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Updated: Aug 30, 2025
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Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
Published on: March 11, 2021
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Gait evaluation in stroke hemiplegic patients using short physical performance battery
Shota Itoh1, Takahiro Ogino1, Kenji Kawakami1
1Department of Rehabilitation, Fujita Health University Nanakuri Memorial Hospital, 424-1, Oodoricho, Tsu, Mie 514-1295, Japan.
Summary
The Short Physical Performance Battery (SPPB) and Functional Independence Measure cognitive (FIM-C) are key predictors of walking independence in stroke survivors. Combining SPPB with cognitive assessment improves accuracy for fall prevention strategies.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Geriatrics
Background:
- Falls are a daily concern for stroke patients, necessitating accurate fall prevention assessments.
- The predictive value of the Short Physical Performance Battery (SPPB) for walking independence in stroke patients remains under investigation.
Purpose of the Study:
- To determine if the Short Physical Performance Battery (SPPB) can predict walking independence in hemiplegic stroke patients.
Main Methods:
- 105 hemiplegic stroke patients underwent cross-sectional physical function and Functional Independence Measure cognitive (FIM-C) evaluations.
- Logistic regression and ROC curve analysis were used to identify predictors of walking independence and establish cutoff values.
Main Results:
- 86 participants were analyzed; 36 were independent walkers, 50 were dependent.
- SPPB (cutoff 7, AUC 0.94) and FIM-C (cutoff 32, AUC 0.83) were significant predictors of walking independence.
- SPPB demonstrated high sensitivity (0.83) and specificity (0.73) for predicting walking independence.
Conclusions:
- Both SPPB and FIM-C are significant factors for determining walking independence in stroke survivors.
- While SPPB alone is insufficient, its combination with cognitive function assessment offers a more precise method for evaluating walking independence and informing fall prevention.
