Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Visual Perception Correlates with Balance and Motor Performance in Patients with Stroke


Affiliations
1 Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
2 Institute of Human Performance, The University of Hong Kong, Hong Kong
     

   Subscribe/Renew Journal


This main objective of this pilot study was to explore the relationship of subjective visual performance and balance and motor performance in patients with stroke. This is a cross-sectional study with 21 subjects with chronic stroke. Visual perception was measured by Motor-Free Visual Perception test-3 (MVPT-3); balance performance was measured by the Sensory Organization Test (SOT) using Computerised Dynamic Posturography and Berg Balance Scale (BBS). The motor performance were assessed by the Timed Sit to Stand (TSTS) test, walking speed and the Timed Up and Go (TUG) test Motor-Free Visual Perception Test-3 results were significantly correlated with BBS scores (r=0.509, P?0.019), TSTS scores (r= -0.736, P?0.001), TUG scores (r= -0.457, P?0.037), but not SOT and gait velocity. This is the first study to explore the relationship between visual perception and balance and motor performance in subjects with stroke. Subjective visual perception is related to functional balance and motor performance after stroke. Our study highlights the importance of visual perception in stroke rehabilitation in order to improve balance and motor performance in patients with stroke. Further study with larger sample size is warranted to determine the contribution of visual perception on balance performance in performance with stroke.

Keywords

Visual Perception, Stroke, Balance
Subscription Login to verify subscription
User
Notifications
Font Size


  • Bonan IV, Colle FM, Guichard JP, Vicaut E,Eisenfisz M, Tran Ba Huy P, et al. Reliance onvisual information after stroke. Part I: Balance ondynamic posturography. Archives of PhysicalMedicine and Rehabilitation. 2004; 85:268-273.

  • Bonan IV, Guettard E, Leman MC, Colle FM,Yelnik AP. Subjective visual vertical perceptionrelates to balance in acute stroke. Archives ofPhysical Medicine and Rehabilitation. 2006;87:642-646.

  • Brown GT, Rodger S, Davis A. Motor-free visualperception test - Revised: An overview andcritique. British Journal of Occupational Therapy. 2003; 66:159-167.

  • Folstein MF, Folstein SE, McHugh PR. “Minimentalstate”. A practical method for grading thecognitive status of patients for the clinician. Journal of Psychiatry Research. 1975; 12:189-198.

  • NeuroCom International, Inc. Limit of stability(LOS); 2009 June [cited10 Feb 2012]. Availablefrom URL: http://ncmseminars.com/neurocom/protocols/motorimpairment/los.aspx.

  • Nashner LM. Computerized dynamicposturography. In: Jacobson G, Newman C,Kartush J, editors. Handbook of balance functionand testing. St. Louis: Mosby Year Book. 1993;p.280-307.

  • Berg K, Wood-Dauphinee S, Williams JI, GaytonD. Measuring balance in the elderly: Preliminarydevelopment of an instrument. PhysiotherapyCanada. 1989; 41:304-311.

  • Schenkman M, Hughes MA, Samsa G, StudenskiS. The relative importance of strength and balancein chair rise by functionally impaired olderindividuals. Journal of American GeriatricSociety. 1996; 44:1441-1446.

  • Podsiadlo D, Richardson S. The Timed “Up andGo”: A test of basic functional mobility for frailelderly persons. Journal of American GeriatricSociety. 1991; 39:142-148.

  • Wade MG, Jones G. The role of vision and spatialorientation in the maintenance of posture. Physical Therapy. 1997; 77:619-628.

  • Kerkhoff G. Multimodal spatial orientationdeficits in left-sided visual neglect. Neuropsychologia. 1999; 37:1387-1405.

  • Blanke O, Mohr C, Michel CM, Pascual-Leone A,Brugger P, Seeck M, et al. Linking out-of-bodyexperience and self processing to mental ownbodyimagery at the temporoparietal junction. Journal of Neuroscience. 2005; 25:550-557.

  • Pérennou DA, Leblond C, Amblard B, MicallefJP, Rouget E, Pélissier J. The polymodal sensorycortex is crucial for controlling lateral posturalstability: Evidence from stroke patients. BrianResearch Bulletin. 2000; 53:359-365.

  • Ng SS, Hui-Chan CW. The timed up & go test: Itsreliability and association with lower-limbimpairments and locomotor capacities in peoplewith chronic stroke. Archives of PhysicalMedicine and Rehabilitation. 2005; 81:1641-1647.

  • Lamontagne A, Paquette C, Fung J. Stroke affectsthe coordination of gaze and posture duringpreplanned turns while walking. Neurorehabilitation and Neural Repair. 2007;21:62-67.


Abstract Views: 503

PDF Views: 0




  • Visual Perception Correlates with Balance and Motor Performance in Patients with Stroke

Abstract Views: 503  |  PDF Views: 0

Authors

S. M. Ng Shamay
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
Shirley S. M. Fong
Institute of Human Performance, The University of Hong Kong, Hong Kong

Abstract


This main objective of this pilot study was to explore the relationship of subjective visual performance and balance and motor performance in patients with stroke. This is a cross-sectional study with 21 subjects with chronic stroke. Visual perception was measured by Motor-Free Visual Perception test-3 (MVPT-3); balance performance was measured by the Sensory Organization Test (SOT) using Computerised Dynamic Posturography and Berg Balance Scale (BBS). The motor performance were assessed by the Timed Sit to Stand (TSTS) test, walking speed and the Timed Up and Go (TUG) test Motor-Free Visual Perception Test-3 results were significantly correlated with BBS scores (r=0.509, P?0.019), TSTS scores (r= -0.736, P?0.001), TUG scores (r= -0.457, P?0.037), but not SOT and gait velocity. This is the first study to explore the relationship between visual perception and balance and motor performance in subjects with stroke. Subjective visual perception is related to functional balance and motor performance after stroke. Our study highlights the importance of visual perception in stroke rehabilitation in order to improve balance and motor performance in patients with stroke. Further study with larger sample size is warranted to determine the contribution of visual perception on balance performance in performance with stroke.

Keywords


Visual Perception, Stroke, Balance

References