Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke

Ning Li,1 Jinxin Li,1 Ting Gao,1 Dandan Wang,1,2 Yang Du,1,2 Xingquan Zhao1,2 1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China; 2China National Clinical Research Center for Neurological Diseases, Beijing, People’s...

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Autores principales:	Li N, Li J, Gao T, Wang D, Du Y, Zhao X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	tia minor stroke mobility function intervention cognition Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8e59294cdce147af800a5d97c974a0cb
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spelling	oai:doaj.org-article:8e59294cdce147af800a5d97c974a0cb2021-12-02T14:24:09ZGait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke1178-2021https://doaj.org/article/8e59294cdce147af800a5d97c974a0cb2021-02-01T00:00:00Zhttps://www.dovepress.com/gait-and-balance-disorder-in-patients-with-transient-ischemic-attack-o-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ning Li,1 Jinxin Li,1 Ting Gao,1 Dandan Wang,1,2 Yang Du,1,2 Xingquan Zhao1,2 1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China; 2China National Clinical Research Center for Neurological Diseases, Beijing, People’s Republic of ChinaCorrespondence: Xingquan ZhaoBeijing Tiantan Hospital, Capital Medical University, No. 119 South 4th Ring West Road, Fengtai District, Beijing, 100070, People’s Republic of ChinaTel +86-13501031486Email zxq@vip.163.comPurpose: Transient ischemic attack (TIA) and minor stroke had a high recurrence rate, resulting in potential neurological impairment. Only a few previous studies focused on gait and balance disorder in TIA and minor stroke. This study aimed to explore the relationship between gait and balance disorder and TIA/minor stroke.Patients and Methods: Eighty-two patients with TIA/minor stroke and fifty-two healthy control participants were recruited. The gait and balance function of the two groups was tested with six measurements (Four Square Step, Tandem, Functional Reach, Gait and Pivot Turn, Timed “Up and Go”, and Single Leg Balance tests). The associations between these measures and TIA/minor stroke were determined through linear and logistic regression analyses.Results: There were no significant group differences in age, gender, body mass index, vision, and cognitive function. People with TIA/minor stroke had poorer performance in all six gait and balance measures (all p< 0.05). Logistic regression analysis showed TIA/minor stroke was strongly associated with gait and balance disorder (Four Square Step Test [OR, 24.07; 95% CI 5.90– 98.13; p< 0.001], Tandem Test [OR, 5.50; 95% CI 1.64– 18.40; p=0.006], Functional Reach Test [OR, 4.25; 95% CI 1.04– 17.33; p=0.044], Gait and Pivot Turn Test [OR, 3.78; 95% CI 1.22– 11.31; p=0.021], Timed“Up and Go”Test [OR, 15.79; 95% CI 2.32– 107.48; p=0.005], and Single Leg Balance Test [OR, 8.96; 95% CI 2.34– 34.01; p=0.001]). TIA/minor stroke patients with older age, cognitive dysfunction, high K-CRP level, and severe atherosclerosis in lower limbs were more likely to have gait and balance disorder.Conclusion: Our findings highlight the significant relationship between gait and balance disorder and TIA/minor stroke. It seems that people with TIA/minor stroke had a higher possibility to get gait and balance disorder. Gait and balance disorder following a minor stroke or TIA may be attributed to cognitive function in these patients.Keywords: TIA, minor stroke, mobility function, intervention, cognitionLi NLi JGao TWang DDu YZhao XDove Medical Pressarticletiaminor strokemobility functioninterventioncognitionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 305-314 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tia minor stroke mobility function intervention cognition Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	tia minor stroke mobility function intervention cognition Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Li N Li J Gao T Wang D Du Y Zhao X Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke
description	Ning Li,1 Jinxin Li,1 Ting Gao,1 Dandan Wang,1,2 Yang Du,1,2 Xingquan Zhao1,2 1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of China; 2China National Clinical Research Center for Neurological Diseases, Beijing, People’s Republic of ChinaCorrespondence: Xingquan ZhaoBeijing Tiantan Hospital, Capital Medical University, No. 119 South 4th Ring West Road, Fengtai District, Beijing, 100070, People’s Republic of ChinaTel +86-13501031486Email zxq@vip.163.comPurpose: Transient ischemic attack (TIA) and minor stroke had a high recurrence rate, resulting in potential neurological impairment. Only a few previous studies focused on gait and balance disorder in TIA and minor stroke. This study aimed to explore the relationship between gait and balance disorder and TIA/minor stroke.Patients and Methods: Eighty-two patients with TIA/minor stroke and fifty-two healthy control participants were recruited. The gait and balance function of the two groups was tested with six measurements (Four Square Step, Tandem, Functional Reach, Gait and Pivot Turn, Timed “Up and Go”, and Single Leg Balance tests). The associations between these measures and TIA/minor stroke were determined through linear and logistic regression analyses.Results: There were no significant group differences in age, gender, body mass index, vision, and cognitive function. People with TIA/minor stroke had poorer performance in all six gait and balance measures (all p< 0.05). Logistic regression analysis showed TIA/minor stroke was strongly associated with gait and balance disorder (Four Square Step Test [OR, 24.07; 95% CI 5.90– 98.13; p< 0.001], Tandem Test [OR, 5.50; 95% CI 1.64– 18.40; p=0.006], Functional Reach Test [OR, 4.25; 95% CI 1.04– 17.33; p=0.044], Gait and Pivot Turn Test [OR, 3.78; 95% CI 1.22– 11.31; p=0.021], Timed“Up and Go”Test [OR, 15.79; 95% CI 2.32– 107.48; p=0.005], and Single Leg Balance Test [OR, 8.96; 95% CI 2.34– 34.01; p=0.001]). TIA/minor stroke patients with older age, cognitive dysfunction, high K-CRP level, and severe atherosclerosis in lower limbs were more likely to have gait and balance disorder.Conclusion: Our findings highlight the significant relationship between gait and balance disorder and TIA/minor stroke. It seems that people with TIA/minor stroke had a higher possibility to get gait and balance disorder. Gait and balance disorder following a minor stroke or TIA may be attributed to cognitive function in these patients.Keywords: TIA, minor stroke, mobility function, intervention, cognition
format	article
author	Li N Li J Gao T Wang D Du Y Zhao X
author_facet	Li N Li J Gao T Wang D Du Y Zhao X
author_sort	Li N
title	Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke
title_short	Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke
title_full	Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke
title_fullStr	Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke
title_full_unstemmed	Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke
title_sort	gait and balance disorder in patients with transient ischemic attack or minor stroke
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/8e59294cdce147af800a5d97c974a0cb
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_version_	1718391438942666752

Gait and Balance Disorder in Patients with Transient Ischemic Attack or Minor Stroke

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