Evaluation of the effectiveness of selected scales and methods used in the assessment of gait and balance after a cerebral stroke
Keywords:
cerebral stroke, gait, balance, stabilometryAbstract
The aim of this study is to assess the balance and gait of outpatients undergoing late stroke treatment and the relationship between the assessment of gait and balance using clinical tests and the assessment of static balance using stabilometric tests.
Materials and methods. Post-stroke patients with hemiparesis undergoing ambulatory physiotherapy were examined. The Wisconsin Gait Scale (WGS), the Dynamic Gait Index (DGI) and the Functional Gait Assessment (FGA) were used to assess gait, the Berg Balance Scale (BBS) and the Get Up and Go test were used to assess balance, and stabilometric tests were used to assess static balance. Examination was conducted twice before and after physiotherapy.
Results. A statistically significant improvement of gait speed and quality and gait functions, assessed with the DGI (p=0,0001) and the FGA (p=0,0002), was observed after treatment. An improvement of balance assessed with the BBS and the Get Up and Go test was also recorded. Static balance using stabilometric tests did not change in the standing position with the eyes closed (the surface of COP). Poor and average relationship between clinical methods of gait and balance assessment and parameters of stabilometric balance assessment was shown.
Conclusions. Rehabilitation of patients with hemiparesis undergoing late stroke treatment has a significant influence on the improvement of balance and gait functions.
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