What good does doing research that only predicts failure to recover? SOLVE THE FUCKING PROBLEM OF 100% STROKE RECOVERY!
Prediction of gait independence using the Trunk Impairment Scale in patients with acute stroke
Abstract
Background:
Gait
recovery is one of the primary goals of stroke rehabilitation. Gait
independence is a key functional component of independent activities in
daily living and social participation. Therefore, early prediction of
gait independence is essential for stroke rehabilitation. Trunk function
is important for recovery of gait, balance, and lower extremity
function. The Trunk Impairment Scale (TIS) was developed to assess trunk
impairment in patients with stroke.
Objective:
To evaluate the predictive validity of the TIS for gait independence in patients with acute stroke.
Methods:
A
total of 102 patients with acute stroke participated in this study.
Every participant was assessed using the TIS, Stroke Impairment
Assessment Set (SIAS), and Functional Independence Measure (FIM) within
48 h of stroke onset and at discharge. Gait independence was defined as
FIM gait scores of 6 and 7. Multiple regression analysis was used to
predict the FIM gait score, and multiple logistic regression analysis
was used to predict gait independence. Cut-off values were determined
using receiver operating characteristic (ROC) curves for variables
considered significant in the multiple logistic regression analysis. In
addition, the area under the curve (AUC), sensitivity, and specificity
were calculated.
Results:
For
the prediction of the FIM gait score at discharge, the TIS at admission
showed a good-fitting adjusted coefficient of determination (R2 = 0.672, p < 0.001).
The TIS and age were selected as predictors of gait independence. The
ROC curve had a TIS cut-off value of 12 points (sensitivity: 81.4%,
specificity: 79.7%) and an AUC of 0.911. The cut-off value for age was
75 years (sensitivity: 74.6%, specificity: 65.1%), and the AUC was
0.709.
Conclusion:
The TIS is a useful early predictor of gait ability in patients with acute stroke.
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