Table 1.
Author (year) | Study design | Number of participants with stroke | Participant characteristics (1) Age (years) (2) Time after stroke |
Baseline measures of stroke severity | Baseline measures of clinical balance /ambulatory performance |
Category of balance measure | Dependent measures of postural stability | Statistics for association between WBA and postural stability |
---|---|---|---|---|---|---|---|---|
Van Asseldonk et al. (2006) [29] | Cross-sectional | N = 8 | (1) 59.9 (8.3) (2) 42.4 (17.1) months |
MI 51.5 (16.1) | FAC (4-5) BBS 49 (7.6) TUG 21.8 (11.9) TBT (3–4) |
DP | Contribution of paretic leg to balance controla |
↑ R 2 = 0.26 |
| ||||||||
Mansfield et al. (2011) [10] | Cross-sectional | N = 33 | (1) 61 (14) (2) 133 (194) days |
NIHSS 4.6 (4.1) ChMcS-leg 4.6 (1.3) ChMcS-foot 4.2 (1.6) |
BBS 37.9 (15.6) | QS | COP amplitude synchronizationb | ↑ R 2 = 0.19–0.23 |
| ||||||||
Mansfield et al. (2012) [30] | Cross-sectional Retrospective chart Review |
N = 100 | (1) 66.9 (14.9) (2) 22.9 (23.5) days |
NIHSS 3.5 (3.0) ChMcS-leg 4.8 (1.3) ChMcS-foot 4.5 (1.4) |
BBS 36.9 (14.6) | QS CB FA |
COP amplitude synchronizationb
BBS Faller status |
↑ R
2 = 0.032–0.053 ↑ R 2 = 0.049–0.057 Multiple linear regression P = 0.060 Multiple logistic regression |
| ||||||||
Marigold et al. (2004) [26] | Cross-sectional | N = 10 | (1) 61.3 (8.9) (2) 4.1 (2.9) years |
Not reported | BBS 44.9 (8.3) | DP | TA amplitude MG amplitude TA onset latencies MG onset latencies |
F2,18 = 1.51(p), 0.67(np)
↑ F 2,18 = 6,14(p), 3,78(np) Anova F2,18 = 0.15(p), 0.78(np) F2,18 = 0.19(p), 0.70(np) |
| ||||||||
Marigold and Eng (2006) [25] | Cross sectional |
N = 28 | (1) 62.1 (8.6) (2) 4.1 (2.7) years |
ChMcS-leg 4 (3-5) ChMcS-foot 5 (4–6) |
BBS 46.2 (42.4–48.6) IQR |
QS | COP amplitude (AP) COP velocity (AP) COP amplitude (ML) COP velocity (ML) |
↑ R
2 = 0.0049 ↑ R 2 = 0.01 ↑ R 2 = 0.044 ↑ R 2 = 0.22 |
| ||||||||
Pereira et al. (2010) [27] | Cross-sectional | N = 14 | (1) 65 (10) (2) 29 (23) months |
Not reported | Not reported | CB | Functional Reach | NS total group ↓R 2 = 0.10 |
| ||||||||
Peurala et al. (2007) [28] | Cross-sectional | N = 45 | (1) Left hemi 53.4 (8) Right hemi 55.1 (8) (2) Left hemi 3.1 (4.8) years Right hemi 2.8 (2.8) years |
FIM Left hemi 103.4 (10) Right hemi 101.1 (13) |
FAC (2–5) | QS | COP velocity (AP) COP velocity (ML) Power peak magnitude (AP)c Power peak magnitude (ML)c |
↑
R
2
= 0.18,
↑ R 2 = 0.25 ↑ R 2 = 0.09–0.14 ↑ R 2 = 0.12–0.20 |
| ||||||||
Roerdink et al. (2009) [24] | Cross-sectional* | N = 33 | (1) 61.2 (13.0) (2) 9.8 (5.4) weeks |
BFM II–VI |
FAC 1–4 | QS | Sway aread | ↑ R 2 = 0.073 |
| ||||||||
Sackley (1991) [8] | Longitudinal cohort | N = 92 | (1) 63.3 (21–87) (2) 11.3 (5) weeks |
Not reported | Not reported | FA | Number of falls | NS |
Values for descriptive data represent mean (sd) unless stated otherwise. Statistics represent R 2 as calculated from bivariate correlations unless stated otherwise. Significant associations are presented in bold. ↑: greater WBA is associated with more postural instability, ↓: greater WBA is associated with less postural instability AP: anteroposterior, BBS: Berg Balance Scale, BFM: Brunnstrom Fugl-Meyer assessment, CB: clinical balance test, ChMcS: Chedoke-McMaster Stroke assessment scores, COP: center of pressure, DP: dynamic posturography, FA: falls in daily life, FAC: Functional Ambulation Categories, FIM: Functional Independence Measure, FR: Functional Reach test, IQR: interquartile range, MG: medial gastrocnemius, MI: Motricity Index, ML: mediolateral, N: number of stroke participants, NIHSS: National Institutes of Health Stroke Scale, NP: non-paretic, NS: no significant association with WBA, p: paretic, QS: quiet standing posturography, TA: tibialis anterior, TBT: Timed Balance Test, TUG: Timed Up and Go test, WBA: weight-bearing asymmetry. *Longitudinal study, but correlations between WBA and postural control were analyzed cross-sectionally. a% contribution of the paretic leg to total amount of generated corrective torque. bCalculated by cross-correlating COP amplitude time series, cpower spectral density functions, dtotal area covered by the COP trajectory.