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Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 41-45

Identifying the relationship between upper limb dysfunction and balance in subacute and chronic stroke hemiparetic patients: A cross-sectional study

1 Department of Physiotherapy, Sikkim Manipal College of Physiotherapy, Sikkim Manipal University (SMU), Gangtok, Sikkim, India
2 Physiotherapy Center, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India

Correspondence Address:
Tittu Thomas James
National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Near Bangalore Milk Dairy, Bengaluru 5600029, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jsip.jsip_10_22

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Background: Balance deficits in patients with stroke hemiparesis impair functional performance. Influence of the upper limb dysfunction on balance impairments is least studied in this population. The aim of this study was to identify the relationship between the upper limb dysfunction and balance deficits in patients with stroke hemiparesis. Materials and Methods: A multi-center cross-sectional study was undertaken by recruiting patients with subacute or chronic stroke hemiparesis above the age of 35 years. Patients those who fulfilled the study criteria were recruited and were assessed for their upper and lower limb dysfunction and balance using the following outcome measures; Fugl–Meyer Assessment Scale for Upper Extremity (FMA-UE) and Lower Extremity (FMA-LE), Trunk Impairment Scale (TIS), and BESTest scale. Spearman correlational analysis and linear regression were performed to identify the relationship between the variables. Results: A total of 22 patients were recruited with a mean age of 53.55 ± 11.26 years. A significant correlation was identified between all outcome measures assessed except between FMA-UE and TIS (ρ = 0.394, P = 0.069). Regression analysis identified 25% changes in the BESTest scores can be explained by FMA-UE score (P = 0.018). Conclusion: The study found a relationship between the upper extremity motor function and the balance in the subacute and chronic stroke patients.

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