Berg Balance Scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation

If you were to do this correctly you would have an objective 3d scan of the dead and damaged areas. That would be much easier to correlate to recovery than the subjective Berg Balance Scale. More than likely this is just a smaller stroke with the location away from the leg muscle control.  Does NO one in stroke understand cause and effect?
https://www.ncbi.nlm.nih.gov/pubmed/29068037

Louie DR¹, Eng JJ.

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Abstract

OBJECTIVE:

This retrospective cohort study identified inpatient rehabilitation admission variables that predict walking ability at discharge and established Berg Balance Scale cut-off scores to predict the extent of improvement in walking.

METHODS:

Participants (n=123) were assessed for various cognitive and physical outcomes at admission to inpatient stroke rehabilitation. Multivariate logistic regression identified admission predictors of regaining community ambulation (gait speed ≥0.8 m/s) or unassisted ambulation (no physical assistance) after 4 weeks. Receiver operating characteristic curve analysis identified cut-off admission Berg Balance Scale scores.

RESULTS:

Mini-Mental State Examination (odds ratio (OR) 1.60, 95% confidence interval (95% CI) 1.19-2.14) was a significant predictor when coupled with admission walking speed for regaining community ambulation speed; stroke type (haemorrhagic/ischaemic) was a significant predictor (OR=0.19, 95% CI 0.05-0.77) when coupled with Berg Balance Scale (OR 1.14, 95% CI 1.09-1.20). Only Berg Balance Scale was a significant predictor of regaining unassisted ambulation (OR 1.11, 95% CI 1.05-1.17). A cut-off Berg Balance Scale score of 29 on admission predicts that an individual will go on to achieve community walking speed (n=123, area under the curve (AUC)=0.88, 95% CI 0.81-0.95); a cut-off score of 12 predicts a non-ambulator to regain unassisted ambulation (n=84, AUC 0.73, 95% CI 0.62-0.84).

CONCLUSION:

The Berg Balance Scale can be used at rehabilitation admission to predict the degree of improvement in walking for patients with stroke.

PMID:

29068037

DOI:

10.2340/16501977-2280

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