Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria

Aim The study was designed to establish the relationship between hamstrings–quadriceps (H–Q) strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors.Method Twenty-five stroke survivors participated in the study. The hamstrings and quadriceps muscle strengths of bot...

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Main Authors: Nonso Christian Asouzu, Emeka Mong, Maximin Agha, Nwabumma Cynthia Asouzu, Emelie Moris Anekwu, Davidson Okwudili John, Emmanuel Chiebuka Okoye, Sam Chidi Ibeneme
Format: Article
Language:English
Published: BMJ Publishing Group 2024-02-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/10/1/e001826.full
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author Nonso Christian Asouzu
Emeka Mong
Maximin Agha
Nwabumma Cynthia Asouzu
Emelie Moris Anekwu
Davidson Okwudili John
Emmanuel Chiebuka Okoye
Sam Chidi Ibeneme
author_facet Nonso Christian Asouzu
Emeka Mong
Maximin Agha
Nwabumma Cynthia Asouzu
Emelie Moris Anekwu
Davidson Okwudili John
Emmanuel Chiebuka Okoye
Sam Chidi Ibeneme
author_sort Nonso Christian Asouzu
collection DOAJ
description Aim The study was designed to establish the relationship between hamstrings–quadriceps (H–Q) strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors.Method Twenty-five stroke survivors participated in the study. The hamstrings and quadriceps muscle strengths of both the paretic and non-paretic sides were determined at 60° knee flexion with an electronic tensiometer. The participants undertook the tasks in Berg’s Balance Scale.Results The moment of correlation between the paretic H–Q strength ratio and the total score of the Berg’s Balance Scale was 0.630, while the non-paretic was −0.144. Tasks such as standing unsupported (0.360), sitting unsupported (0.348) and standing with eyes closed (0.262) showed a weak correlation with the paretic H–Q strength ratio. Sitting to standing (0.469), standing to sitting (0.405), transfers (0.470), standing with feet together (0.565), retrieving an object from the floor (0.544), turning to look behind (0.400), turning 360° (0.589) and one leg stance (0.649) showed moderate correlation with the paretic H–Q strength ratio; while reaching forward (0.768), placing alternate foot on stool (0.710) and tandem standing (0.744) showed strong correlation with the paretic H–Q strength ratio.Conclusion The study concluded that the H–Q strength ratios of the paretic limbs of stroke survivors showed significant relationships with the performance of tasks in Berg’s Balance Scale. It is recommended that the H–Q strength ratio is considered as a clinical measurement tool in the balance rehabilitation of stroke survivors.
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spelling doaj.art-f22ab24a5a104572ab0592e8b7d37db22024-04-05T06:50:08ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472024-02-0110110.1136/bmjsem-2023-001826Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, NigeriaNonso Christian Asouzu0Emeka Mong1Maximin Agha2Nwabumma Cynthia Asouzu3Emelie Moris Anekwu4Davidson Okwudili John5Emmanuel Chiebuka Okoye6Sam Chidi Ibeneme7Department of Physiotherapy, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, NigeriaDepartment of Human Kinetics and Health Education, Ebonyi State University, Abakaliki, NigeriaDepartment of Human Kinetics and Health Education, Ebonyi State University Faculty of Education, Abakaliki, Ebonyi, NigeriaDepartment of Nutrition and Dietetics, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi, NigeriaDepartment of Physiotherapy, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, NigeriaDepartment of Physiotherapy, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, NigeriaDepartment of Medical Rehabilitation, Nnamdi Azikiwe University, Awka, Anambra State, NigeriaDepartment of Medical Rehabilitation, University of Nigeria - Enugu Campus, Enugu, NigeriaAim The study was designed to establish the relationship between hamstrings–quadriceps (H–Q) strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors.Method Twenty-five stroke survivors participated in the study. The hamstrings and quadriceps muscle strengths of both the paretic and non-paretic sides were determined at 60° knee flexion with an electronic tensiometer. The participants undertook the tasks in Berg’s Balance Scale.Results The moment of correlation between the paretic H–Q strength ratio and the total score of the Berg’s Balance Scale was 0.630, while the non-paretic was −0.144. Tasks such as standing unsupported (0.360), sitting unsupported (0.348) and standing with eyes closed (0.262) showed a weak correlation with the paretic H–Q strength ratio. Sitting to standing (0.469), standing to sitting (0.405), transfers (0.470), standing with feet together (0.565), retrieving an object from the floor (0.544), turning to look behind (0.400), turning 360° (0.589) and one leg stance (0.649) showed moderate correlation with the paretic H–Q strength ratio; while reaching forward (0.768), placing alternate foot on stool (0.710) and tandem standing (0.744) showed strong correlation with the paretic H–Q strength ratio.Conclusion The study concluded that the H–Q strength ratios of the paretic limbs of stroke survivors showed significant relationships with the performance of tasks in Berg’s Balance Scale. It is recommended that the H–Q strength ratio is considered as a clinical measurement tool in the balance rehabilitation of stroke survivors.https://bmjopensem.bmj.com/content/10/1/e001826.full
spellingShingle Nonso Christian Asouzu
Emeka Mong
Maximin Agha
Nwabumma Cynthia Asouzu
Emelie Moris Anekwu
Davidson Okwudili John
Emmanuel Chiebuka Okoye
Sam Chidi Ibeneme
Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria
BMJ Open Sport & Exercise Medicine
title Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria
title_full Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria
title_fullStr Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria
title_full_unstemmed Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria
title_short Relationship between hamstrings–quadriceps strength ratio and the performance of tasks in Berg’s Balance Scale among stroke survivors in Abakaliki, Nigeria
title_sort relationship between hamstrings quadriceps strength ratio and the performance of tasks in berg s balance scale among stroke survivors in abakaliki nigeria
url https://bmjopensem.bmj.com/content/10/1/e001826.full
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