Relationship between Grooming Performance and Motor and Cognitive Functions in Stroke Patients with Receiver Operating Characteristic Analysis
Relationship between Grooming Performance and Motor and Cognitive Functions in Stroke Patients with Receiver Operating Characteristic Analysis
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接受者操作特征分析中风患者的梳理行为与运动和认知功能的关系
DOI：
10.1016/j.jstrokecerebrovasdis.2017.06.054
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Tozato Fusae
中科院分区：
文献类型：
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作者：
Fujita Takaaki;Sato Atsushi;Tsuchiya Kenji;Ohashi Takuro;Yamane Kazuhiro;Yamamoto Yuichi;Iokawa Kazuaki;Ohira Yoko;Otsuki Koji;Tozato Fusae
BackgroundThis study aims to eliminate the relationship between grooming performance of stroke patients and various motor and cognitive functions and to examine the cognitive and physical functional standards required for grooming independence.MethodsWe retrospectively analyzed the data of 96 hospitalized patients with first stroke in a rehabilitation hospital ward. Logistic回归分析和受试者工作特征曲线被用来调查与理毛表现相关的认知和运动功能，并计算理毛中独立和监督水平的截止值。结果对于独立和监督依赖组之间的分析，曲线下面积（AUC）为0.9或更高的唯一项目是贝格平衡量表，临界值为41/40（敏感性83.6%，特异性87.8%）。对于独立监督组和依赖组之间的分析，AUC为0.9或更高的项目是未受影响侧的简单手功能评估测试（STEF），活力指数（VI）和认知能力。STEF的临界值为68/67（敏感性，100%;特异性，72.2%），VI为9/8分（灵敏度，92.3%;特异性，88.9%），FIM®认知23/22分（敏感性91.0%;特异性，88.9%）。结论我们的研究结果表明，上肢功能的非患侧，动机，认知功能对达到监督水平尤为重要，而这种平衡对达到独立水平至关重要。通过对尚未达到这些截止值的功能进行治疗性或补偿性干预，可以有效改善梳理性能。
BackgroundThis study aimed to elucidate the relationship between grooming performance of stroke patients and various motor and cognitive functions and to examine the cognitive and physical functional standards required for grooming independence.MethodsWe retrospectively analyzed the data of 96 hospitalized patients with first stroke in a rehabilitation hospital ward. Logistic regression analysis and receiver operating characteristic curves were used to investigate the related cognitive and motor functions with grooming performance and to calculate the cutoff values for independence and supervision levels in grooming.ResultsFor analysis between the independent and supervision-dependent groups, the only item with an area under the curve (AUC) of .9 or higher was the Berg Balance Scale, and the calculated cutoff value was 41/40 (sensitivity, 83.6%; specificity, 87.8%). For analysis between the independent-supervision and dependent groups, the items with an AUC of .9 or higher were the Simple Test for Evaluating Hand Function (STEF) on the nonaffected side, Vitality Index (VI), and FIM®cognition. The cutoff values were 68/67 for the STEF (sensitivity, 100%; specificity, 72.2%), 9/8 points for the VI (sensitivity, 92.3%; specificity, 88.9%), and 23/22 points for FIM®cognition (sensitivity, 91.0%; specificity, 88.9%).ConclusionsOur results suggest that upper-extremity functions on the nonaffected side, motivation, and cognitive functions are particularly important to achieve the supervision level and that balance is important to reach the independence level. The effective improvement of grooming performance is possible by performing therapeutic or compensatory intervention on functions that have not achieved these cutoff values.