umu.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Postural stability in patients with chronic subdural hematoma
Umeå University, Faculty of Medicine, Department of Radiation Sciences.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience.
Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience.
2016 (English)In: Acta Neurochirurgica, ISSN 0001-6268, E-ISSN 0942-0940, Vol. 158, no 8, 1479-1485 p.Article in journal (Refereed) PublishedText
Abstract [en]

Gait disturbances and falls are common in patients with chronic subdural hematoma (cSDH). Postural stability is mainly visually assessed and has not been described using an objective and quantitative measurement tool. The objective of this prospective study was to evaluate postural stability in cSDH patients by measuring trunk sway during stance and gait compared to healthy elderly (HE). It was also to evaluate the relationships among postural stability and age, hematoma size, brain midline shift and hematoma location. Using a gyroscopic method, trunk sway was measured in 22 cSDH patients preoperatively, 5 postoperatively and 58 HE during seven standing and walking tasks. Trunk sway amplitude and velocity in the anterior-posterior and medial-lateral directions were assessed. Postural stability was reduced in the cSDH group compared to HE for all standing tasks. During gait, the sway angle was increased while velocity was decreased in the cSDH group. Only 18 % of the patients could perform all tasks without losing their balance. Postoperatively, postural stability was normalized in the medial-lateral direction during standing. There were no correlations among age, hematoma size, brain midline shift or location of the hematoma and trunk sway. The majority of cSDH patients had reduced postural stability that was partly reversed soon after surgery. It was not correlated to hematoma characteristics, indicating that an increased risk to fall is present regardless of hematoma size and midline shift. This must be accounted for when handling these patients and measures taken to prevent further fall accidents during hospital stays.

Place, publisher, year, edition, pages
2016. Vol. 158, no 8, 1479-1485 p.
Keyword [en]
Chronic subdural hematoma, Postural stability, Balance, Hematoma size, Brain midline shift
National Category
Neurology Surgery
Identifiers
URN: urn:nbn:se:umu:diva-124316DOI: 10.1007/s00701-016-2862-9ISI: 000379340100007PubMedID: 27290662OAI: oai:DiVA.org:umu-124316DiVA: diva2:958139
Available from: 2016-09-06 Created: 2016-08-04 Last updated: 2016-09-06Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Sundström, NinaOlivecrona, ZandraKoskinen, Lars-Owe D.
By organisation
Department of Radiation SciencesDepartment of Pharmacology and Clinical Neuroscience
In the same journal
Acta Neurochirurgica
NeurologySurgery

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

ReferencesLink to record
Permanent link

Direct link