The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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The Correlations between the Balance Test, functional movement, Visual Perception Test and Functional Independent Measure in Stroke Patients

뇌졸중 환자의 균형, 기능적 보행, 시지각, 일상생활 평가도구의 상관성

  • Lee, Dong-Jin (Department of Physical Therapy, Cheongju ST. Mary's Hospital) ;
  • Kim, Seong-Yeol (Department of Physical Therapy, Graduate School Sahmyook University) ;
  • Song, Chang-Ho (Department of Physical Therapy, Graduate School Sahmyook University)
  • 이동진 (청주성모병원 물리치료실) ;
  • 김성렬 (삼육대학교 대학원 물리치료학과) ;
  • 송창호 (삼육대학교 대학원 물리치료학과)
  • Received : 2009.04.19
  • Accepted : 2009.06.10
  • Published : 2009.06.25
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Abstract

Purpose: The purpose of this study was to determine correlations between the Berg Balance Scale (BBS), Functional Reach Test (FRT), Timed Up & Go (TUG), Motor-Free Visual Perception Reach Test Vertical format (MVPT-V), Functional Independence Measure (FIM). Methods: The subjects used in this study were 35 stroke patients from Cheongju ST. Mary's hospital. Balance was measured by BBS, FRT. Functional mobility was measured by TUG. Visual perception was measured by MVPT-V. FIM was used to evaluate the activities of daily living. Data was analyzed using pearson product correlation. The TUG and MVPT-V index were analyzed by linear regression. Results: There was a statistically significant difference between FRT and BBS (r=0.89, p<0.01), FIM (r=0.74, p<0.05), MVPT-V (r=0.40, p<0.05), and TUG (r=-0.36, p<0.05). There was significant statistical differences between TUG and MVPT-V (r=-0.64, p<.01). However, statistically significant differences were observed between BBS and FIM (r=0.79, p<0.01). The visual close item of the MVPT-V showed the strongest variance in predicting TUG. Conclusion: The use of both quantitative and qualitive scales was shown to be a good measuring instrument for the classification of general clinical performances of stroke patients. In particular, the results suggest that the visual perception test may be able to predict functional locomotion in stroke patients.

