PMID: 15241756Jul 9, 2004Paper

Evaluation of postural stability in the elderly with stroke

Archives of Physical Medicine and Rehabilitation
Hélène CorriveauFrancois Prince

Abstract

To compare clinical and biomechanical measures of balance in elderly stroke patients with those of healthy elderly people. Two-group comparison design. Laboratory environment. Fifteen poststroke patients and 15 healthy age-matched older adults (N=30). Not applicable. The biomechanical variable COP-COM, which represents the distance between the center of pressure (COP) and the center of mass (COM) in terms of root mean square. The mean of 4 trials of the COP-COM variable for each test condition was used for statistical analysis. Furthermore, the different systems (sensory, motor, central processor) related to postural stability were evaluated. Statistical significance of the COP-COM variable was larger in the stroke group than in healthy subjects, in both the anteroposterior (AP) and mediolateral (ML) directions. Furthermore, statistically, stroke subjects showed amplitudes of the COP-COM variable that were significantly larger in the eyes-closed condition. The significant negative correlation demonstrated between COP-COM amplitude and the balance scales (Berg, Tinetti) indicated that the patients with larger COP-COM amplitudes had lower clinical balance score. Furthermore, correlation coefficient scores between COP-COM variable...Continue Reading

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