TEMPORAL ASSOCIATIONS OF LATEROPULSION RESOLUTION AND BALANCE RECOVERY AFTER HEMISPHERIC STROKES

Authors:

Abstract:

Disorder of body orientation with respect to gravity is one of the key elements that impairs balance control in post-stroke patients. We investigated the temporal associations between the normalization of body orientation in the frontal plane and balance recovery after hemispheric strokes. We included in the study patients with hemispheric strokes occurring within the last month. 53 patients had lateropulsion and 7 patients had pusher syndrome, according to the Scale for Contraversive Pushing. Patients were subsequently invited for a weekly examination until the body's verticality was normalized. At each visit, the balance status was assessed. Recovery of balance control depended on the normalization of body orientation in the frontal plane. Recovery of the sitting and standing balance was maximal during the weeks of transition of pusher syndrome into lateropulsion and during the weeks of resolution of lateropulsion into uprightness.

Keywords:

hemispheric stroke lateropulsion pusher syndrome balance recovery

References:

1. Delva II, Oksak OM. Porushennia spryiniattia vertykalnosti ta stan posturalnoho balansu protiahom 1-ho misiatsia pislia hemisferalnykhinsultiv. Aktualni problemy suchasnoi medytsyny: Visnyk Ukrainskoi medychnoi stomatolohichnoi akademii. 2023 May 23;23(2.1):13–7. doi 10.31718/2077–1096.23.2.1.13. [in Ukrainian]
2. Alshehri MA, Alzahrani H, van den Hoorn W, Klyne DM, Vette AH, Hendershot BD, et al. Trunk postural control during unstable sitting among individuals with and without low back pain: A systematic review with an individual participant data meta-analysis. Plos one. 2024 Jan 24;19(1): e 0296968. doi: 10.1371/journal.pone.0296968.
3. Babyar SR, Smeragliuolo A, Albazron FM, Putrino D, Reding M, Boes AD. Lesion Localization of Poststroke Lateropulsion. Stroke 2019; 50: 1067–73. doi: 10.1161/STROKEAHA.118.023445.
4. Dai S, Piscicelli C, Clarac E, Baciu M, Hommel M, Pérennou D. Balance, lateropulsion, and gait disorders in subacute stroke. Neurology. 2021 Apr 27;96(17): e 2147–59. doi: 10.1212/WNL.0000000000011152.
5. Dai S, Piscicelli C, Clarac E, Baciu M, Hommel M, Pérennou D. Lateropulsion After Hemispheric Stroke: Form of Spatial Neglect Involving Graviception. Neurology 2021b; 96: e2160–e71. doi: 10.1212/WNL.0000000000011826.
6. do Rosário JL. Biomechanical assessment of human posture: a literature review. Journal of bodywork and movement therapies. 2014 Jul 1;18(3):368–73. doi: 10.1016/j.jbmt.2013.11.018.
7. Halmi Z, Stone TW, Dinya E, Málly J. Postural instability years after stroke. Journal of Stroke and Cerebrovascular Diseases. 2020 Sep 1;29(9):105038. doi: 10.1016/j.jstrokecerebrovasdis.2020.105038.
8. Haque U, Naeem A, Wang S, Espinoza J, Holovanova I, Gutor T, et al. The human toll and humanitarian crisis of the Russia-Ukraine war: the first 162 days. BMJ global health. 2022 Sep 1;7(9): e009550. doi: 10.1136/bmjgh-2022-009550.
9. Ivanenko Y, Gurfinkel VS. Human postural control. Frontiers in neuroscience. 2018 Mar 20; 12:171. doi: 10.3389/fnins.2018.00171.
10. Nolan J, Godecke E, Spilsbury K, Singer B. Post-stroke lateropulsion and rehabilitation outcomes: a retrospective analysis. Disability and rehabilitation. 2022 Aug 28;44(18):5162–70. Doi: 10.1080/09638288.2021.1928300.
11. Preuss R, Fung J. Musculature and biomechanics of the trunk in the maintenance of upright posture. Journal of Electromyography and Kinesiology. 2008 Oct 1;18(5):815–28. Doi: 10.1016/j.jelekin.2007.03.003.
12. Serra-Añó P, López-Bueno L, García-Massó X, Pellicer-Chenoll MT, González LM. Postural control mechanisms in healthy adults in sitting and standing positions. Perceptual and motor skills. 2015 Aug;121(1):119–34. doi :10.2466/26.25.PMS.121c10x4.
13. Teixeira LA. Interlateral asymmetries of body balance control resulting from cerebral stroke. Locomotion and Posture in Older Adults: The Role of Aging and Movement Disorders. 2017:291-305. Doi: 10.1007/978-3-319-48980-3_19.
14. van der Waal C, Embrechts E, Loureiro-Chaves R, Gebruers N, Truijen S, Saeys W. Lateropulsion with active pushing in stroke patients: its link with lesion location and the perception of verticality. A systematic review. Topics in Stroke Rehabilitation. 2023 Apr 3;30(3):281–97. doi: 10.1080/10749357.2022.2026563.

Publication:

«World of Medicine and Biology» Vol. 20 No. 88 (2024) , с. 59-63
УДК 616.831-005.1:616.858-071

DOI:

https://doi.org/10.26724/2079-8334-2024-2-88-59-63