Journal of Physical Therapy Science
Online ISSN : 2187-5626
Print ISSN : 0915-5287
Original Article
Relationship of white matter lesions and severity of pushing behavior after stroke
Yuji FujinoKazu AmimotoSatoshi SugimotoKazuhiro FukataMasahide InoueAkira UchinoHidetoshi TakahashiShigeru Makita
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2017 Volume 29 Issue 12 Pages 2116-2120

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Abstract

[Purpose] The relationship between white matter lesions (WMLs) and pushing behavior (PB) is still poorly understood. The purpose of this study was to investigate whether damage from WMLs affects the functional outcome of PB after acute stroke. [Subjects and Methods] In total, 37 patients were included. PB was assessed using the standardized Scale for Contraversive Pushing (SCP). Stroke types were classified as total anterior circulation infarct (TACI), partial anterior circulation infarct (PACI), or lacunar syndrome using the Bamford classification. WML severity was categorized into four groups using the Fazekas visual scale. Thereafter, patients were divided into 4 groups according to the stroke type and/or presence of WMLs. The SCP, Trunk Control Test (TCT), Stroke Impairment Assessment Set (SIAS), and Barthel Index were the outcome measures. [Results] The SCP and TCT in patients with PACI without WMLs were better than those in patients with TACI with or without WMLs. Regarding SCP, TCT, and SIAS, patients with TACI had poorer values compared with PACI, regardless of WML severity. Barthel Index efficiency was not significantly different between the groups. [Conclusion] Our results suggest that moderate to severe WMLs and PACI had a relationship with PB severity and truncal balance.

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© 2017 by the Society of Physical Therapy Science. Published by IPEC Inc.
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