Determinants of Balance Recovery After Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- University Hospital, Grenoble
- Enrollment
- 300
- Primary Endpoint
- Posture
- Status
- Completed
- Last Updated
- 6 years ago
Overview
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.
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Posture
Time Frame: admission and monthly, up to 3 months
Change from Baseline Score of Postural Assessment Scale for Stroke (PASS) at discharge
Secondary Outcomes
- Postural vertical perception(admission and monthly, up to 3 months)
- Neuropsychological Assessment 1(admission and monthly, up to 3 months)
- Neuropsychological Assessment 2(admission and monthly, up to 3 months)
- Neuropsychological Assessment 5(admission and monthly, up to 3 months)
- Spasticity(admission and monthly, up to 3 months)
- Balance(admission and monthly, up to 3 months)
- Walking distance(admission and monthly, up to 3 months)
- Gait velocity(admission and monthly, up to 3 months)
- Laterality(admission and monthly, up to 3 months)
- Neuropsychological Assessment 4(admission and monthly, up to 3 months)
- Neuropsychological Assessment 7(admission and monthly, up to 3 months)
- Identification of brain structures involved in the stroke(once, at 2 month)
- Pressure sensitivity (Hand and foot)(admission and monthly, up to 3 months)
- Neuropsychological Assessment 6(admission and monthly, up to 3 months)
- Postural disorders(admission and monthly, up to 3 months)
- Neuropsychological Assessment 3(admission and monthly, up to 3 months)
- Gait(admission and monthly, up to 3 months)
- Neuropsychological Assessment 8(admission and monthly, up to 3 months)
- Falls(at discharge, the number of falls is totalized)
- Visual field defect (hemianopia/quadranopia)(admission and monthly, up to 3 months)
- Visual vertical perception(admission and monthly, up to 3 months)
- Disability(admission and monthly, up to 3 months)
- Neuropsychological Assessment 10(admission and monthly, up to 3 months)