I don't give a crap about finding another stroke problem. You didn't provide
ANY FUCKING SOLUTION. Damn it all, do something useful for survivors.
A
great stroke association would not allow trivial stuff like this to be researched.
http://www.ncbi.nlm.nih.gov/pubmed/25198868
Abstract
BACKGROUND AND PURPOSE:
Trunk
control is impaired after stroke but little is known about how changes
in posture relate to other deficits. We examined spinal postural
alignment in people with chronic stroke and explored the relationship
between postural alignment and clinical measures.
METHODS:
Twenty-one
subjects with stroke and 22 age-matched healthy comparison subjects
participated in this observational, cross-sectional study. Data
collection included measurements of thoracic, lumbar, sacral, and
overall postural alignment in the sagittal plane in both sitting and
standing. Measurements were made in different postures, including:
upright, flexed forward, and extended backward. Clinical outcome
measures included the Trunk Impairment Scale and its subscales,
Fugl-Meyer Scale, Berg Balance Scale, Barthel Index, and Stroke Impact
Scale.
RESULTS:
Significant
deviations in postural alignment for participants with stroke compared
with comparison subjects were apparent in sacral alignment (P < 0.02)
and overall postural alignment (P < 0.01) in standing. These
measurements were also significantly correlated with clinical outcome
measures poststroke. Participants with stroke who had a more forward
leaning posture when upright scored worse on the coordination subscale
of the Trunk Impairment Scale (r = -0.61) and Berg Balance Scale (r =
-0.64). Participants with greater anterior pelvic tilt when flexed
forward and more overall inclination when flexed forward and extended
backward scored better on the Trunk Impairment Scale, its subscales, and
Berg Balance Scale (r = -0.6-0.7).
DISCUSSION AND CONCLUSIONS:
People
with chronic stroke have altered postural alignment in standing
compared with subjects without neurological deficits. Investigating
interventions focusing on increasing anterior and posterior pelvic tilt
seem warranted.Video Abstract available. See video (Supplemental Digital
Content 1, http://links.lww.com/JNPT/A76) for more insights from the
authors.
Another study that seems like a waste of time & money, because the answer is so obvious to any stroke survivor with hemiparesis. At 2 years post-stroke I still struggle to stand up straight. I was 18 months out before a new therapist taught me how stretch my weak side properly and I think I have made good progress in last 6 months. It is slow, but no plateau here!
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