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Comparison of Three Instruments for Activity Disability in Acute Ischemic Stroke Survivors.

Qian Wu1,2, Aijie Tang2, Shuzhen Niu2

  • 1Shanghai Tenth People's Hospital Affiliated to Tongji University, Shanghai, People's Republic of China.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|July 15, 2020
PubMed
Summary

The Modified Barthel Index (MBI) best measures physical activity disability in stroke survivors. The modified Rankin Scale (mRs) most accurately predicts short-term stroke severity.

Keywords:
ActivityDisabilityInstrumental ADLModified Barthel indexModified Rankin scaleNIHSSStroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Assessment

Background:

  • Physical activity and functional independence disabilities impact early stroke rehabilitation.
  • Accurate assessment of physical disability is crucial for prognosis in stroke survivors.

Purpose of the Study:

  • To compare three assessment tools for physical activity in acute-phase stroke survivors.
  • To evaluate the predictive value of these tools for short-term stroke severity.

Main Methods:

  • Prospective observational study in Shanghai, China (June 2018 - November 2019).
  • Administered Modified Barthel Index (MBI), Instrumental Activities of Daily Living (IADL), and modified Rankin Scale (mRs) on post-stroke days 5-7.
  • Analyzed correlations with National Institutes of Health Stroke Scale (NIHSS) and used ROC curves for predictive value assessment.

Main Results:

  • High correlation observed among MBI, IADL, and mRs.
  • MBI showed a higher correlation with early NIHSS (days 5-7).
  • Modified Rankin Scale (mRs) demonstrated the highest predictive value for 30-day stroke severity.

Conclusions:

  • Modified Barthel Index (MBI) is optimal for measuring physical activity disability post-stroke.
  • Modified Rankin Scale (mRs) offers superior accuracy in predicting short-term stroke severity.