Background
Trunk
control plays a crucial role in the stroke rehabilitation, but it is
unclear which factors could influence the trunk control after an
intensive rehabilitation treatment.
Objectives
To
study which demographic, clinical and functional variables could
predict the recovery of trunk control after intensive post-stroke
inpatient rehabilitation.
Methods
Subjects
with acute, first-ever stroke were enrolled and clinical and data were
collected at admission and discharge. The primary outcome was considered
the trunk control measured by the Trunk Control Test (TCT). The data
were analyzed by a univariate and multivariate logistic regressions.
Results
Two
hundred forty-one post-stroke patients were included. All baseline
variables significantly associated to TCT at discharge in the univariate
analysis (i.e. gender, NIHSS neglect item at admission, presence of
several complexity markers, TCT total score at admission, NIHSS total
score, pre-stroke modified Rankin Scale, Fugl-Meyer Assessment motor and
sensitivity score) were entered in the multivariate analysis. The
multivariate regression showed that age (p = .003), admission NIHSS total score (p = .001), admission TCT total score (p < .001) and presence of depression (p = .027) independently influenced the TCT total score at discharge (R2 = 61.2%).
Conclusions
Age,
admission neurological impairment (NIHSS total score), trunk control at
the admission (TCT total score), and presence of depression
independently influenced the TCT at discharge. These factors should be
carefully assessed at the baseline to plan (Well, where do we find that plan so others can use it?) tailoring rehabilitation
treatment achieving the best trunk control performance at discharge.
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