Keywords

References

  1. Ahmed S, Mayo NE, Higgins J et al. The Stroke Rehabilitation Assessment of Movement (STREAM): a comparison with other measures used to evaluate effects of stroke and rehabilitation. Phys Ther. 2003;83(7):617-30.
  2. Corcos DM. Strategies underlying the control of disordered movement. Phys Ther. 1991;71(1):25-8.
  3. Hwang SJ, Lee SY, Lee JA. The correlation of the berg balance scale, timed up & go test, and functional independent measure in the elderly people. J Korean Acad Univ Trainde Phys Therapists. 2004;11(1):27-34.
  4. Diamond PT, Felsenthal G, Macciocchi SN et al. Effect of cognitive impairment on rehabilitation outcome. Am J Phys Med Rehabil. 1996;75(1):40-3. https://doi.org/10.1097/00002060-199601000-00011
  5. Tappan RS. Rehabilitation for balance and ambulation in a patient with attention impairment due to intracranial hemorrhage. Phys Ther. 2002;82(5):473-84.
  6. An SH, Lee JH. Reliablity and validity of the postural assessment scale for stroke in chronic stroke patients. J Kor Aoc Phys Ther. 2009;21(1):9-18.
  7. Halsaa KE, Brovold T, Graver V et al. Assessments of interrater reliability and internal consistency of the Norwegian version of the Berg Balance Scale. Arch Phys Med Rehabil. 2007;88(1):94-8. https://doi.org/10.1016/j.apmr.2006.10.016
  8. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. Phys Ther. 2001;81(2):810-8.
  9. Trombly CA, Radomski MV. Occupational Therapy for Physical Dysfunction, Baltimore, Lippincott, 2002.
  10. Berg KO, Maki BE, Williams, JI et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-80.
  11. Podsiadlo D, Richardson S. The timed "Up & Go", a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
  12. Duncan PW, Weiner DK, Chandler J et al. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):192-7.
  13. Warburg CL. Assessment and treatment planning strategies for perceptual deficits. In: O'Sullivan SB, Schmitz TJ, eds, Physical Rehabilitation, Assessment and Treatment, 3rd ed, Philadelphia, Pa, FA Davis Coy, 1994:603-32.
  14. Colarusso RP, Hammill DD. Motor-Free Visual Perception Test-Revised. Novato, Calif, Academic Therapy Publications, 1996.
  15. El-Kahky AM, Kingma H, Dolmans M et al. Balance control near the limit of stability in various sensory conditions in healthy subjects and patients suffering from vertigo or balance disorders, impact of sensory input on balance control. Acta Otolaryngol. 2000;120(4):508-16. https://doi.org/10.1080/000164800750046018
  16. Kirk-Sanchez NJ, Roach KE. Relationship between duration of therapy services in a comprehensive rehabilitation program and mobility at discharge in patients with orthopedic problems. Phys Ther. 2001;81(3):888-95.
  17. Mercier L, Hebert R, Colarusso R et al. Motor-Free Visual Perception Test-vertical Manual. Califonia, Academic Therapy Publications, 1997.
  18. Granger CV, Lotter AC, Hamilton BB et al. Functional assessment scales: a study of persons after stroke. Arch Phys Med Rehabil. 1993;74(2):133-8.
  19. Kirshner B, Guyatt GA. A methodological framework for assessing health indices. J Chronic Dis. 1985;38(1):27-36. https://doi.org/10.1016/0021-9681(85)90005-0
  20. Brock KA, Goldie PA, Greenwood KA. Evaluating the effectiveness of stroke rehabilitation: choosing a discriminative measure. Arch Phys Med Rehabil. 2002;83(1):92-9. https://doi.org/10.1053/apmr.2002.27348
  21. De Oliveira R, Cacho EW, Borges G. Post-stroke motor and functional evaluations: a clinical correlation using Fugl-Meyer assessment scale, Berg balance scale and Barthel index. Arq Neuropsiquiatr. 2006;64(3):731-5. https://doi.org/10.1590/S0004-282X2006000500006
  22. An SH, Seo YJ, Park CS. The Relationship Between Postural Control, ADL Function, Muscle Tone, and Functional Improvement in Chronic Stroke Patients. J Korean Acad Univ Trainde Phys Therapists. 2007;14(1):64-73.
  23. Zwecker M, Levenkrohm S, Fleisig Y et al. Mini-Mental State Examination, cognitive FIM instrument, and the Loewenstein Occupational Therapy Cognitive Assessment: relation to functional outcome of stroke patients. Arch Phys Med Rehabil. 2002;83(3):324-5.
  24. Chong BH. Correlations between functional recovery and visual perception therapy in stroke patients. Dong Shin University. Dissertation of Master's Degree. 2004.
  25. Su CY, Chang JJ, Chen HM et al. Perceptual differences between stroke patients with cerebral infarction and intracerebral hemorrhage. Arch Phys Med Rehabil. 2000;81(6):706-14.
  26. Cate Y, Richards L. Relationship between performance on tests of basic visual functions and visual-perceptual processing in persons after brain injury. Am J Occup Ther. 2000;54(3):326-34. https://doi.org/10.5014/ajot.54.3.326
  27. Hong SY. The relationship between visual perception ability and balance ability in hemiplegic patient. Chungnam University. Dissertation of Master''s Degree. 2004.
  28. Titus MN, Gall NG, Yetxa ET et al. Correlation of perceptual performance and activities of daily living in stroke patients. Am J Occup Ther. 1991;45(5):410-8. https://doi.org/10.5014/ajot.45.5.410
  29. Lee DY. The effect of visual cognitive dual-task training on balance and gait patients with chronic stroke. Sahmyook University. Dissertation of Doctorate Degree. 2008.
  30. Park JS. The effects of the purposeful visual-feedback training on the postural balance control in patients with hemiplegia. Inje University. Dissertation of Master''s Degree. 2006.