0000000000053917
AUTHOR
Outi Pyöriä
Validity of the Postural Control and Balance for Stroke test.
Background and Purpose. To determine the construct and predictive validity and sensitivity of the sub-scale items for postural changes, sitting balance and standing balance of the Postural Control and Balance for Stroke (PCBS) test over a 90-day follow-up. Method. In the initial phase of stroke the PCBS test scores were compared with values obtained for the Barthel Index (BI) and the four neuropsychological domains most widely studied in the literature: memory; language; visuo-spatial functions; and visual inattention. The ability of the PCBS test at an early stage to predict functional status, as measured by the BI, and tendency to falls at 90 days after stroke was studied. The sensitivity…
Individualised home-based rehabilitation after stroke in eastern Finland – the client's perspective
Reintegration into society is one of the main purposes of post-stroke rehabilitation. The experiences of clients returning home after a stroke have been studied before. There is, however, little knowledge about activities carried out during home-based rehabilitation interventions and about the involvement of clients in the process. This study focused on clients' experiences of a 3-month individualised, home-based rehabilitation programme supervised by a multidisciplinary team. The data were collected in 2009-2010, and it was based on interviews with 14 clients (48-83 years of age) conducted approximately 7 months after stroke. In the thematic analysis, five main topics describing the goals …
The reliability, distribution, and responsiveness of the Postural Control and Balance for Stroke Test
Abstract Pyoria O, Talvitie U, Villberg J. The reliability, distribution, and responsiveness of the Postural Control and Balance for Stroke Test. Objectives To determine the inter- and intrarater reliability of the Postural Control and Balance for Stroke (PCBS) test and to assess its distribution and responsiveness to changes during 1-year follow-up. Design Intrarater reliability of the PCBS test was assessed by comparing the repeat ratings of videotaped test performances by each of the 5 raters. Interrater reliability was assessed by comparing the ratings of the videotaped test performances between the raters. Setting Hospital neurologic ward and outpatient department of physiotherapy as w…
Reliable clinical assessment of stroke patients' postural control and development of physiotherapy in stroke rehabilitation
The main goal of the long-standing clinical research project in the district of East-Savo was to develop an active role in physiotherapy for patients with stroke. A novel assessment instrument, the Postural Control and Balance for Stroke (PCBS) test, was developed side by side with the activating treatment. Present physiotherapy for stroke patients the emphasis is on the physiotherapist’s role, leaving no room for independent participation by the patient. In clinical work there are no systematically used methods either for the evaluation or follow-up of functional capacity, or for balance in stroke patients. This thesis includes reliability and validity studies of the Postural Control and B…
The effect of two physiotherapy approaches on physical and cognitive functions and independent coping at home in stroke rehabilitation. A preliminary follow-up study
Activating physiotherapy was used to support the principle of post stroke functional recovery as a learning process which requires both cognitive and physical actions. The purpose of the present preliminary study was to examine the influence of activating physiotherapy on stroke patients' cognitive and physical functions and independent living at home compared with traditional treatment over a 12-month follow-up.The 40 patients who received activating physiotherapy were compared with 40 patients receiving traditional therapy. Patients' physical functional capacity was measured one week and 12 months post stroke with the Barthel Index (BI), 10-m gait speed, the Postural Control and Balance f…
Client’s role and participation in stroke physiotherapy encounters: an observational study
AbstractClient participation is a basic principle in rehabilitation encounters. Coping at home after stroke requires self-confidence and autonomy, which can be enhanced by active collaboration and knowledge sharing. Earlier studies show, however, that clients are not always offered the role of an active participant in physiotherapy practice. A contradiction remains between official rhetoric and clinical practice. The purpose of this study was to investigate the interaction between the client and the physiotherapist in stroke rehabilitation sessions. Eight video-recorded treatment sessions were observed after an educational intervention that focused on client participation. Discourse analysi…
Discourse Analytic Study of Counseling Sessions in Stroke Physiotherapy
Studies on the interaction between physiotherapists and patients during treatment sessions have found low levels of communicative participation by patients and lack of direct influence by patients on the content of their treatment. This article reports the results of 7 counseling sessions in which physiotherapists and patients with stroke and their caregivers discussed the patients' postural control and balance, which had been tested and videotaped at different stages of the rehabilitation process. The physiotherapists' discourses relating to the videotaped test performances were either brief comments on the patient's performance or critical appraisals with references to difficulties encoun…
Relationships Between Standing Balance and Symmetry Measurements in Patients Following Recent Strokes (≤3 Weeks) or Older Strokes (≥6 Months)
Abstract Background and Purpose. The Functional Standing Balance (FSB) Scale was designed to obtain measurements of standing balance and to identify the problems typically faced by people with stroke. The purpose of this study was to investigate the validity of measurements obtained with the FSB Scale for use in the acute and chronic phases of stroke by comparing the measurements obtained with the FSB Scale with those obtained for postural sway and lateral symmetry by use of a force platform. Subjects and Methods. Measurements were obtained for 26 people with recent strokes (ie, strokes within 3 weeks of data collection) and for 28 people with long-standing strokes (ie, strokes of 6 months'…