Research Report Abstracts - Gesundheit

WPT2011, Research Report Abstracts eS1319
ity. Therefore to prevent from falling, it is important to assess
this physical agility in elderly people.
Participants: Thirty five functionally independent
community-dwelling elderly people volunteered to
participate in the study.
Methods: Four Square Step Test (FSST) was used for a test
of physical agility. The other physical motor function assessments
were composed of 10 minute walking time (10MWT),
Timed Up and Go test (TUG), Functional Reach test (FRT),
one leg standing (OLS), lower extremity strength (LES), and
Finger floor distance (FFD), were assessed.
Analysis: The acquired data were analyzed using SPSS statistical
software. Pearsons correlation was used to investigate
the relationship between physical agility and the other physical
assessments. The level of statistical significance was set
at p < 0.05.
Results: This study shows significant correlation FSST
and LES (r = −.374, p < .027), FSST and TUG (r = .652,
p < .0001), FSST and SLS (r = −.376, p < .026), and FSST
and 10MWS (r = .624, p < .0001) at baseline. There were not
significant relationship between FSST and FRT, FFD.
Conclusions: To prevent from falling, it is very important to
approach muscle strength, balance, and flexibility. However,
the assessment of physical agility is also very important for
the elderly people.
Implications: Since there were significant correlations
between FSST and LES, TUG, SLS, 10MWS, physical
agility need to be assessed.
Keywords: Community-dwelling elderly people; Balance;
Physical agility
Funding acknowledgements: This study was unfunded.
Ethics approval: Subjects signed an information consent
revealing all details of the study protocol, which had been
approved by the ethics committee.
Research Report Poster Display
Number: RR-PO-209-1-Tue Tuesday 21 June 13:00
RAI: Exhibit Halls2&3
THETA BURST STIMULATION (TBS) IN MOTOR
REHABILITATION AFTER STROKE: FINAL
RESULTS FROM A RANDOMISED, DOUBLE BLIND
PLACEBO-CONTROLLED CLINICAL TRIAL
Wallace A. 1 , Talelli P. 1 , Cheeran B.J. 1 , Oliver R. 1 , Hoad
D. 1 , Dileone M. 2 , van den Bos M. 1 , Acierno T. 2 , Gillini
C. 2 , Barratt K. 3 , Boudrias M.-H. 1 , Hammerbeck U. 1 , Cloud
G.C. 4 , Di Lazzaro V. 2 , Marsden J. 5 , Ward N.S. 1 ,
Greenwood R.J. 3 , Rothwell J.C. 1
1UCL Institute of Neurology, London, United Kingdom,
2Universitá Cattolica, Institute of Neurology, Rome, Italy,
3National Hospital of Neurology & Neurosurgery, London,
United Kingdom, 4St Georges Healthcare NHS Trust, Department
of Neurology, London, United Kingdom, 5University of
Plymouth, School of Health Professions, Plymouth, United
Kingdom
Purpose: A single application of non-invasive brain stimulation,
used to increase the excitability of the motor areas in
the stroke hemisphere or to suppress interference from the
intact hemisphere, can transiently improve hand function in
people with chronic stroke (Talelli and Rothwell, 2006). The
aim of this study was to test whether stimulation combined
with physical therapy in a clinical treatment setting, would
result in long-lasting clinically meaningful improvement that
would be greater than improvement achieved with physical
therapy alone.
Relevance: Longitudinal studies of recovery after stroke
suggest that approximately 50% of stroke survivors with significant
initial arm paresis do not recover useful function
of the limb. Advances in our understanding of the mechanisms
of recovery and our ability to change cerebral cortical
excitability, will result in treatment adjuncts that may enhance
the effect of physical therapy.
Participants: Participants (n = 41) had a single ischaemic
stroke in the middle cerebral artery territory more than one
year previously, and had residual weakness of the hand with
some extension present at the wrist and the ability to grasp.
Exclusion criteria were: intracerebral haemorrhage, severe
aphasia or neglect, and contraindications to transcranial magnetic
stimulation (TMS).
Methods: Participants were randomized to receive excitatory
theta burst stimulation (TBS) on the side of the stroke,
inhibitory TBS over the intact side, or sham TBS. Groups
were matched for age and function. TBS was given daily for
10 working days and in all cases followed by one hour of
intensity-controlled physical therapy (Wallace et al., 2010).
Outcome measures were performed at baseline, them 3 and
30 days after physical therapy treatment. Upper limb function
was measured using the 9-hole Peg Test (9HPT) and Jebsen
Taylor Test (JTT). Grip and pinch-grip strength were mea-