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Hyperlipidemia as a predictor of physical functioning for stroke
Physical Therapy Rehabilitation Science 2018;7:88-93
Published online June 30, 2018
© 2018 Korean Academy of Physical Therapy Rehabilitation Science.

Jae-hong Sima, Sujin Hwangb, Chiang-soon Songc

aDepartment of Physical Therapy, Graduate School of Health and Welfare, Baekseok University, Seoul, Republic of Korea, bDepartment of Physical Therapy, Division of Health Science, Baekseok University, Cheonan, Republic of Korea, cDepartment of Occupational Therapy, College of Health Science, Chosun University, Gwangju, Republic of Korea
Correspondence to: Chiang-soon Song, Department of Occupational Therapy, College of Health Science, Chosun University, 309 Pilmun-daero, Dong-gu, Gwangju 61452, Republic of Korea, Tel: 82-62-230-7040 Fax: 82-62-230-6984 E-mail:
Received May 24, 2018; Revised June 10, 2018; Accepted June 10, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: Elevated cholesterol levels contribute to changes of the arterial endothelial permeability. Hyperlipidemia promotes atherosclerosis and is associated with an increased risk of stroke incidence. The purpose of this study was to investigate the effects of having a history of hyperlipidemia prior to a stroke incidence on postural balance, anticipatory dynamic postural control, gait endurance and gait performance in individuals with hemiparetic stroke.
Design: Cross-sectional study.
Methods: Fifty-two adults who were diagnosed with stroke 6 months ago or more were enrolled in this study. They were divided into two different groups according to hyperlipidemia history before stroke. All participants were assessed with the Activities-specific into Balance Confidence (ABC) scale, Berg Balance scale (BBS), Dynamic Gait Index (DGI), Timed Up and Go test (TUG), and the 6-minute walk test (6MWT). An independent t-test was used to analyze the difference between the hyperlipidemia group and non-hyperlipidemia group.
Results: After analysis, the BBS, TUG, and 6MWT scores were significantly different between the hyperlipidemia and non-hyperlipidemia group, but not the ABC and DGI scores.
Conclusions: The results of this study show that having a history of hyperlipidemia before stroke affects static and dynamic postural balance performance, anticipatory dynamic postural balance, and gait endurance in individuals with chronic hemiparetic stroke. Based on the results of this study, we also suggest treatment for hyperlipidemia should be implemented throughout the therapeutic interventions, such as pharmacological or exercise programs, in order to restore the physical function of stroke survivors.
Keywords : Gait, Hyperlipidemia, Postural balance, Stroke


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