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Hierarchy of Dysfunction Related to Dressing Performance in Stroke Patients: A Path Analysis Study
Takaaki Fujita1,2, Hirofumi Nagayama3, Atsushi Sato4
1Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Sendai, Miyagi, Japan.
Plos One
|March 9, 2016
Summary
Stroke survivors
Area of Science:
- Rehabilitation Medicine
- Neuroscience
- Gerontology
Background:
- Stroke frequently impairs independence in dressing.
- Dysfunctions after stroke can be hierarchical and complex.
- Limited research exists on the hierarchical relationships affecting dressing post-stroke.
Purpose of the Study:
- To investigate the hierarchical and causal links between dressing performance and various post-stroke dysfunctions.
- To analyze relationships with balance, limb function, muscle strength, and visuospatial deficits.
- To understand factors influencing dressing independence in stroke patients.
Main Methods:
- Retrospective analysis of 104 first-time stroke patients.
- Path analysis to examine causal relationships.
- Model verification and modification for data fit.
Main Results:
- Balance function (0.78) and abdominal muscle strength (0.15) directly impact dressing performance.
- Age, affected limb motor/sensory function, and unaffected limb strength indirectly affect dressing via balance.
- Motor function of the affected lower limb is a key influencer.
Conclusions:
- Dressing performance in stroke patients is strongly dependent on balance function.
- Motor function of the affected lower limb significantly influences balance and thus dressing.
- Targeting balance and limb function is crucial for improving dressing independence.
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