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ASSOCIATION OF COGNITIVE FUNCTION WITH STATIC AND DYNAMIC BALANCE AMONG STROKE PATIENTS

Fizza Batool, Usama Awais, Gul Andama, Kiran Shafique, Hifza Mubarik, Seep Zubairi, Pakeza Sarwar, Kainaat Shoukat, Hira Irfan

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ABSTRACT:

 

Background: Stroke is a leading cause of disability worldwide, often resulting in significant impairments in both cognitive function and physical balance. Among stroke survivors, particularly those in the subacute phase, the interplay between cognitive abilities and balance is critical to understanding their rehabilitation needs and potential recovery trajectories. Cognitive functions, such as attention, executive function, and memory, are essential for maintaining both static and dynamic balance, which are crucial for performing daily activities and preventing falls.

Objective: To determine the Association of cognitive function with static and dynamic balance among stroke patients.

Methodology: Analytical cross-sectional study was conducted in Lahore, Pakistan. MMSE and BBS questionnaire were used to collect data from patients of stroke. A total of 238 subjects aged 40-60 years were included in this study.

Results: Out of 238 participants in which 148(62.2%) are male and 90(37.8%) are female. The mean age was 51.9 with standard deviation of 6.34. The frequency of participants with severe cognitive impairment were 155(65.1%) with mild cognitive impairment were 46(19.3%) and with no cognitive impairment were 37(15.5%). The frequency of participants with high fall risk were 22(9.2%), moderate fall risk 191(80.3%) and with low-risk fall were 25(10.5%). Cognition and balance showed significant association with P value of 0.002. The results of our study declares that any change in cognitive functioning leads to change in static and dynamic balance.

Conclusion: This study shows that a significant association exist between cognitive function with static and dynamic balance among stroke patients.

Key Words: Cognitive Impairment, Dynamic balance, Static balance, Subacute stroke.