{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T02:52:57Z","timestamp":1768877577550,"version":"3.49.0"},"reference-count":54,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2022,12,4]],"date-time":"2022-12-04T00:00:00Z","timestamp":1670112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Background: Stroke patients with hemiplegia have an increased risk of developing deep vein thrombosis (DVT). DVT increases the risk of life-threatening pulmonary embolism and is associated with poor prognosis. The early wearing of compression stockings can help prevent DVT. This study aimed to assess the impact of compression stockings on body balance in stroke patients with unilateral lower extremity muscle weakness; (2) Methods: Hemiplegic stroke patients in the subacute phase who were able to walk with assistance were recruited. The patients were divided into two groups: one group received rehabilitation treatment with compression stockings, and the other received treatment without compression stockings. The rehabilitation treatment involved hospitalization for 4 weeks, the Trunk Control Test (TCT), the Trunk Impairment Scale (TIS), and the Berg Balance Scale (BBS). The patients were evaluated before and 4 weeks after the start of treatment. The differences in BBS, TCT, and TIS before and after treatment between the two groups were compared; (3) Results: Altogether, 236 hemiplegic stroke patients were recruited. There was an improvement in body balance after treatment in both groups, and BBS, TCT, and TIS scores significantly increased in the group that received rehabilitation treatment with compression stockings; (4) Conclusions: In patients with hemiplegic stroke in the subacute period, rehabilitation while wearing compression stockings appears to improve body balance.<\/jats:p>","DOI":"10.3390\/ijerph192316212","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T02:56:26Z","timestamp":1670208986000},"page":"16212","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of Compression Stockings on Body Balance in Hemiplegic Patients with Subacute Stroke"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9364-2947","authenticated-orcid":false,"given":"Eo Jin","family":"Park","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/17474930211065917","article-title":"World Stroke Organization (WSO): Global Stroke Fact Sheet 2022","volume":"17","author":"Feigin","year":"2022","journal-title":"Int. J. Stroke"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"286","DOI":"10.5853\/jos.2017.00234","article-title":"Stroke Epidemiology in South, East, and South-East Asia: A Review","volume":"19","author":"Venketasubramanian","year":"2017","journal-title":"J. Stroke"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/B978-0-444-63916-5.00013-6","article-title":"Stroke","volume":"159","author":"Mansfield","year":"2018","journal-title":"Handb. Clin. Neurol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2055","DOI":"10.2147\/CIA.S144795","article-title":"The link between weight shift asymmetry and gait disturbances in chronic hemiparetic stroke patients","volume":"12","author":"Szopa","year":"2017","journal-title":"Clin. Interv. Aging"},{"key":"ref_5","first-page":"Cd008728","article-title":"Interventions for preventing falls in people after stroke","volume":"10","author":"Denissen","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Wei, W.E., De Silva, D.A., Chang, H.M., Yao, J., Matchar, D.B., Young, S.H.Y., See, S.J., Lim, G.H., Wong, T.H., and Venketasubramanian, N. (2019). Post-stroke patients with moderate function have the greatest risk of falls: A National Cohort Study. BMC Geriatr., 19.","DOI":"10.1186\/s12877-019-1377-7"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1111\/ggi.13594","article-title":"Incidence and circumstances of falls among community-dwelling ambulatory stroke survivors: A prospective study","volume":"19","author":"Goto","year":"2019","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.puhe.2016.12.035","article-title":"Falls amongst older people in Southeast Asia: A scoping review","volume":"145","author":"Romli","year":"2017","journal-title":"Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jcgg.2015.02.004","article-title":"Strategies on fall prevention for older people living in the community: A report from a round-table meeting in IAGG 2013","volume":"6","author":"Kim","year":"2015","journal-title":"J. Clin. Gerontol. Geriatr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.jns.2019.04.035","article-title":"Fall risk in stroke survivors: Effects of stroke plus dementia and reduced motor functional capacity","volume":"401","author":"Whitney","year":"2019","journal-title":"J. Neurol. Sci."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1177\/0269215518819701","article-title":"Early prediction of falls after stroke: A 12-month follow-up of 490 patients in The Fall Study of Gothenburg (FallsGOT)","volume":"33","author":"Samuelsson","year":"2019","journal-title":"Clin. Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.2147\/CIA.S197603","article-title":"Graduated compression stockings in prevention of venous thromboembolism among acutely ill medical patients aged over 75 years: A French national survey","volume":"14","author":"Gramont","year":"2019","journal-title":"Clin. Interv. Aging"},{"key":"ref_13","first-page":"485","article-title":"DVT in acute stroke--the use of graduated compression stockings","volume":"39","author":"Xu","year":"2010","journal-title":"Aust. Fam. Physician"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2147\/OAJSM.S198809","article-title":"Effects of Wearing Compression Stockings on Exercise Performance and Associated Indicators: A Systematic Review","volume":"11","author":"Mota","year":"2020","journal-title":"Open Access J. Sport. