Assessment of motor function in individuals with hemiplegia post-stroke

Authors

DOI:

https://doi.org/10.1590/1809-2950/e22008723pt

Keywords:

Hemiplegia, Gait, Muscle Weakness, Functional Tests

Abstract

This study aims to compare the performance
of the sit-to-stand test and walking speed in individuals with
chronic hemiplegia post-stroke and a control group (CG).
Moreover, we will investigate whether lower limb resistance,
measured based on the sit-to-stand test, is related to walking
speed in individuals with chronic hemiplegia and a CG.
Finally, we will verify if there are intra-group differences for
the tests by dividing the hemiplegia group (HG) according to
motor and sensorimotor function assessment classification.
A cross-sectional design was used among a group with
chronic hemiplegia (n=28) and a healthy CG (n=22). The HG
was classified by the Fugl-Meyer scale, and both groups were
evaluated using the 1-minute sit-to-stand test. The walking
speed was calculated using a 3D kinematics system. Lower
limb resistance among HG differed significantly from the
CG, as well as walking speed. We found a strong correlation
between the tests (ρ=0.773; p<0.001). No differences were
found for the sit-to-stand tests and walking speed when
dividing the HG into individuals with greater or lesser
motor and sensory impairment, using the Fugl-Meyer scale.
Therefore, individuals with hemiplegia, regardless of having
a more pronounced classification of motor and sensory
impairment on the Fugl-Meyer scale, showed lower limb resistance and lower walking speed compared with individuals
without hemiplegia post-stroke.

Downloads

Download data is not yet available.

References

Melo-Silva AM, Mambrini JVM, Souza PRB Jr, Andrade FB, LimaCosta MF. Hospitalizações entre adultos mais velhos: resultados

do ELSI-Brasil. Rev Saude Publica. 2018;52(Suppl 2):3s.

doi: 10.11606/S1518-8787.2018052000639.

Roth GA, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi, N,

et al. Global, regional, and national age-sex-specific mortality

for 282 causes of death in 195 countries and territories, 1980-

: a systematic analysis for the Global Burden of Disease

Study 2017. Lancet. 2018;392(10159):1736-88. doi: 10.1016/

S0140-6736(18)32203-7.

Campbell BCV, Khatri P. Stroke. Lancet. 2020;396(10244):

-42. doi: 10.1016/S0140-6736(20)31179-X.

Winstein CJ, Stein J, Arena R, Bates B, Cherney LR, Cramer SC,

et al. Guidelines for adult stroke rehabilitation and recovery:

a guideline for healthcare professionals from the American

Heart Association/American Stroke Association. Stroke.

;47(6):e98-169. doi: 10.1161/STR.0000000000000098.

Carvalho C, Sunnerhagen KS, Willén C. Walking performance

and muscle strength in the later stage poststroke: a nonlinear

relationship. Arch Phys Med Rehabil. 2013;94(5):845-50.

doi: 10.1016/j.apmr.2012.11.034.

Olney SJ, Richards C. Hemiparetic gait following stroke.

Part I: Characteristics. Gait Posture. 1996;4(2):136-48.

doi: 10.1016/0966-6362(96)01063-6.

Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP,

Silver KH. Treadmill training improves fitness reserve in chronic

stroke patients. Arch Phys Med Rehabil. 2001;82(7):879-84.

doi: 10.1053/apmr.2001.23853.

Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S. The

post-stroke hemiplegic patient. 1. a method for evaluation of

physical performance. Scand J Rehabil Med. 1975;7(1):13-31.

Duncan PW, Propst M, Nelson SG. Reliability of the Fugl-Meyer

assessment of sensorimotor recovery following cerebrovascular

accident. Phys Ther. 1983;63(10):1606-10. doi: 10.1093/

ptj/63.10.1606.

Ng SS, Hui-Chan CW. The timed up & go test: its reliability

and association with lower-limb impairments and locomotor

capacities in people with chronic stroke. Arch Phys Med Rehabil.

;86(8):1641-7. doi: 10.1016/j.apmr.2005.01.011.

Bowden MG, Balasubramanian CK, Behrman AL, Kautz SA.

Validation of a speed-based classification system using quantitative measures of walking performance

poststroke. Neurorehabil Neural Repair. 2008;22(6):672-5.

doi: 10.1177/1545968308318837.

Bohannon RW, Crouch R. 1-Minute Sit-to-Stand Test: systematic

review of procedures, performance, and clinimetric properties.

J Cardiopulm Rehabil Prev. 2019;39(1):2-8. doi: 10.1097/

HCR.0000000000000336.

