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Retrospective cohort study of consecutive patients investigated in a neurorehabilitation ward after a first hemispheric stroke. Postural and gait disorders in relation to referential of verticality have been analyzed in routine care.
300 consecutive patients, admitted in our department for neurorehabilitation after a first hemispherical stroke, have been enrolled retrospectively. During their hospitalisation, all patients have been routinely evaluated with clinical scales, evaluating motor and cognitive deficits. Postural and visual vertical (VV) assessments have been performed 1 to 4 times during in-patient-stay.
The objective was to analyse the determinants of balance recovery after stroke, in particular the impact of wrong referential of verticality.
Data collection was performed by means of medical records. Observation period covered from january 2012 to february 2018.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Postural Assessment Scale for Stroke (PASS) | Behavioral | Postural Assessment Scale for Stroke (PASS) |
| Measure | Description | Time Frame |
|---|---|---|
| Posture | Change from Baseline Score of Postural Assessment Scale for Stroke (PASS) at discharge | admission and monthly, up to 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Balance | Assessment of Balance and Posture with SCP (Scale for Contraversive Pushing) | admission and monthly, up to 3 months |
| Gait | Assessment of Gait with Lindmark test |
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Inclusion Criteria:
first hemispheric stroke patient non-opposed to inclusion
Exclusion Criteria:
history of neurological disorders interfering with balance history of vestibularly disorders interfering with balance unstable medical conditions history of cognitive disorders
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consecutive patients admitted in neurorehabilitation ward after first hemispheric stroke
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| Name | Affiliation | Role |
|---|---|---|
| Dominic Pérennou, MD PhD | University Hospital, Grenoble | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39818122 | Derived | Lafitte R, Diaine F, Dai S, Carre O, Dupierrix E, Jolly C, Piscicelli C, Perennou D. Writing and drawing tilts after right hemisphere stroke are signs of a wrong verticality representation. Ann Phys Rehabil Med. 2025 May;68(4):101923. doi: 10.1016/j.rehab.2024.101923. Epub 2025 Jan 15. | |
| 38266575 | Derived | Dai S, Piscicelli C, Marquer A, Lafitte R, Clarac E, Detante O, Perennou D. Improving orientation with respect to gravity enhances balance and gait recovery after stroke: DOBRAS cohort. Ann Phys Rehabil Med. 2024 Feb;67(1):101767. doi: 10.1016/j.rehab.2023.101767. Epub 2024 Jan 23. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| admission and monthly, up to 3 months |
| Postural disorders | Assessment of Postural control with CDP (Computerized posturography) | admission and monthly, up to 3 months |
| Visual vertical perception | Assessment of the visual vertical (vv). Subject indicates which direction a visual line displayed on a computer screen (in darkness) is perceived as vertical in the roll plane. | admission and monthly, up to 3 months |
| Postural vertical perception | Assessment of the postural vertical (pv). Subject is seated in a specific device (CE-marked) in darkness, and indicates which direction of her/his whole body is perceived as vertical in the roll plane. | admission and monthly, up to 3 months |
| Walking distance | Assessment of walking distance with the 6-minute-walking-test (6-MWT) | admission and monthly, up to 3 months |
| Gait velocity | Assessment of gait velocity at self-prefered-velocity on 10 meters | admission and monthly, up to 3 months |
| Pressure sensitivity (Hand and foot) | Assessment of hypoesthesia with Semmes-Weinstein monofilaments test | admission and monthly, up to 3 months |
| Spasticity | Assessment of Spasticity with Ashworth Scale | admission and monthly, up to 3 months |
| Laterality | Assessment of Laterality with Edinburgh Handedness Inventory | admission and monthly, up to 3 months |
| Disability | Assessment of Autonomy with FIM (Functional Independence Measure) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 1 | Assessment of Hemispatial Neglect with the Catherine Bergego Scale (CBS) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 2 | Assessment of Hemispatial Neglect with the fluff Test | admission and monthly, up to 3 months |
| Neuropsychological Assessment 3 | Assessment of Hemispatial Neglect using 'thumb localizing test' (TLT) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 4 | Assessment of Hemispatial Neglect with the 'Comb and Razor Test' | admission and monthly, up to 3 months |
| Neuropsychological Assessment 5 | Assessment of Hemispatial Neglect with the BEN ( Battery of tests for the quantitative assessment of unilateral neglect) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 6 | Assessment of Apraxia with ATS (Apraxia Screen of TULIA) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 7 | Assessment of Language with LAST (Language Screening Test) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 8 | Assessment of Aphasia with BDAE (Boston Diagnostic Aphasia Examination) | admission and monthly, up to 3 months |
| Neuropsychological Assessment 10 | Assessment of depression with ADRS (Aphasia Depression Rating Scale) | admission and monthly, up to 3 months |
| Falls | Monitoring of falls occuring during the hospitalization | at discharge, the number of falls is totalized |
| Visual field defect (hemianopia/quadranopia) | standardized clinical examination | admission and monthly, up to 3 months |
| Identification of brain structures involved in the stroke | anatomical MRI | once, at 2 month |
| 36182062 | Derived | Perennou D, Chauvin A, Piscicelli C; Collaborators for the posturography study in the Determinants of Balance Recovery After Stroke (DOBRAS) cohort; Hugues A, Dai S. Determining an optimal posturography dataset to identify standing behaviors in the post-stroke subacute phase. Cross-sectional study. Ann Phys Rehabil Med. 2023 May;66(4):101707. doi: 10.1016/j.rehab.2022.101707. Epub 2023 Jan 4. |
| 33722996 | Derived | Dai S, Piscicelli C, Clarac E, Baciu M, Hommel M, Perennou D. Lateropulsion After Hemispheric Stroke: A Form of Spatial Neglect Involving Graviception. Neurology. 2021 Apr 27;96(17):e2160-e2171. doi: 10.1212/WNL.0000000000011826. Epub 2021 Mar 15. |
| 33450367 | Derived | Dai S, Piscicelli C, Lemaire C, Christiaens A, Schotten MT, Hommel M, Krainik A, Detante O, Perennou D. Recovery of balance and gait after stroke is deteriorated by confluent white matter hyperintensities: Cohort study. Ann Phys Rehabil Med. 2022 Jan;65(1):101488. doi: 10.1016/j.rehab.2021.101488. Epub 2021 Nov 11. |
| 33177223 | Derived | Dai S, Piscicelli C, Clarac E, Baciu M, Hommel M, Perennou D. Balance, Lateropulsion, and Gait Disorders in Subacute Stroke. Neurology. 2021 Apr 27;96(17):e2147-e2159. doi: 10.1212/WNL.0000000000011152. Epub 2020 Nov 11. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |