London, United Kingdom 2013 21 Rehabilitation and reorganisation after stroke Dysfunctions on vertical perceptions after stroke correlate with postural control J.A.O. Baggio1, T.E.G. Santos-Pontelli2, J.P. Leite3, O.M. Pontes-Neto4 São Paulo University - School of Medicine at RibeirãoPreto, Ribeirão Preto, BRAZIL1, São Paulo University - School of Medicine at RibeirãoPreto, Ribeirão Preto, BRAZIL2, São Paulo Uni-versity - School of Medicine at RibeirãoPreto, Ribeirão Pretob, BRAZIL3, São Paulo University - School of Medicine at RibeirãoPreto, Ribeirão Preto, BRAZIL4 Background: Postural control (PC) is frequently affected after stroke with a significant impact on functional outcome. The mechanism of postural imbalance after stroke is still poorly understood, as it is still unclear to what extent the PC after stroke can be influenced by dysfunction on vertical perceptions (VP). We hypothesized that the PC in the sitting position of stroke patients (SP) can be influenced by the VP. Methods: We evaluated 41 SP, mean age 65.2±12.1, median NIHSS 1(0-3), median Rankin score 2(1-4). The postural vertical(PV) and haptic vertical(HV) were assessed in a darkened room in the roll and pitch planes. The Polhemus® (three-dimensional) equipment was used to measure the postural oscillation in the sitting position along the anteroposterior and laterolateral axes. Data acquisition involved two trials of 90s each under the following conditions: eyes open, stable sur-face( EOSS); eyes closed, stable surface(ECSS); eyes open, unstable surface(EOUS); and eyes closed, unstable surface(ECUS). Results: The PV in the roll plane was correlated with trajectory and velocity parameters of postural oscillation of the following conditions, respectively: Laterolateral axis: EOSS: r= 0.35; p=0.028; r= 0.34; p= 0.032; EOUS: r= 0.47; p=0.003; r= 0.46; p= 0.004; ECSS: r= 0.35; p=0.02; r= 0.32; p= 0.046; ECUS: r=0.47; p=0.003; r=0.46; p= 0.003; Anteroposterior axis: EOUS: r= 0.40; p= 0.013 and r= 0.38; p= 0.018; ECSS: r= 0.32; p= 0.046 and r= 0.37; p= 0.02. The PV in the pitch plane was only correlated with the mean displacement of the laterolateral axis in the condition ECUS (r= 0.4; p= 0.01). The HV in the roll and pitch planes was not correlated with postural oscillation. Conclusion: We found a consistent quantitative correlation between the PV in the roll plane and the postural oscillation. These results indicate that the PV should be systematically evaluated in SP with postural imbalance and tested as a potential target for therapeutic strategies for PC rehabilitation E-Poster Session Blue Cerebrovasc Dis 2013; 35 (suppl 3)1-854 583 20 Rehabilitation and reorganisation after stroke 7-year follow-up of health related quality of life for spouses to patients diagnosed with stroke before the age of 70: a study from SAHLSIS-OUTCOME J. Persson1, G. Forsberg-Wärleby2, I. Karlberg3, K. Jood4, C. Jern5, P. Redfors6, L. Holmegaard7, C. Blomstrand8 Institute of Neuroscience and Physiology, Gothenburg University, Gothenburg, SWEDEN1, Institute of Neuroscience and Physiology, Gothenburg University, Gothenburg, SWEDEN2, Institute of Medicine, Gothenburg University, Gothenburg, SWEDEN3, Institute of Neuroscience and Phys-iology, Gothenburg University, Gothenburg, SWEDEN4, Institute of Neuroscience and Physiology, Gothenburg University, Gothenburg, SWEDEN5, Institute of Neuroscience and Physiology, Gothen-burg University, Gothenburg, SWEDEN6, Institute of Neuroscience and Physiology, Gothenburg University, Gothenburg, SWEDEN7, Institute of Neuroscience and Physiology, Gothenburg Univer-sity, Gothenburg, SWEDEN8 Background: It is well known that consequences of the stroke disease have an impact also on the everyday life and health of the family. Such impact is most often studied in the shorter perspective during the first year after the stroke, while the situation for the family in the long run is not that well known. Furthermore, spouses in their mid-life compared to older spouses have other tasks and as-signments in addition to the support and caring. The aim of this study is to expand the knowledge about health related quality of life (HRQoL) for spouses in a long-term perspective. Method: During 1998 - 2003, 600 patients diagnosed with stroke before the age of 70 and matched controls were included consecutively in the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS). A 7-year follow-up has been performed, which also included the spouses of both pa-tients and controls (SAHLSIS-OUTCOME). Result: The study included 177 spouses of stroke patients and 171 spouses of matched controls. The study groups included 65% and 63% women respectively and the median ages were 64 and 63 years respectively. Around 30% of the spouses to stroke patients and 2% of the spouses to matched con-trols indicated that they provided support to their partner. Based on the self-rating scale SF-36, spouses to stroke patients estimated lower HRQoL compared to spouses to controls. Spouses who indicated that they provided support had lower HRQoL com-pared to other spouses. Females, younger than 65, who gave support to their partner, seemed to have the lowest HRQoL compared to all other sex and age-groups. Conclusion: These results indicate that HRQoL for spouses to stroke patients is reduced not only in connection with the stroke episode but also in the long run. Women are more distressed than men.
Karger_ESC London_2013
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