Zanini A, Aiello M, Cherubino F, Zampogna E, Azzola A,

Chetta A, et al. The one repetition maximum test and the

sit-to-stand test in the assessment of a specific pulmonary

rehabilitation program on peripheral muscle strength in COPD

patients. Int J Chron Obstruct Pulmon Dis. 2015;10(1):2423-30.

doi: 10.2147/COPD.S91176.

Vaidya T, Bisschop C, Beaumont M, Ouksel H, Jean V,

Dessables F, et al. Is the 1-minute sit-to-stand test a good tool

for the evaluation of the impact of pulmonary rehabilitation?

Determination of the minimal important difference in

COPD. Int J Chron Obstruct Pulmon Dis. 2016;11(1):2609-16.

doi: 10.2147/COPD.S115439.

Cameron DM, Bohannon RW, Garrett GE, Owen SV,

Cameron DA. Physical impairments related to kinetic energy

during sit-to-stand and curb-climbing following stroke. Clin

Biomech (Bristol, Avon). 2003;18(4):332-40. doi: 10.1016/

S0268-0033(03)00023-8.

Sawilowsky SS. New effect size rules of thumb. J Mod Appl

Stat Methods. 2009;8(2):26. doi: 10.22237/jmasm/1257035100.

Akoglu H. User’s guide to correlation coefficients. Turk J Emerg

Med. 2018;18(3):91-3. doi: 10.1016/j.tjem.2018.08.001.

Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing

symmetry relate to sit-to-stand performance in individuals

with stroke. Gait Posture. 2005;22(2):126-31. doi: 10.1016/j.

gaitpost.2004.08.002.

Cheng PT, Chen CL, Wang CM, Hong WH. Leg muscle activation

patterns of sit-to-stand movement in stroke patients.

Am J Phys Med Rehabil. 2004;83(1):10-6. doi: 10.1097/01.

PHM.0000104665.34557.56.

Chou SW, Wong AMK, Leong CP, Hong WS, Tang FT,

Lin TH. Postural control during sit-to stand and gait in

stroke patients. Am J Phys Med Rehabil. 2003;82(1):42-7.

doi: 10.1097/00002060-200301000-00007.

Hunnicutt JL, Gregory CM. Skeletal muscle changes

following stroke: a systematic review and comparison to

healthy individuals. Top Stroke Rehabil. 2017;24(6):463-71.

doi: 10.1080/10749357.2017.1292720.

Cardoso CV, Cruz LD, Mota CG, Miyahara KL, Sabbag LMS.

Resultados de um programa de condicionamento físico

para indivíduos com hemiplegia após acidente vascular

encefálico: comparação de dois métodos de intervenção.

Acta Fisiatr. 2018;25(3):149-54. doi: 10.11606/issn.2317-0190.

v25i3a162673.

Belgen B, Beninato M, Sullivan PE, Narielwalla K. The

association of balance capacity and falls self-efficacy

with history of falling in community-dwelling people with

chronic stroke. Arch Phys Med Rehabil. 2006;87(4):554-61.

doi: 10.1016/j.apmr.2005.12.027.

Harris JE, Eng JJ, Marigold DS, Tokuno CD, Louis CL. Relationship

of balance and mobility to fall incidence in people with chronic

stroke. Phys Ther. 2005;85(2):150-8. doi: 10.1093/ptj/85.2.150.

Rikli RE, Jones CJ. Functional fitness normative scores for

community-residing older adults, ages 60-94. J Aging Phys

Act. 1999;7(2):162-81. doi: 10.1123/japa.7.2.162.

Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects

with chronic stroke: reliability and validity. Arch Phys Med

Rehabil. 2010;91(3):407-13. doi: 10.1016/j.apmr.2009.10.030.

Flansbjer UB, Downham D, Lexell J. Knee muscle strength,

gait performance, and perceived participation after stroke.

Arch Phys Med Rehabil. 2006;87(7):974-80. doi: 10.1016/j.

apmr.2006.03.008.

Han P, Zhang W, Kang L, Ma Y, Fu L, Jia L, et al. Clinical

evidence of exercise benefits for stroke. Adv Exp Med Biol.

;1000:131-51. doi: 10.1007/978-981-10-4304-8_9.

Blokland I, Gravesteijn A, Busse M, Groot F, van Bennekom C,

van Dieen J, et al. The relationship between relative aerobic load,

energy cost, and speed of walking in individuals post-stroke.

Gait Posture. 2021;89:193-9. doi: 10.1016/j.gaitpost.2021.07.012.

Published

2023-12-05

Issue

Section

Original Research

How to Cite

Assessment of motor function in individuals with hemiplegia post-stroke. (2023). Fisioterapia E Pesquisa, 30(2), e22008723pt. https://doi.org/10.1590/1809-2950/e22008723pt