Does the Motor Level of the Paretic Extremities Affect Balance in Poststroke Subjects?

Abstract

Background. Poststroke impairment may lead to fall and unsafe functional performance. The underlying mechanism for the balance dysfunction is unclear. Objective. To analyze the relation between the motor level of the affected limbs and balance in poststroke subjects. Method. A prospective, cross-sectional, and nonexperimental design was conducted in a rehabilitation institute. A convenience sample of 44 patients was assessed for motor level using Brunnstrom recovery stage (BRS) and Fugl-Meyer Assessment: upper (FMA-UE) and lower extremities (FMA-LE). The balance was measured by Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), and Functional Reach Test (FRT). Results. BRS showed moderate correlation with BBS (ρ=0.54 to 0.60; P<0.001), PASS (r=0.48 to 0.64; P<0.001) and FRT (ρ=0.48 to 0.59; P<0.001). FMA-UE also exhibited moderate correlation with BBS (ρ=0.59; P<0.001) and PASS (ρ=0.60; P<0.001). FMA-LE showed fair correlation with BBS (ρ=0.50; P=0.001) and PASS (ρ=0.50; P=0.001). Conclusion. Motor control of the affected limbs plays an important role in balance. There is a moderate relation between the motor level of the upper and lower extremities and balance. The findings of the present study may be applied in poststroke rehabilitation.