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Cited by 146Stroke Rehabilitation and RecoveryBalance, Gait, and Falls PreventionDysphagia Assessment and Management

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Recovery of standing balance and functional mobility after stroke11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

Garland, S.Jayne, Willems, Deborah A, Ivanova, Tanya D, Miller, Kimberly J·2003·Archives of Physical Medicine and Rehabilitation
DOI 10.1016/j.apmr.2003.03.002
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Abstract

Objective To examine the extent to which recovery of functional balance and mobility is accompanied by change in a few specific physiologic measures of postural control.Design Longitudinal prospective study.Setting Laboratory setting in Ontario.Participants Twenty-seven volunteers (age, 64.2+/-13.7y) undergoing 4 weeks of rehabilitation after stroke participated. At initial testing, patients were 32.7+/-18.4 days poststroke and exhibited a moderate level of motor recovery (lower-extremity and postural control, stages 3-4 on the Chedoke-McMaster Stroke Assessment Impairment Inventory).Interventions Not applicable.Main outcome measures Three functional measures (Berg Balance Scale, Clinical Outcome Variables Scale, gait speed) were assessed. Three physiologic measures (electromyographic data of hamstrings and soleus muscles bilaterally, postural sway, arm acceleration) were taken while subjects stood quietly on a force platform and while they performed a rapid shoulder flexion movement of the nonparetic upper extremity.Results After 1 month of rehabilitation, there was an overall significant improvement in all outcome measures (functional, physiologic). However, 10 patients failed to show any improvement in the electromyographic activation of hamstrings muscle on the paretic side in response to the rapid arm movement. These patients compensated by increasing the anticipatory activation of the nonparetic hamstrings.Conclusion After stroke, patients showed improvement in both physiologic and functional measures of balance and mobility over a 1-month period. We have identified some patients who may be using compensatory strategies to increase function. The factors that may predict those patients who are likely to use compensatory strategies awaits further study.

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Crossref · 10.1016/j.apmr.2003.03.002

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Research works printed but not linked: 9

  1. Shumway-Cook, 1988, Postural sway biofeedback, Arch Phys Med Rehabil, 69, 395
  2. Winstein, 1989, Standing balance training, Arch Phys Med Rehabil, 70, 755
  3. Daleiden, 1990, Weight shifting as a treatment for balance deficits, Physiother Can, 42, 81
  4. Miller, 1997, Relationships between outcome measures and discharge disposition following stroke, Synapse, 27, 17
  5. Seaby, 1989, Reliability of a physiotherapy functional assessment used in a rehabilitation setting, Physiother Can, 41, 264
  6. Willems, 2001, Changes in standing balance during post stroke rehabilitation, Physiother Can, 53, S11
  7. Barclay-Goddard, 2000, Physical function outcome measurement in acute neurology, Physiother Can, 52, 138
  8. Gillis, 1986, Slow walking speeds in healthy young and elderly females, Physiother Can, 38, 350
  9. Goldie, 1989, Force platform measures for evaluating postural control, Arch Phys Med Rehabil, 70, 510

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Metadata

Authors
Garland, S. J., Willems, D. A., Ivanova, T. D., & Miller, K. J.
Affiliations
  • Western University (CA)
  • London Health Sciences Centre (CA)
Corresponding author
Garland, S.Jayne
ORCID
Venue
Archives of Physical Medicine and Rehabilitation
Publisher
Elsevier BV
Published
2003-12
Volume
84
Issue
12
Pages
1753-1759
ISSN
0003-9993 (ISSN-L)
DOI
10.1016/j.apmr.2003.03.002
OpenAlex
W1966055130
Cited by
146
References
27
Citations by year
2026: 1 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 4 · 2019: 8 · 2018: 3 · 2017: 8 · 2016: 10 · 2015: 7 · 2014: 13 · 2013: 5 · 2012: 7
FWCI
5.42
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Archives of Physical Medicine and Rehabilitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
Keywords
stroke, postural control, balance recovery, functional mobility, walking speed, electromyography, anticipatory postural adjustments, compensatory strategies, postural sway, stroke rehabilitation, paretic side
MeSH terms
Stroke Rehabilitation, Aged, Electromyography, Postural Balance, Female, Gait, Humans, Leg, Longitudinal Studies, Male, Middle Aged, Movement, Paresis, Posture, Prospective Studies, Outcome Assessment, Health Care, Muscle, Skeletal, Recovery of Function, Stroke

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