Deans' stroke musings: Trunk Control Test as a main predictor of the modified Barthel Index score at discharge from intensive post-acute stroke rehabilitation: results from a multicentre Italian …

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, August 30, 2023

Trunk Control Test as a main predictor of the modified Barthel Index score at discharge from intensive post-acute stroke rehabilitation: results from a multicentre Italian …

This does absolutely nothing for stroke recovery! Deliver EXACT RECOVERY PROTOCOLS instead of this crapola!

Trunk Control Test as a main predictor of the modified Barthel Index score at discharge from intensive post-acute stroke rehabilitation: results from a multicentre Italian study

Published:August 22, 2023DOI:https://doi.org/10.1016/j.apmr.2023.08.007

HIGHLIGHTS

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The control of the trunk is an essential predictor for the recovery of basic ADLs, as measured by the mBI.
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Reduced trunk control, pressure ulcers, low functional and communication abilities at admission to post-acute inpatient rehabilitation, as well as premorbid disability can independently affect the global function level at discharge.
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Strategies to accelerate TCT recovery during the acute stay and post-stroke inpatient rehabilitation may have a positive impact on global functional recovery at discharge.

ABSTRACT

Objectives

To verify whether Trunk Control Test (TCT) upon admission to intensive inpatient post-stroke rehabilitation, combined with other confounding variables, is independently associated with discharge mBI.

Design

Multicentric retrospective observational cohort study.

Setting

Two Italian inpatient rehabilitation units.

Participants

Post-stroke adult patients, within 30 days from the acute event were consecutively enrolled.

Interventions

Not Applicable.

Main outcome measure

The outcome measure considered was the modified Barthel Index (mBI), one of the most widely recommended tools for assessing stroke rehabilitation functional outcomes.

Results

A total of 220 post-stroke patients were included. All variables collected at admission and significantly associated with mBI at discharge in the univariate analysis (TCT, mBI at admission, pre-stroke modified Rankin Scale (mRS), sex, age, communication ability, time from the event, Cumulative Illness Rating Scale, bladder catheter, and pressure ulcers) entered the multivariate analysis. TCT, mBI at admission, premorbid disability (mRS), communication ability and pressure ulcers (p<0.001) independently predicted discharge mBI (adjusted R²=68.5%). Concerning the role of TCT, the model with all covariates and without TCT presented an R² of 65.1%. On the other side, the model with the TCT only presented an R² of 53.1%. Finally, with the inclusion of both TCT and all covariates, the model showed an R² increase up to 68.5%.

Conclusions

TCT, with other features suggesting functional/clinical complexity, collected upon admission to post-acute intensive inpatient stroke rehabilitation, independently predicted discharge mBI.