Utility of Ability for Basic Movement Scale (ABMSII) in predicting ambulation during rehabilitation in post-stroke patients

Damn it all, there is not a survivor in the world that cares about predictions. They want to know the results of following EXACT STROKE PROTOCOLS.  When the hell will you get there? After hell freezes over?  Maybe when YOU become the 1 in 4 per WHO that has a stroke?

Utility of Ability for Basic Movement Scale (ABMSII) in predicting ambulation during rehabilitation in post-stroke patients

Shoji Kinoshita, MD1, 2; Masahiro Abo, MD, PhD2; Takatsugu Okamoto, MD, PhD1, 2; Naojiro Tanaka, RPT1 5

  1Department of Rehabilitation Medicine, Nishi-Hiroshima Rehabilitation Hospital,
6-265, Miyake, Saeki-ku, Hiroshima, Hiroshima 731-5143, Japan 2Department of Rehabilitation Medicine, The Jikei University School of Medicine,
3-25-8, Nishi-Shimbashi, Minato-Ku, Tokyo 105-8461, Japan 10


Running title: ABMSII and ambulation in post-stroke patients
Word count: main text excluding references: 2,439, abstract: 213 

Corresponding author: Prof. Masahiro Abo, MD, PhD, Department of 15

Rehabilitation Medicine, The Jikei University School of Medicine, 3-25-8,
Nishi-Shimbashi, Minato-Ku, Tokyo 105-8461, Japan. Phone: +81-3-3433-1111. Fax:
+81-3-3431-1206, Email address: abo@jikei.ac.jp 

ACKNOWLEDGMENTS: We express our deepest gratitude to the staff of 20

Nishi-Hiroshima Rehabilitation Hospital.

Disclosure: The authors declare no conflict of interest.
ABMSII and ambulation in post-stroke patients. Page 2

ABSTRACT

Objective:
To test the hypothesis that the revised version of Ability for Basic 25

Movement Scale (ABMSII) can predict ambulation during rehabilitation in
post-stroke patients.
Subjects and Methods: 
The study included first-ever stroke patients who were
admitted to the rehabilitation ward and were dependent in walking. ABMSII were
assessed by physical therapists on admission to the hospital. Functional ambulation 30

category (FAC) was assessed every two weeks during hospitalization. The primary
outcome was independent ambulation, defined as ≥4 points of FAC. 
Results: After setting the inclusion criteria, data of 374 stroke patients (mean age:
70.0 years, 153 women) were eligible for the analysis. Of these, 193 patients achieved
independent ambulation during hospitalization. The ABMSII score was significantly 35

higher in the patients who regained independent walking than those who required
assistance in walking. Based on receiver-operating characteristics curve analysis,
ABMSII score of ≥16 points had a sensitivity of 93% and specificity of 71%.
Kaplan-Meier curve analysis after log-rank test demonstrated significantly higher
event rate in patients with ABMSII score ≥16 compared to those with ABMSII score 40

<16. Univariate and multivariate Cox regression analyses identified ABMSII score as
a significant and independent predictor of ambulation during rehabilitation.
Conclusions:
Our results suggest that ABMSII score is a potentially useful test to
predict ambulation during rehabilitation in post-stroke patients.