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Trunk control test as a functional predictor in stroke patients.

E Duarte1, E Marco, J M Muniesa

  • 1Eduarte@imas.imim.es

Journal of Rehabilitation Medicine
|November 21, 2002
PubMed
Summary
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The Trunk Control Test (TCT) effectively predicts rehabilitation outcomes for hemiparetic patients. Initial TCT scores correlate strongly with length of stay and functional independence, aiding in outcome prediction.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Hemiparetic patients often experience impaired trunk control, impacting functional recovery.
  • Early assessment of trunk control is crucial for predicting rehabilitation trajectories.

Purpose of the Study:

  • To prospectively evaluate the correlation between the Trunk Control Test (TCT) at admission and key rehabilitation outcomes.
  • To assess the predictive value of TCT for length of stay, functional independence, gait, and balance in hemiparetic patients.

Main Methods:

  • Prospective evaluation of 28 hemiparetic patients undergoing rehabilitation.
  • Trunk Control Test (TCT) and Functional Independence Measure (FIM) assessed at admission.
  • Outcome measures at discharge included FIM, gait velocity, walking distance, Berg Balance Scale, and posturography.

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Main Results:

  • TCT showed significant correlations with length of stay (r = -0.722) and discharge FIM (r = 0.738).
  • TCT also correlated significantly with gait velocity (r = 0.654), walking distance, and Berg Balance Scale (r = 0.755).
  • Initial TCT predicted 52% of length of stay variation and 54% of discharge FIM variation.

Conclusions:

  • The Trunk Control Test is a valuable predictor of rehabilitation outcomes in hemiparetic patients.
  • Combining TCT with admission FIM further enhances prediction accuracy for length of stay and functional independence.