Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study
Objectives: This study aims to investigate the impact of impaired upper limb motor function on trunk control and mobility in chronic post-stroke survivors so that the upper limb function should be enhanced as a core component of rehabilitation. Methods: This analytical cross-sectional study was cond...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Negah Institute for Scientific Communication
2023-06-01
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| Series: | Iranian Rehabilitation Journal |
| Subjects: | |
| Online Access: | http://irj.uswr.ac.ir/article-1-1706-en.pdf |
| _version_ | 1797669573507416064 |
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| author | Erum Sattar Uzair Ahmad Muheebur Rehman Muhammad Adnan Subhan Ur Rehman Irum Shahid Abdullah |
| author_facet | Erum Sattar Uzair Ahmad Muheebur Rehman Muhammad Adnan Subhan Ur Rehman Irum Shahid Abdullah |
| author_sort | Erum Sattar |
| collection | DOAJ |
| description | Objectives: This study aims to investigate the impact of impaired upper limb motor function on trunk control and mobility in chronic post-stroke survivors so that the upper limb function should be enhanced as a core component of rehabilitation.
Methods: This analytical cross-sectional study was conducted from March 2021 to August 2021 at the Rehabilitation Center for the Physically Disabled in Peshawar, Pakistan. A total of 166 chronic stroke patients in the age range of 35 to 70 years and greater than 6 months post-stroke were included. To assess the impaired upper extremity, the Fugl-Meyer assessment upper extremity scale was used, and the trunk control and mobility were checked through functional reach test and timed up and go test, respectively.
Results: Among 166 stroke survivors having upper extremity impairment, 109(65.7%) participants’ upper extremity was severely affected. Mobility levels measured through the timed up and go test were categorized and scored; accordingly, the participants showed a low risk of 22(13.3%), moderate 32(19.3%), high 72(43.4%), and very high risk of falls of 40(24%). Among 166 patients, 147(88.6%) had no trunk control which resulted in 8 times greater fall risk in 65(39.2%) participants. Thus, upper limb impairment is significantly associated with impaired trunk control and mobility (P=0.001).
Discussion: This study found about one-third of stroke survivors have a risk of falling, two-thirds have upper extremity impairment, and two-thirds have no trunk control. This study showed a significant reduction in mobility level, balance, and posture balance in stroke survivors having upper extremity impairment. These findings suggest that stroke survivors with upper extremity impairment may use therapeutic intervention to minimize falls and enhance postural balance and trunk control. |
| first_indexed | 2024-03-11T20:46:22Z |
| format | Article |
| id | doaj.art-70379986aba74433bddfadf0454b3c1e |
| institution | Directory Open Access Journal |
| issn | 1735-3602 1735-3610 |
| language | English |
| last_indexed | 2024-03-11T20:46:22Z |
| publishDate | 2023-06-01 |
| publisher | Negah Institute for Scientific Communication |
| record_format | Article |
| series | Iranian Rehabilitation Journal |
| spelling | doaj.art-70379986aba74433bddfadf0454b3c1e2023-10-01T07:48:55ZengNegah Institute for Scientific CommunicationIranian Rehabilitation Journal1735-36021735-36102023-06-01212283290Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional StudyErum Sattar0Uzair Ahmad1Muheebur Rehman2Muhammad Adnan3Subhan Ur Rehman4Irum Shahid5Abdullah6 Department of Rehabilitation Science, Ahmad Medical Institute, Peshawar, Pakistan. Department of Physiotherapy, College of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan. Department of Health and Biological Science, Faculty of Physical Therapy Abasyn University, Peshawar, Pakistan. Department of Health and Biological Science, Faculty of Physical Therapy Abasyn University, Peshawar, Pakistan. Department of Physiotherapy, College of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan. Rafsan Neuro Rehabilitation Center, Peshawar, Pakistan. Department of Health and Biological Science, Faculty of Physical Therapy Abasyn University, Peshawar, Pakistan. Objectives: This study aims to investigate the impact of impaired upper limb motor function on trunk control and mobility in chronic post-stroke survivors so that the upper limb function should be enhanced as a core component of rehabilitation. Methods: This analytical cross-sectional study was conducted from March 2021 to August 2021 at the Rehabilitation Center for the Physically Disabled in Peshawar, Pakistan. A total of 166 chronic stroke patients in the age range of 35 to 70 years and greater than 6 months post-stroke were included. To assess the impaired upper extremity, the Fugl-Meyer assessment upper extremity scale was used, and the trunk control and mobility were checked through functional reach test and timed up and go test, respectively. Results: Among 166 stroke survivors having upper extremity impairment, 109(65.7%) participants’ upper extremity was severely affected. Mobility levels measured through the timed up and go test were categorized and scored; accordingly, the participants showed a low risk of 22(13.3%), moderate 32(19.3%), high 72(43.4%), and very high risk of falls of 40(24%). Among 166 patients, 147(88.6%) had no trunk control which resulted in 8 times greater fall risk in 65(39.2%) participants. Thus, upper limb impairment is significantly associated with impaired trunk control and mobility (P=0.001). Discussion: This study found about one-third of stroke survivors have a risk of falling, two-thirds have upper extremity impairment, and two-thirds have no trunk control. This study showed a significant reduction in mobility level, balance, and posture balance in stroke survivors having upper extremity impairment. These findings suggest that stroke survivors with upper extremity impairment may use therapeutic intervention to minimize falls and enhance postural balance and trunk control.http://irj.uswr.ac.ir/article-1-1706-en.pdfupper extremitymotor skillsstroketorsomobility limitation |
| spellingShingle | Erum Sattar Uzair Ahmad Muheebur Rehman Muhammad Adnan Subhan Ur Rehman Irum Shahid Abdullah Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study Iranian Rehabilitation Journal upper extremity motor skills stroke torso mobility limitation |
| title | Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study |
| title_full | Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study |
| title_fullStr | Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study |
| title_full_unstemmed | Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study |
| title_short | Impaired Upper Limb Motor Function in Post-stroke Patients and Its Impact on Trunk Control and Mobility: A Cross-sectional Study |
| title_sort | impaired upper limb motor function in post stroke patients and its impact on trunk control and mobility a cross sectional study |
| topic | upper extremity motor skills stroke torso mobility limitation |
| url | http://irj.uswr.ac.ir/article-1-1706-en.pdf |
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