Author/Editor		Kos, Nataša; Brcar, Maruša; Brcar, Marko; Velnar, Tomaž
Title		Izboljšanje dinamičnega ravnotežja z uporabo lestvice za oceno funkcionalnosti hoje (FGA) v fazi akutne nevrorehabilitacije pri nevrokirurških bolnikih
Translated title		Improving dynamic balance by means of Functional Gait Assessment (FGA) in the acute phase of neurorehabilitation in neurosurgical patients
Type		članek
Vol. and No.		Letnik 89, št. 3/4
Publication year		2020
Volume		str. 149-159
ISSN		1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Language		slv
Abstract		Background: During the acute phase of neurorehabilitation patients after neurosurgical operations often suffer from balance disorders - both static and dynamic. Functional Gait Assessment Scale (FGA) enables the evaluation of dynamic balance during walking and it is suitable for the evaluation of specific complex movements and appropriate balance responses. The aim was to establish the level of improvement as regards dynamic balance in patients after the removal of a vestibular tumour, using the FGA as a practice tool during hospitalization. Methods: The study was prospective. Ten patients after surgical removal of a vestibular tumour were enrolled. All were able to follow instructions, achieved more then 25 points on the Mini Mental Test and had an evluation on the Barthel Index of over 8 points. During hospitalization, all the patients were included in individually prepared balance programmes, with an emphasis on different functional and cognitive tasks that are included in the FGA. The FGA was used as an effective practice tool. As a measuring tool to assess dynamic balance, the FGA was used at discharge and again 3 months after discharge from the hospital. The patients were discharged to their homes. They were given written instructions and excercise tapes on DVD for home practice after discharge. Results: The average age of enroled patients (6 females, 4 males,) was 39.5 years (18-57 years). The average duration of hospitalization was 10.5 days (7-14 days). On the FGA, six patients achieved a score of 8-14/30 and four patients a score of 16-20/30 at discharge. This shows moderate to severe disorders of dynamic balance. Three months after discharge, seven patients achieved more then 22 points (22-24/30) meaning they had a mild dynamic balance disorder and three patients achieved less than 22 points (14-18/30) meaning they had a moderate to sever dynamic balance disorder. That is why these three patients needed surveillance and help from other people while walking. In our research, 70% of patients overcame the minimal calculated change of 4 points on FGA scale, which shows an improvement of dynamic balance. Conclusion: The results of the research show an improvement in dynamic balance. The FGA was shown to be an excellent practice tool for both establishing the existence of a dynamic balance disorder as well as improving dynamic balance, which in turn has beneficial effects on specific movement abilities and thus makes the patient's functioning at home easier.
Keywords		dinamično ravnotežje akutna nevrorehabilitacija ocena funkcionalnosti hoje dynamic balance acute neurorehabilitation functional gait assessment