alexa Trunk Control and Lesion Locations According to Alberta Stroke Program Early CT Score in Acute Stroke: A Cross-Sectional Study | OMICS International | Abstract
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

Trunk Control and Lesion Locations According to Alberta Stroke Program Early CT Score in Acute Stroke: A Cross-Sectional Study

Bente Elisabeth Bassøe Gjelsvik1,2*, Liv I. Strand1,2, Halvor Naess3, Håkon Hofstad2,4, Jan StureSkouen2,4, GeirEgil Eide5 and Tori Smedal1

1Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway

2Department of Global Public Health and Primary Care, Physiotherapy Research Group, University of Bergen, Bergen, Norway

3Department of Neurology, Haukeland University Hospital, Bergen, Norway

4Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, Bergen, Norway

5Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway

*Corresponding Author:
Bente Elisabeth Bassøe Gjelsvik
Department of Physiotherapy, Haukeland University Hospital
Bergen, Norway
Tel: +47 55 97 54 51, +47 480 44 422
Fax: +47 55 97 60 88
E-mail: [email protected]

Received Date: January 20, 2014; Accepted Date: February 10, 2014; Published date: February 14, 2014

Citation: Gjelsvik BEB, Strand LI, Næss H, Hofstad H, StureSkouen J, et al. (2014) Trunk Control and Lesion Locations According to Alberta Stroke Program Early CT Score in Acute Stroke: A Cross-Sectional Study. Int J Phys Med Rehabil S3:001. doi: 10.4172/2329-9096.S3-001

Copyright: © 2014 Gjelsvik BEB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: Stroke is a leading cause of disability in elderly people. Lesion location and size, and trunk control early after stroke have been found predictive of functional outcome. Trunk control is an important aspect of postural control, and commonly found to be impaired. A hemispheric difference in the regulation of postural control has been suggested, but limited knowledge of a relationship between specific lesions and trunk control exists. Objective: To explore the relationship between middle cerebral artery (MCA) lesion locations and trunk control post stroke, and compare trunk control between patients with lesions in single and multiple locations, and between left and right hemispheres. Methods: A cross-sectional design was used. Patients were recruited from a hospital stroke unit. Assessment tools: Trunk Impairment Scale–modified Norwegian version and Alberta Stroke Program Early CT Score (ASPECTS). Statistics: Descriptive, Independent t-test, Mann-Whitney’s U-test, Chi-Square test. Results:109 patients with first time middle cerebral artery lesions were included, 71 with multiple and 38 with single ASPECT locations. Trunk control was poorer in multiple (median 8.0) than in single (median 11.0) lesion locations, P=0.011. The most common single lesion locationswereM5 (50%) and internal capsule (18.4%). M5 is situated in the anterior parts of the MCA territory and hypothesized to represent sensory and motor areas of the cortex. Patients with lesions of M5 locations in the right hemisphere achieved poorer scores on trunk control than patients with left sided locations, P=0.030. Conclusions: The results indicate that patients with lesions in multiple ASPECT locations have poorer trunk control than patients with single locations, and that trunk control is poorer after single right M5 lesions as compared to left. We recommend therapists to have specific attention towards trunk control in rehabilitation of patients with MCA lesions and especially with a right M5 location early post stroke.


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