SURVEY BALANCE ABILITY IN STROKE PATIENTS AT THONG NHAT GENERAL HOSPITAL IN DONGNAI PROVINCE

Mac Doanh Thinh1, Dinh Thi Hoa2, Nguyen The Khanh3, Le Manh Cuong4
1 Hai Duong General Hospital
2 Vinmec Times City International General Hospital
3 Hai Duong Medical Technical University
4 Vietnam University of Traditional Medicine

Main Article Content

Abstract

Objective: To survey some related factors to balance ability in stroke patients at the Department of Neurology, Thong Nhat Dong Nai General Hospital in 2024.


Method: The study design used a cross-sectional descriptive study method. Including 97 patients who met the selection criteria for the study. The sampling method was convenient.


Results: Of the 97 patients participating in the study, the average age was 59.97 ± 10.98, with the highest age group being 56-65 (27.8%). When assessed by the Berg scale, the Berg scale scores in women were higher than in men, respectively, at 31.50 ± 9.54 and 29.29 ± 10.44, the rate of patients at medium and very high risk of falling was 57.8% and 27.8%, respectively. The study showed that there are several factors related to balance ability in order: obesity, stroke type, hypertension and osteoarthritis, muscle tone, muscle strength, ROM significantly affecting the patient's balance function.


Conclusion: The survey results showed that there are many factors related to balance function in post-stroke patients. Therefore, a good management plan to prevent high risk of falls for patients right in the hospital room is proposed, and a suitable physical therapy plan for each patient.

Article Details

References

1. Bộ y tế (2018). Hướng dẫn chẩn đoán, điều trị phục hồi chức năng cho bệnh nhân đột quỵ. Guidline hướng dẫn PHCN, Hà Nội.
2. Oyéné Kossi et al (2021). Factors associated with balance impairments amongst stroke survivors in northern Benin: A cross-sectional study. Benin: 2/2021 10.4102/sajp.v77i1.1559.
3. Chevidikunnan, F. K. (2021). Prevalence of Balance Impairment and Factors Associated with Balance among Patients with Stroke. A Cross Sectional Retrospective Case Control Study. 10.3390/healthcare9030320.
4. Grace Vincent-Onabajo, H. Y. (2018). Prevalence of Balance Impairment Among Stroke Survivors Undergoing Neurorehabilitation in Nigeria. Nigeria: 10.1016/j.
5. Lisa Blum et al (2008). Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther. 2008 May;88(5):559-66. doi: 10.2522/ptj.20070205.
6. Min-Jeong Song, Jae-Hyoung Lee, and Won-Seob Shin (2018). Minimal Clinically Important Difference of Berg Balance Scale scores in people with acute stroke. Physical Therapy Rehabilitation Science 2018;7:102-8
7. Nguyễn Trung Anh và cs (2022). Rối loạn thăng bằng và một số yếu tố liên quan ở người bệnh cao tuổi tại Bệnh viện Lão khoa Trung ương.
8. Downs S, Marquez J, Chiarelli P. The berg balance scale has high intra- and inter-rater reliability but absolute reliability varies across the scale: a systematic review. J Physiother. 2013;59(2):93-99.
9. Susan Ryerson et al (2008). Altered trunk position sense and its relation to balance functions in people post-stroke. J Neurol Phys Ther.. 2008 Mar;32(1):14-20.
10. Zhang R, Liu B, Bi J, Chen Y. Relationship between chronic conditions and balance disorders in outpatients with dizziness: A hospital-based cross-sectional study. Med Sci Monit Int Med J Exp Clin Res. 2021;27:e928719.