SITTING EQUILIBRIUM 2 WEEKS AFTER A STROKE CAN PREDICT THE WALKING ABILITY AFTER 6 MONTHS

The prediction of mobility soon after a stroke should allow proper sel ection for rehabilitation and suggest the long-term prognosis of gait ability. Stable gait is related to midline body orientation and equili brium mechanisms. We proposed that the sitting balance during the 1st, 2nd, or 3rd weeks after a hemiplegia could be a prognostic indicator for gait at 6 and 12 months. Sitting equilibrium measured in hospital was correlated with gait at the time of discharge and after 6 and 12 m onths, assessed by standing up, walking, and climbing stairs. The powe r in the affected limbs in hospital was also correlated with gait al t hose times, In the 134 patients followed up at 6 months, the correlati on of equilibrium with gait at 6 months was r = 0.675 (p < 0.0001), an d that of arm power with gait was r = 0.551 (p < 0.0001), Correlations with gait at 12 months were smaller and less meaningful. Assessment o f sitting balance, even before the patient can stand, forms an importa nt part of early management of the stroke patient.