Quantifying lower extremity and trunk function for dressing in stroke patients: a retrospective observational study
Quantifying lower extremity and trunk function for dressing in stroke patients: a retrospective observational study
复制标题
量化中风患者下肢和躯干的敷料功能：一项回顾性观察研究
DOI：
10.1080/10749357.2018.1426240
复制
发表时间：
2018
影响因子：
2.2
通讯作者：
Tozato Fusae
中科院分区：
文献类型：
--
作者：
Fujita Takaaki;Sato Atsushi;Iokawa Kazuaki;Yamane Kazuhiro;Yamamoto Yuichi;Ohira Yoko;Otsuki Koji;Tozato Fusae
研究背景脑卒中患者的穿衣能力与平衡功能密切相关，主要受患侧和健侧下肢运动功能及躯干功能的影响。为了使治疗方法有效，确定患侧和健侧下肢和躯干达到穿衣平衡所需的功能程度是必要的。根据贝格平衡评分≥44分和≥32分进行分类，这两项评分是先前报道的独立和监督穿衣水平的标准指标。受试者工作特征曲线测定的中风损害评估项目的感觉和运动功能的影响下肢，腹肌力量，膝关节伸展muscle strength.ResultsAreaunder所有变量的曲线下面积≥0.7。在BBS 44点分析中，计算的截止值为SIAS髋关节屈曲4分，SIAS膝关节伸展4分，SIAS患侧足拍2分，SIAS患侧下肢触觉和位置感觉3分，SIAS腹肌力量3分，和3点SIAS膝关节伸展肌肉力量在未受影响的sides.ConclusionsThese截止值可以用作运动功能的目标，当使用的补救方法实现穿衣独立。
BackgroundDressing performance relates strongly with balance function, and it is mainly influenced by the motor functions of the affected and unaffected lower extremity and trunk function in stroke patients. For the remedial approach to be effective, ascertaining the degree of function needed in the affected and unaffected lower extremities and trunk to achieve balance function requisite for dressing is necessary.ObjectivesThis study aimed to elucidate standards of lower extremity and trunk function necessary for stroke patients to gain balance requisite for dressing.MethodsThe study included 105 first-time stroke patients, who were classified by Berg Balance Score ≥44 or not and ≥32 or not which are previously reported standard indicators for independent and supervision level in dressing. Receiver operating characteristic curves were determined for the stroke impairment assessment item of sensory and motor function of affected lower extremity, abdominal muscle strength, and knee extension muscle strength.ResultsArea under the curve was ≥0.7 for all variables. In BBS 44-point analyses, the calculated cut-off values were 4 points for SIAS hip flexion, 4 points for SIAS knee extension, 2 points for SIAS foot pat on the affected side, 3 points for SIAS tactile and position sensation of the affected lower extremity, 3 points for SIAS abdominal muscle strength, and 3 points for SIAS knee extension muscle strength on the unaffected side.ConclusionsThese cut-off values can be used as targets for motor functions, when using the remedial approach for achieving dressing independence.