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Motor Function Cutoff Values for Independent Dressing in Stroke Patients.
Takaaki Fujita1, Atsushi Sato2, Yuichi Yamamoto3
1Takaaki Fujita, MOT, OTR, is Research Associate, Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Sendai-city, Japan, and Graduate Student, Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Maebashi-city, Japan; t-fujita@tfu-mail.tfu.ac.jp.
This study identified key balance scores for stroke patients to predict dressing independence. A Berg Balance Scale score of 44 indicates independence, while 32 suggests supervision is needed.
Area of Science:
- Rehabilitation medicine
- Neuroscience
- Clinical assessment
Background:
- Dressing independence is crucial for stroke survivors' quality of life.
- Objective measures are needed to predict functional recovery in stroke patients.
- Motor and balance impairments significantly impact activities of daily living post-stroke.
Purpose of the Study:
- To establish cutoff values for motor function tests predicting dressing independence in stroke inpatients.
- To identify the most effective clinical assessment for predicting dressing independence.
- To correlate balance function with dressing independence levels.
Main Methods:
- Ninety-eight first-time stroke inpatients were categorized by dressing independence.
- Receiver operating characteristic (ROC) curve analysis was performed on various functional tests.
- Key variables included balance, limb motor function, trunk control, and cognitive function.
Main Results:
- The Berg Balance Scale (BBS) demonstrated the highest predictive accuracy among motor functions.
- A BBS score of 44 accurately distinguished independent dressing from supervision or less (85% sensitivity, 93% specificity).
- A BBS score of 32 differentiated supervision or higher from dependence (94% sensitivity, 79% specificity).
Conclusions:
- Balance is a critical determinant of dressing independence in stroke patients.
- Berg Balance Scale cutoff scores serve as reliable indicators for achieving different levels of dressing independence.
- These findings aid in tailoring rehabilitation strategies for stroke survivors.
