title: Does an extended stroke unit service with early supported discharge have any effect on balance or walking speed?
abstract: OBJECTIVE
  To evaluate the effect of an extended stroke unit service with early supported discharge on balance and walking speed, and to explore the association between initial leg paresis, initial movement ability and balance one year after stroke.
  
  
  METHODS
  A randomized controlled trial comparing early supported discharge with ordinary stroke unit service.
  
  
  METHODS
  A total of 62 eligible patients after stroke.
  
  
  METHODS
  The outcome measures were Berg Balance Scale and walking speed at 1, 6, 26 and 52 weeks after stroke.
  
  
  RESULTS
  We found no significant differences between the 2 groups during follow-up. There was a significant improvement on Berg Balance Scale (p=0.013) and walking speed (p=0.022) in the early supported discharge group, but not in the ordinary service group, from 1 to 6 weeks' follow-up. All patients with initial severe leg paresis suffered from poor balance one year after the stroke. The odds ratio for poor balance was 42.1 (95% confidence interval; 3.5-513.9) among patients with no initial walking ability.
  
  
  CONCLUSIONS
  These results do not conclusively indicate that early supported discharge has an effect on balance. A strong association was found between initial severe leg paresis, initial inability to walk and poor balance after one year.
authors.affiliation: Department of Public Health and General Practice, Medisinsk Teknisk Forsknigssenter, NO-7489 Trondheim, Norway. torunn.askim@ntnu.no
authors.forename: Torunn
authors.initials: T
authors.lastname: Askim
authors.forename: Siv
authors.initials: S
authors.lastname: Mørkved
authors.forename: Bent
authors.initials: B
authors.lastname: Indredavik
mesh_terms: D000368:Aged; D004434:Early Ambulation; D005260:Female; D005500:Follow-Up Studies; D006757:Hospital Units; D006801:Humans; D008297:Male; D010351:Patient Discharge; D004856:Postural Balance / Q000502:physiology; D011379:Prognosis; D020127:Recovery of Function; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation; D016138:Walking / Q000502:physiology