Measurement and analysis of the distribution of body weight in patients after stroke/ Pomiar i analiza rozkładu masy ciała u pacjentów po udarze mózgu (20-28)
Autorzy: Szymon Wyszyński, Anna Brzęk, Anna Famuła, Sylwia Stiler, Paweł Jarski, Damian Ziaja
The study objective was to evaluate the impact of a ten-day rehabilitation process on the change of the distribution of body mass and the load on the lower limbs, using the tandem balance test and the modified tandem balance test in a sitting position in stroke patients. The distribution of load on the lower limbs found its expression in the index, referred to as the Kwolek index, which was developed. It was calculated as the quotient of the greater value to the lesser one, both obtained in the tandem balance test; the normal limits ranged from 1.00 to 1.15.
Material and methods. The test group comprised of 60 stroke patients. 30 people were qualified to the control group. The basis for the analysis was the measurements of the distribution of body mass and load on the lower limbs in the tandem balance test and in the modified tandem balance test. The distribution of body mass test was carried out on the first and last day of rehabilitation. The rehabilitation of ischaemic stroke patients involved comprehensive physiotherapy.
Results. When analyzing the distribution of body mass symmetry before and after the therapy in both the control group and the test group, an increase in the number of people was observed in the groups with a lower Kwolek index, whereas a decrease was present in the number of people in groups with a higher Kwolek index.
Conclusions. Comprehensive rehabilitation affects the improvement of the distribution of body mass.
Keywords: tandem balance test, stability, balance, stroke