Publication: Walking and stair climbing abilities in individuals after chronic stroke with and without mental health problem
Issued Date
2014-07
Resource Type
Language
eng
ISSN
0125-2208
Rights Holder(s)
Medical Association of Thailand
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.97, No.7 (2014), S10-S15
Suggested Citation
Jaruwan Prasomsri, Chutima Jalayondeja, Sunee Bovonsunthonchai, Supalak Khemthong Walking and stair climbing abilities in individuals after chronic stroke with and without mental health problem. Journal of the Medical Association of Thailand. Vol.97, No.7 (2014), S10-S15. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/10370
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Title
Walking and stair climbing abilities in individuals after chronic stroke with and without mental health problem
Alternative Title(s)
ความสามารถในการเดินและขึ้นลงบันไดในผู้ที่มีโรคหลอดเลือดสมองระยะเรื้อรังที่มีและไม่มีปัญหาสุขภาพจิต
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Abstract
Objective: To compare muscle strength, balance, walking and stair climbing abilities among individuals after chronic stroke with or without mental health problems; to describe their physiological response after stress stimulation.
Material and Method: Subjects who had their first stroke more than one year ago were classified for mental health problems according to the Depression Anxiety Stress Scale-21. Lower extremity muscle strength of the quadriceps and plantar flexors, was measured by dynamometer. Balance and walking performance was measured by the Berg Balance Scale (BBS), 10-m walk test and timing of stair climbing. Community participation and spiritual well-being were measured. The physiological response of stress stimulation was assessed by the long stress test protocol of the biofeedback device.
Results: Forty-five subjects with chronic stroke aged 40-80 years were grouped by with (n = 25) and without mental health problems (n = 20). Significant differences were found in quadriceps muscle strength, BBS, walking and stair climbing speed, community participation and spiritual well-being between two groups. In the stress stimulus phase, the electromyography and heart rate variability demonstrated significant difference between those with and without stress.
Conclusion: Individuals with chronic stroke with mental health problems demonstrated decreased quadriceps muscle strength, balance and locomotor performances.