• Şennur Delibaş Kati, Elif Ayşen Palaz, Yağmur Güneş Gencer, Hanife Hale Hekim, Temel AksuNerimanNDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Akdeniz University, Antalya, Türkiye., Aylin Yaman, and Naciye Füsun Toraman.
• Department of Neurology, University of Health Sciences, Antalya Health Research Center, Antalya, Türkiye.
• Medicine (Baltimore). 2024 Jun 28; 103 (26): e38589e38589.

BackgroundTrunk control is the basic component of postural control, and achieving trunk control is a complex process that can be achieved by dynamically building and maintaining neuromuscular function. Lateropulsion, which is also defined as the body falling to one side, is considered an important condition that is frequently encountered after stroke and affects trunk control. It is known that there are differences in the regulation of postural control and trunk control according to hemispheric localization. We had a very specific group of patients and tried to find out the outcomes prospectively in this study.MethodsThe patients were divided into 2 groups those with right hemisphere lesions (Group 1) and those with left hemisphere lesions (Group 2). Comorbidity and cognitive function were evaluated using the Charlson Comorbidity Index (CMI) and Standardized Mini-Mental State Test (SMMSE). Activities of daily living were evaluated using the Turkish version of the Modified Barthel Index (MBI). The Stroke Rehabilitation Assessment of Movement Instrument (STREAM) test was used to assess trunk control and the Brunnstrom (BS) test was used to assess motor functions.ResultsThere was a significant difference between Groups 1 and 2 in terms of STREAM in lower extremity scores were higher in Group 2 (P < .05). The number of patients in BS lower extremity Stages IV-VI was higher in Group 1 and Group 2 (P < .05). It was determined that upper extremity, lower extremity and Total STREAM scores and BS Hand stage in Group 2 were significantly higher than Group 1 in patients with total middle cerebral artery (MCA) affected(P < .05).ConclusionIt was determined that trunk control was more affected in patients with right hemispheric lesions. Additionally, trunk control is significantly affected in patients with total MCA lesions.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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