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.jshs.2017.01.001","article-title":"Effects of compression garments on surface EMG and physiological responses during and after distance running","volume":"9","author":"Hsu","year":"2020","journal-title":"J. Sport Health Sci."},{"key":"ref_16","first-page":"1036","article-title":"The Effect of Compression Socks on Maximal Exercise Performance and Recovery in Insufficiently Active Adults","volume":"14","author":"Montoye","year":"2021","journal-title":"Int. J. Exerc. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"395","DOI":"10.3390\/textiles2030022","article-title":"Tight Margins: Compression Garment Use during Exercise and Recovery\u2014A Systematic Review","volume":"2","author":"Leabeater","year":"2022","journal-title":"Textiles"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Sun, Y., Munro, B., and Zehr, E.P. (2021). Compression socks enhance sensory feedback to improve standing balance reactions and reflex control of walking. BMC Sport. Sci. Med. Rehabil., 13.","DOI":"10.1186\/s13102-021-00284-2"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1152\/jn.2001.85.3.1178","article-title":"Differential regulation of cutaneous and H-reflexes during leg cycling in humans","volume":"85","author":"Zehr","year":"2001","journal-title":"J. Neurophysiol."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Zehr, E.P., Nakajima, T., Barss, T., Klarner, T., Miklosovic, S., Mezzarane, R.A., Nurse, M., and Komiyama, T. (2014). Cutaneous stimulation of discrete regions of the sole during locomotion produces \u201csensory steering\u201d of the foot. BMC Sport. Sci. Med. Rehabil., 6.","DOI":"10.1186\/2052-1847-6-33"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1007\/BF00227255","article-title":"Phase-dependent reversal of reflexly induced movements during human gait","volume":"90","author":"Duysens","year":"1992","journal-title":"Exp. Brain Res."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Derby, H., Conner, N.O., Talukder, A., Griffith, A., Freeman, C., Burch, R., Simpson, J.D., Goble, D.J., Knight, A.C., and Chander, H. (2022). Impact of Sub-Clinical and Clinical Compression Socks on Postural Stability Tasks among Individuals with Ankle Instability. Healthcare, 10.","DOI":"10.3390\/healthcare10071271"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12998-017-0159-6","article-title":"Using 4+ to grade near-normal muscle strength does not improve agreement","volume":"25","author":"Jaszczak","year":"2017","journal-title":"Chiropr. Man. Ther."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"3983","DOI":"10.4103\/jfmpc.jfmpc_528_21","article-title":"The Bobath Concept (NDT) as rehabilitation in stroke patients: A systematic review","volume":"10","author":"Pathak","year":"2021","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"471","DOI":"10.3233\/NRE-203231","article-title":"The effects of dynamic core-postural chain stabilization on respiratory function, fatigue and activities of daily living in subacute stroke patients: A randomized control trial","volume":"47","author":"Yoon","year":"2020","journal-title":"NeuroRehabilitation"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1177\/02692155211057656","article-title":"Effects of proprioceptive training for people with stroke: A meta-analysis of randomized controlled trials","volume":"36","author":"Apriliyasari","year":"2022","journal-title":"Clin. Rehabil."},{"key":"ref_27","first-page":"2168","article-title":"Best Core Stabilization for Anticipatory Postural Adjustment and Falls in Hemiparetic Stroke","volume":"99","author":"Lee","year":"2018","journal-title":"Arch. Rehabil. Res. Clin. Transl."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1186\/s12984-021-00866-8","article-title":"Feasibility and effect of interactive telerehabilitation on balance in individuals with chronic stroke: A pilot study","volume":"18","author":"Chen","year":"2021","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1080\/02703181.2019.1631423","article-title":"Reliability and Validity of the Berg Balance Scale in the Stroke Population: A Systematic Review","volume":"37","author":"Kudlac","year":"2019","journal-title":"Phys. Occup. Ther. Geriatr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1177\/0193945916670894","article-title":"The Diagnostic Accuracy of the Berg Balance Scale in Predicting Falls","volume":"39","author":"Park","year":"2017","journal-title":"West. J. Nurs. Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1080\/10749357.2019.1607994","article-title":"The trunk control: Which scale is the best in very acute stroke patients?","volume":"26","author":"Keklicek","year":"2019","journal-title":"Top Stroke Rehabil."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1080\/10790268.2018.1518124","article-title":"Prognostic validity of a clinical trunk control test for independence and walking in individuals with spinal cord injury","volume":"43","year":"2020","journal-title":"J. Spinal Cord Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"39","DOI":"10.3109\/09593985.2014.945673","article-title":"Reliability and validity of Trunk Control Test in patients with neuromuscular diseases","volume":"31","year":"2015","journal-title":"Physiother. Theory Pr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1080\/09638288.2017.1282990","article-title":"Clinical utility of the modified trunk impairment scale for stroke survivors","volume":"40","author":"Lee","year":"2018","journal-title":"Disabil. Rehabil."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Lee, K., Lee, D., Hong, S., Shin, D., Jeong, S., Shin, H., Choi, W., An, S., and Lee, G. (2021). The relationship between sitting balance, trunk control and mobility with predictive for current mobility level in survivors of sub-acute stroke. