lars Nyberg, Yngve Gustafson. Patient Falls in Stroke Rehabilitation: A Challenge to Rehabilitation Strategies. Stroke, 1995;26:838-42

  • Susan B. O’Sullivan, Thomas J. Schmitz, Physical Rehabilitation: Assessment & treatment, 4th Edition: Jaypee Brothers, 2001:328-329

  • Medline plus, a service of the us national library of medicine and the national institute of health, 15th may, 2008

  • Pak R and Dombrovy ML: Stroke. In Good, DC and Couch JR(eds): Handbook of Neurorehabilitation. Marcel Dekker, Newyork, 1994:461

  • Armin F. Haerer. Visual Field Defects and the Prognosis of Stroke Patients, Stroke 1973; 4: 163-168

  • Sinclair R, A study examining sitting balance and the presence of attention deficit post-stroke, Msc Thesis, University of Southampton, UK, 1995.

  • WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. [59th WMA General Assembly Seoul, Korea, Oct 2008]. Available from: http://www.wma.net/en/ 30publications/10policies/b3/

  • Sebstina A. Borges, Ona A. Vyas. Study addressing the impact of cognitive and perceptual deficits on sitting and standing balance following CVA. Journal of occupational therapy;33(1): april- july 2001.

  • Stapleton, T., Ashburn, A. and Stack, E. (2001) A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. Clinical Rehabilitation;15(4):437- 444.


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  • Prediction of Relationship of Visual Attention Deficits to Balance and Functional Outcome in Persons with Subacute Stroke

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Authors

Chintan Shah
Spb Physiotherapy College, Surat, India
Hasmukh Patel
U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, India
Komal Soni
Spb Physiotherapy College, Surat, India
Dhaval Desai
Spb Physiotherapy College, Surat, India
Harshit Soni
Spb Physiotherapy College, Surat, India

Abstract


Background: Stroke is a focal neurological disorder lasting for more than twenty-four hours, giving rise to functional disabilities in speech, vision, balance and ADL. As stroke has been found to impair vision, balance and ADL, this study is done to predict the relationship of visual attention deficits to balance and functional outcomes in persons with subacute stroke. Awareness of such relationship may be of useful assistance to the physiotherapists in planning treatment interventions in persons with subacute stroke.

Objective: To predict and estimate strength of the relationship of visual attention deficit to balance and functional outcomes in persons with subacute stroke.

Materials and Methods: 50 subjects with subacute stroke were selected for the study. All the patients were assessed on the basis of Star Cancellation Test (SCT), Berg Balance Scale (BBS) and Barthel Index (BI) for visual attention, balance and functional outcomes respectively both at the time of discharge from the hospital and also after 6 months post-stroke. At the end of the study, visual attention scores were correlated (using Pearson product correlation "r" value) with the balance scores and functional outcome scores obtained at the time of discharge from the hospital and 6 months post-stroke.

Result: Mean±SD of scores for Star Cancellation test, Berg Balance scale and Barthel index measured at the time of discharge from hospital and 6 months post stroke was 48.09±2.04, 49.86±1.91, 40.00±2.00, 42.60±1.90, 70.00±10.00, 75.10±9.92 respectively. Moreover, there was strong positive and highly significant correlation of SCT scores with BBS scores and BI scores both at the time of discharge and 6 months post stroke.

Interpretation & Conclusion: Visual attention deficit is an important factor to predict the balance and functional outcomes in persons with subacute stroke.


Keywords


Stroke, Visual Attention Deficit, Balance, Functional Outcome

References