Balance function and its influencing factors in patients with post-stroke hemiplegia

Leng Xiaoxuan; Yu Zifu; Cao Xinyan; Gao Shiai; Chen Jinhui; Liu Xihua

doi:10.12307/2026.692

Abstract：BACKGROUND:After a stroke,damage to the central nervous system can lead to abnormalities in motor control.Lesions in the visual,proprioceptive,and vestibular systems can cause abnormalities in sensory integration,and attention deficits and unilateral neglect can also affect sensory input. OBJECTIVE:To investigate the status quo of balance function in patients with hemiplegia after stroke and to analyze its influencing factors. METHODS:A total of 166 inpatients with stroke who were treated in the Department of Rehabilitation of Shandong Provincial Hospital of Traditional Chinese Medicine from January 2023 to October 2024 were selected by the convenience lottery method.The survey was performed using the General Information Questionnaire,Berg Balance Scale,Simplified Fugl-Meyer Scale of the Lower Extremity,National Institutes of Health Stroke Scale,Visual Analogue Scale,Modified Ashworth Scale,Concise International Fall Efficacy Scale,and Functional Walking Grading.Multiple linear regression was used to analyze the main influencing factors of balance function in stroke patients with hemiplegia. RESULTS AND CONCLUSION:The balance function score of post-stroke hemiplegia patients was(28.39±8.69)points.The results of multiple linear regression analysis showed that the motor function,neurological deficit,spasticity of the lower limb,fall efficacy,unilateral neglect,and visual function were included in the regression equation(F=131.142,P<0.001),which explained 90.4%of the total variation in balance function.In conclusion,the balance function of stroke patients with hemiplegia is at a low and medium level,with the lower limb motor function,neurological deficit,lower limb spasticity,fall efficiency,unilateral neglect and visual function as the main influencing factors.