The relationship between initial trunk performances and functional prognosis in patients with stroke

Area of Science:

• Neurology
• Rehabilitation Medicine
• Physical Therapy

Background:

• Stroke significantly impairs trunk control, impacting overall functional recovery and mobility.
• Trunk performance is crucial for activities of daily living and gait post-stroke.

Purpose of the Study:

• To investigate the correlation between initial trunk performance and functional outcomes in stroke survivors.
• To determine if initial trunk performance can predict long-term functional prognosis.

Main Methods:

• Evaluated 135 stroke patients using the Trunk Impairment Scale (TIS).
• Assessed functional outcomes using the Korean version of Modified Barthel Index (K-MBI) and Functional Ambulation Categories.
• Employed correlation and stepwise multiple regression analyses.

Main Results:

• Initial TIS scores correlated with functional outcomes at 4 weeks post-stroke.
• Dynamic sitting balance (TIS-D) emerged as a significant predictor of functional outcomes.
• The predictive value of TIS on functional outcomes was stronger in the initial stages.

Conclusions:

• Trunk performance is a critical factor in stroke recovery and functional prognosis.
• Early assessment of trunk impairment, especially dynamic sitting balance, is valuable for predicting patient outcomes.
• Trunk rehabilitation should be emphasized in stroke management programs.