Six-month outcomes and patterns of recovery for people with lateropulsion following stroke

Melissa A Birnbaum; Kim Brock; Ross Allan Clark; Elissa Burton; Keith D Hill

doi:10.1080/09638288.2023.2222644

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Six-month outcomes and patterns of recovery for people with lateropulsion following stroke

Journal article

Peer reviewed

Six-month outcomes and patterns of recovery for people with lateropulsion following stroke

Melissa A Birnbaum, Kim Brock, Ross Allan Clark, Elissa Burton and Keith D Hill

Disability and Rehabilitation, Vol.46(11), pp.2405-2413

2024

DOI: https://doi.org/10.1080/09638288.2023.2222644

PMID: 37312557

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Abstract

Lateropulsion

outcome

postural control

recovery

stroke

Purpose: This study investigated the (1) six-month outcomes of individuals with lateropulsion; (2) the relationship between baseline measures (from in-patient hospitalisation) and six-month functional abilities; and (3) recovery patterns for lateropulsion in stroke survivors. Materials and methods: Forty-one individuals with lateropulsion participated in this study. Measures of lateropulsion, postural function, and weight-bearing asymmetry in standing were taken initially and fortnightly over eight weeks. Functional independence and walking abilities were assessed at six months post-stroke. Results: Compared to individuals with moderate to severe lateropulsion, those with mild lateropulsion achieved higher levels of functional outcome at six months. However, there were a wide range of scores. Baseline lateropulsion severity explained 26% of the variation in functional outcome. A stronger correlation with functional outcome was observed for lateropulsion (-0.526) than function independence at baseline (0.384). For the task of standing with arm support, patterns of asymmetry were divergent at baseline, favouring either the paretic or non-paretic leg. Over the eight-week period, asymmetry moved towards the non-paretic leg and lateropulsion reduced consistently. Conclusions: Individuals with lateropulsion can recover from lateropulsion and make meaningful functional gains, including some individuals with more severe lateropulsion. Lateropulsion severity is a key indicator of functional outcome post-stroke.

Details

Title: Six-month outcomes and patterns of recovery for people with lateropulsion following stroke
Authors: Melissa A Birnbaum (Corresponding Author) - Curtin University
Kim Brock (Author) - St Vincent's Hospital Melbourne
Ross Allan Clark (Author) - University of the Sunshine Coast, Queensland, School of Health - Public Health
Elissa Burton (Author) - Curtin University
Keith D Hill (Author) - Monash University
Publication details: Disability and Rehabilitation, Vol.46(11), pp.2405-2413
Publisher: Taylor & Francis
Date published: 2024
DOI: 10.1080/09638288.2023.2222644
ISSN: 1464-5165
PMID: 37312557
Grant note: St Vincent’s Hospital 25.2012/ Melbourne Research Endowment Fund Australian Government Research Training Program Scholarship National Health and Medical Research Council Investigator Grant
Organisation Unit: Healthy Ageing Research Cluster; University of the Sunshine Coast, Queensland; School of Health - Public Health
Language: English
Record Identifier: 99735298102621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Rehabilitation

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