中国神经再生研究(英文版)

中国神经再生研究(英文版) ›› 2012, Vol. 7 ›› Issue (25): 1974-1977.doi: 10.3969/j.issn.1673-5374.2012.25.008

• 综述:脑损伤修复保护与再生 • 上一篇    下一篇

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  • 收稿日期:2012-05-21 修回日期:2012-06-30 出版日期:2012-09-05 发布日期:2012-09-05

A review on assessment and treatment of the trunk in stroke

Suruliraj Karthikbabu1, Mahabala Chakrapani2, Sailakshmi Ganeshan3, Kedambadi C Rakshith4, Syed Nafeez1, Venkatesan Prem1   

  1. 1 Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal Hospital, Bangalore 560017, Karnataka, India
    2 Department of Medicine, Kasturba Medical College, Manipal University, Mangalore 575003, Karnataka, India
    3 Doctoral Advisory Committee, Manipal University, Manipal 576104, Karnataka, India
    4 Department of Neurology, Kasturba Medical College, Manipal University, Mangalore 575003, Karnataka, India
  • Received:2012-05-21 Revised:2012-06-30 Online:2012-09-05 Published:2012-09-05
  • Contact: Suruliraj Karthikbabu, Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal Hospital, Bangalore 560017, Karnataka, India karthik.babu@manipal.edu
  • About author:Suruliraj Karthikbabu, MPT, Assistant professor, Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal Hospital, Bangalore 560017, Karnataka, India

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Abstract:

Trunk function has been identified as an important early predictor of functional outcome after stroke and the same deteriorates on both contralateral and ipsilateral sides of the body following stroke. The primary contribution of the trunk muscles is to allow the body to remain upright, adjust weight shifts, and control movements against constant pull of gravity and is considered central key point of the body. Proximal stability of the trunk is a pre-requisite for distal limb mobility, balance, gait and functional activities and its positive correlation in hemiplegia has been demonstrated in a cross- sectional study. Both isokinetic and handheld dynamometer muscle strength testing demonstrated the weakness of bilateral trunk flexors, extensors and rotator muscles in both acute and chronic hemiplegic patients. This was confirmed by electromyography analysis which identified poor bilateral trunk muscles activity in patients with stroke. Trunk impairment scale is sensitive to evaluate the selective muscle control of upper and lower trunk, and it has been reported that lateral flexion of the trunk is easier than rotation of the trunk and the clinical observation concurs to the difficulty in lower trunk rotation of stroke patients. However, trunk exercises given early after stroke could produce enhanced balance performance post- stroke. This review attempts to report the evidence supporting the involvement of the trunk and its influence on balance and functional performance in post-stroke hemiplegia.

Key words: stroke, hemiplegia, trunk control, balance, function, electromyography, trunk muscle activity, strength, trunk impairment scale, review