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Item Standardized tools for assessing balance and mobility in stroke clinical practice guidelines worldwide: a scoping review(Frontiers Media SA, 2023) Barbosa dos Santos, R.; Fiedler A.; Badwal A.; Legasto-Mulvale J. M.; Sibley, K. M.; Olaleye, O. A.; Diermayr, D.; Salbach, N. M.Background: Use of standardized tools to assess balance and mobility limitations is a recommended practice in stroke rehabilitation. The extent to which clinical practice guidelines (CPGs) for stroke rehabilitation recommend specific tools and provide resources to support their implementation is unknown. Purpose: To identify and describe standardized, performance-based tools for assessing balance and/or mobility and describe postural control components challenged, the approach used to select tools, and resources provided for clinical implementation, in CPGs for stroke. Methods: A scoping review was conducted. We included CPGs with recommendations on the delivery of stroke rehabilitation to address balance and mobility limitations. We searched seven electronic databases and grey literature. Pairs of reviewers reviewed abstracts and full texts in duplicate. We abstracted data about CPGs, standardized assessment tools, the approach for tool selection, and resources. Experts identified postural control components challenged by each tool. Results: Of the 19 CPGs included in the review, 7 (37%) and 12 (63%) were from middle and high-income countries, respectively. Ten CPGs (53%) recommended or suggested 27 unique tools. Across 10 CPGs, the most commonly cited tools were the Berg Balance Scale (BBS) (90%), 6-Minute Walk Test (6MWT) (80%), Timed Up and Go Test (80%) and 10-Meter Walk Test (70%). The tool most frequently cited in middle- and high-income countries was the BBS (3/3 CPGs), and 6MWT (7/7 CPGs), respectively. Across 27 tools, the three components of postural control most frequently challenged were underlying motor systems (100%), anticipatory postural control (96%), and dynamic stability (85%). Five CPGs provided information in varying detail on how tools were selected; only 1 CPG provided a level of recommendation. Seven CPGs provided resources to support clinical implementation; one CPG from a middle-income country included a resource available in a CPG from a high-income country. Conclusion: CPGs for stroke rehabilitation do not consistently provide recommendations for standardized tools to assess balance and mobility or resources to facilitate clinical application. Reporting of processes for tool selection and recommendation is inadequate. Review findings can be used to inform global efforts to develop and translate recommendations and resources for using standardized tools to assess balance and mobility post-stroke.Item Sensorimotor function, balance and dual-task walking speed among stroke survivors with hemiparesis(Department of Physiotherapy, Ahmadu Bello University Teaching Hospital, 2022) Olaleye, O. A. A. O. Olaleye, O. A.|| Folorunsho, A. B. || Abiodun, A. O.; Folorunsho, A. B.; Abiodun, A. O.Background: Impaired dual-task ability increases the risk of fall and fall-related injuries among stroke survivors. It also limits the extent of community ambulation and overall reintegration into the community after rehabilitation. The aim of this study was to investigate the relationships among sensorimotor function, balance and dual-task walking speed of stroke survivors during a dual-task gait performance among stroke survivors with hemiparesis. Methods: Purposely recruited stroke survivors with hemiparesis who could ambulate independently for at least 10 metres, and who had a score of B20 on the Mini-Mental State Examination participated in this correlational cross- sectional survey. Motor and sensory functions were assessed using the Fugl-Meyer Assessment Scale while balance was assessed using the Berg Balance Scale. Walking speed while ambulating on a 10-meter walkway and button up and down shirts was also assessed. Data were summarized using descriptive statistics and analysed using Pearson's product moment correlation method at Coas Results: Forty-five stroke survivors (35 males) aged 52.5±10.23 years participated in this study. The mean sensory, motor function and balance scores were 10.76± 2.47, 67.09± 19.80 and 47.02 ± 7.24 respectively. There was a significant relationship between motor function and walking speed, as well as between balance and walking speed (p<0.05). Conclusion: Sensory, motor and balance functions are related to dual-task walking speed. Hence, dual-task gait training should be incorporated into the rehabilitation plans for stroke survivors.