Ann Rehabil Med.  2014 Dec;38(6):775-783. 10.5535/arm.2014.38.6.775.

Usual Dose of Caffeine Has a Positive Effect on Somatosensory Related Postural Stability in Hemiparetic Stroke Patients

• Kim WS
• Choi CK
• Yoon SH
• Kwon JY

• KMID: 2267087
• DOI: http://doi.org/10.5535/arm.2014.38.6.775

Abstract

OBJECTIVE
To evaluate the effect of caffeine on balance control of hemiparetic stroke patients, we investigated the difference in postural stability before and after drinking coffee by observing changes in stability index (SI) from posturography.
METHODS
Thirty patients with history of stroke and 15 age-matched healthy subjects participated in this study. Effect of group factor (of the control and stroke groups) and treatment factor (pre- and post-drinking of coffee) on SI were tested in three conditions: with eyes opened, with eyes closed, and with a pillow support. The effects of these factors on visual deprivation and somatosensory change of subjects were also tested.
RESULTS
Under all conditions, SI was higher in the stroke group than in the control group. Under eyes-open condition, the treatment factor was not statistically significant. Under eyes-closed condition, the interaction between group and treatment factor was statistically significant. After the subjects drank coffee, SI in the control group was increased. However, SI in the stroke group was decreased. Under pillow-supported condition, the interaction between group and treatment factor appeared marginally significant. For visual deprivation effect, the interaction between treatment and group factor was statistically significant. After caffeine consumption, the visual deprivation effect was increased in control group but decreased in the stroke group. For somatosensory change effect, the interaction between group and treatment factor was not statistically significant.
CONCLUSION
Postural stability of hemiparetic stroke patients related to somatosensory information was improved after intake of usual dose of caffeine.

Keyword

Caffeine; Stroke; Balance

MeSH Terms

Caffeine*
Coffee
Drinking
Humans
Stroke*
Caffeine
Coffee

Figure

• 

  Fig. 1 Changes of stability index after drinking coffee. (A) With the eyes open, (B) with the eyes closed, and (C) with pillow support. Dashed line represents the stroke group; solid line represents the control group. Pre, before drinking a caffeine beverage; post, after drinking a caffeine beverage.

• 

  Fig. 2 Changes of stability index difference after drinking coffee. (A) Visual deprivation and (B) somatosensory change. Dashed line represents the stroke group; solid line represents the control group. Pre, before drinking coffee; post, after drinking coffee; visual deprivation, the difference between the stability index in the eyes-closed condition and that in the eyes-open condition; somatosensory change, the difference between the stability index in the pillow-supported condition and that in the eyes-open condition.

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