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0251977"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"379","DOI":"10.14474\/ptrs.2021.10.3.379","article-title":"A Systematic Review on Trunk Impairment Scale for Stroke Patients","volume":"10","author":"Lee","year":"2021","journal-title":"Phys. Ther. Rehabil. Sci."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Lee, S.Y., Kim, D.Y., Sohn, M.K., Lee, J., Lee, S.G., Shin, Y.I., Kim, S.Y., Oh, G.J., Lee, Y.H., and Lee, Y.S. (2020). Determining the cut-off score for the Modified Barthel Index and the Modified Rankin Scale for assessment of functional independence and residual disability after stroke. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0226324"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"899","DOI":"10.3389\/fneur.2018.00899","article-title":"Sensorimotor Manipulations of the Balance Control Loop-Beyond Imposed External Perturbations","volume":"9","author":"Rasman","year":"2018","journal-title":"Front. Neurol."},{"key":"ref_39","first-page":"392","article-title":"Effect of Compression Garments on the Development of Edema and Soreness in Delayed-Onset Muscle Soreness (DOMS)","volume":"17","author":"Heiss","year":"2018","journal-title":"J. Sport. Sci. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.math.2015.01.008","article-title":"Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions","volume":"20","author":"Roijezon","year":"2015","journal-title":"Man. Ther."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.math.2015.01.009","article-title":"Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention","volume":"20","author":"Clark","year":"2015","journal-title":"Man. Ther."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1152\/jn.01008.2011","article-title":"Sensory reweighting of proprioceptive information of the left and right leg during human balance control","volume":"108","author":"Pasma","year":"2012","journal-title":"J. Neurophysiol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jshs.2021.07.005","article-title":"Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults","volume":"10","author":"Song","year":"2021","journal-title":"J. Sport Health Sci."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.jsams.2008.06.002","article-title":"Wearing a sports compression garment on the performance of visuomotor tracking following eccentric exercise: A pilot study","volume":"12","author":"Pearce","year":"2009","journal-title":"J. Sci. Med. Sport"},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Orth, D., Davids, K., Wheat, J., Seifert, L., Liukkonen, J., Jaakkola, T., Ashford, D., and Kerr, G. (2013). The role of textured material in supporting perceptual-motor functions. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0060349"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1136\/bjsm.2003.007427","article-title":"Essential noise\u2014Enhancing variability of informational constraints benefits movement control: A comment on Waddington and Adams (2003)","volume":"38","author":"Davids","year":"2004","journal-title":"Br. J. Sport. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1038\/s41598-020-58247-5","article-title":"Effect of Cutaneous Feedback on the Perception of Virtual Object Weight during Manipulation","volume":"10","author":"Park","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1152\/jn.00581.2017","article-title":"Effects of a compression garment on sensory feedback transmission in the human upper limb","volume":"120","author":"Barss","year":"2018","journal-title":"J. Neurophysiol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1123\/ijspp.8.1.4","article-title":"Bringing light into the dark: Effects of compression clothing on performance and recovery","volume":"8","author":"Born","year":"2013","journal-title":"Int. J. Sports. Physiol. Perform."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.jsams.2022.02.006","article-title":"Effects of graduated compression socks on ankle inversion proprioception of half-marathon runners at different running distances","volume":"25","author":"Chang","year":"2022","journal-title":"J. Sci. Med. Sport"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Woo, M.T., Davids, K., Chow, J.Y., and Jaakkola, T. (2021). Acute effects of wearing compression knee-length socks on ankle joint position sense in community-dwelling older adults. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0245979"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.gaitpost.2015.09.015","article-title":"Relationships between fear of falling, balance confidence, and control of balance, gait, and reactive stepping in individuals with sub-acute stroke","volume":"43","author":"Inness","year":"2016","journal-title":"Gait. Posture."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Alghadir, A.H., Al-Eisa, E.S., Anwer, S., and Sarkar, B. (2018). Reliability, validity, and responsiveness of three scales for measuring balance in patients with chronic stroke. BMC Neurol., 18.","DOI":"10.1186\/s12883-018-1146-9"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s40520-017-0749-0","article-title":"Tools for assessing fall risk in the elderly: A systematic review and meta-analysis","volume":"30","author":"Park","year":"2018","journal-title":"Aging Clin. Exp. Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/23\/16212\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:33:43Z","timestamp":1760146423000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/23\/16212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,4]]},"references-count":54,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["ijerph192316212"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192316212","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,4]]}}}