Abstract
Objective: To examine the association between dynamic balance measurements and community ambulation
levels among individuals with chronic stroke. Methods: This cross-sectional study was performed in 2-day care facilities for older adults
located in urban areas. Forty-seven community-dwelling poststroke adults who could
walk independently were participated. Community ambulation performance was assessed
using the Functional Ambulation Classification of the Hospital at Sagunto (FACHS).
Dynamic balance and mobility were measured with the Mini-Balance Evaluation Systems
Test (Mini-BESTest), the Timed Up and Go (TUG) test, and 10 m maximum walking speed.
Results: Participants were classified into 3 groups according to FACHS scores: household (n = 15),
neighborhood (n = 19), and community walkers (n = 13). Neighborhood and community
walkers scored significantly higher on the Mini-BESTest and had a shorter TUG test
time than household walkers. Community walkers had a significantly faster walking
speed than household walkers, whereas neighborhood walkers did not have a faster walking
speed than household walkers. Ordinal logistic regression analyses revealed the Mini-BESTest
score (odds ratio [OR] 1.24; 95% confidence interval [CI]: 1.07-1.44) and the TUG
test time (OR .91; 95% CI: .85-.98) were significantly associated with ambulation
levels after adjusting for confounders. Conclusions: Dynamic balance measurement tools may have better responsiveness in detecting community
ambulation levels among individuals with chronic stroke than walking speed.
Key Words
Abbreviations:
BRS (Brunnstrom Recovery Stage), CI (confidence interval), FACHS (Functional Ambulation Classification of the Hospital at Sagunto), Mini-BESTest (Mini-Balance Evaluation Systems Test), OR (odds ratio), TUG (Timed Up and Go)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 13, 2020
Accepted:
December 12,
2019
Received in revised form:
November 25,
2019
Received:
August 1,
2019
Footnotes
Department and institution where work was performed: This work was performed at Graduate school of Health and Social Science, Saitama Prefectural University.
Financial support: None declared.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104603
Copyright
© 2019 Elsevier Inc. All rights reserved.
