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Balance Disability After Stroke

SF Tyson is Senior Research Fellow, Centre for Rehabilitation and Human Performance Research, University of Salford
M Hanley, MBChB, MRCP, is Consultant Geriatrician, Stockport NHS Trust, Stockport, United Kingdom
J Chillala, MBChB, MRCP, is Consultant Geriatrician, Trafford NHS Trust, Manchester, United Kingdom
A Selley, MSc, MCSP, is Senior Physiotherapist, North Manchester PCT, Manchester, United Kingdom
RC Tallis, MA, MRCP, FRCP, F MedSci, DLitt, is Professor of Geriatric Medicine, University of Manchester, Manchester, United Kingdom

(s.tyson{at}salford.ac.uk) Address all correspondence to Dr Tyson at: Frederick Rd Campus, University of Salford, Salford, M6 6PU United Kingdom

Background and Purpose. Balance disability is common after stroke, but there is little detailed information about it. The aims of this study were to investigate the frequency of balance disability; to characterize different levels of disability; and to identify demographics, stroke pathology factors, and impairments associated with balance disability.

Subjects. The subjects studied were 75 people with a first-time anterior circulation stroke; 37 subjects were men, the mean age was 71.5 years (SD=12.2), and 46 subjects (61%) had left hemiplegia.

Methods. Prospective hospital-based cross-sectional surveys were carried out in 2 British National Health Service trusts. The subjects’ stroke pathology, demographics, balance disability, function, and neurologic impairments were recorded in a single testing session 2 to 4 weeks after stroke.

Results. A total of 83% of the subjects (n=62) had a balance disability; of these, 17 (27%) could sit but not stand, 25 (40%) could stand but not step, and 20 (33%) could step and walk but still had limited balance. Subjects with the most severe balance disability had more severe strokes, impairments, and disabilities. Weakness and sensation were associated with balance disability. Subject demographics, stroke pathology, and visuospatial neglect were not associated with balance disability.

Discussion and Conclusion. Subjects with the most severe balance disability had the most severe strokes, impairments, and disabilities. Subject demographics, stroke pathology, and visuospatial neglect were not associated with balance disability. [Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Phys Ther. 2006;86:30–38.]

Key Words: Balance • Cerebrovascular accident

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