Clinical factors associated with trunk control after stroke: A prospective study

Detalhes bibliográficos
Autor(a) principal: Martins, Laís Geronutti [UNESP]
Data de Publicação: 2021
Outros Autores: Molle da Costa, Rafael Dalle [UNESP], Alvarez Sartor, Lorena Cristina [UNESP], Thomaz de Souza, Juli [UNESP], Winckler, Fernanda Cristina [UNESP], Regina da Silva, Taís [UNESP], Modolo, Gabriel Pinheiro [UNESP], Nunes, Hélio Rubens De Carvalho [UNESP], Bazan, Silméia Garcia Zanati [UNESP], Martin, Luis Cuadrado [UNESP], Luvizutto, Gustavo José, Bazan, Rodrigo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1080/10749357.2020.1805244
http://hdl.handle.net/11449/228837
Resumo: Introduction: Poor trunk control after stroke can impact recovery of global functional abilities. Therefore, the aim of this study was to evaluate whether clinical and functional data from stroke participants can be used to predict trunk control at 90 days. Methods: This is a prospective study of 37 participants with stroke. The variables evaluated at hospital discharge were stroke severity (National Institute of Health Stroke Scale - NIHSS); functional capacity (modified Rankin scale - mRS); handgrip; and cognitive function. At 90 days, the variables evaluated were autonomy (Functional Independence Measure–FIM, Barthel Index); gait mobility (Tinetti mobility test -TMT); quality of life (European Quality of Life Scale - EuroQol-5D) and trunk control (trunk impairment scale - TIS). The participants were considered to have satisfactory (TIS³14) or non-satisfactory trunk control (TIS≤13), and the differences between them were assessed by chi-square test (categorical variables) and Mann-Whitney/unpaired t-test (continuous variables). A ROC curve was used to show cut-off value of clinical variables to predict trunk control. Results: The unsatisfactory trunk control group presented ahigher NIHSS at discharge (p=0.01), higher mRS at discharge (p=0.00), lower Barthel Index at 90 days (p=0.03), lower FIM at 90 days (p=0.01) and lower TMT at 90 days (p=0.00) than the satisfactory trunk control group. The best cut-off points for the NIHSS and mRS scores at discharge for predicting unsatisfactory trunk control are ≥6 and ≥3, respectively. Conclusion: Greater NIHSS and mRS scores at hospital discharge increase the chance of unsatisfactory trunk control at 90 days after stroke.
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spelling Clinical factors associated with trunk control after stroke: A prospective studyoutcomes assessmentposture controlrehabilitationStroketorsoIntroduction: Poor trunk control after stroke can impact recovery of global functional abilities. Therefore, the aim of this study was to evaluate whether clinical and functional data from stroke participants can be used to predict trunk control at 90 days. Methods: This is a prospective study of 37 participants with stroke. The variables evaluated at hospital discharge were stroke severity (National Institute of Health Stroke Scale - NIHSS); functional capacity (modified Rankin scale - mRS); handgrip; and cognitive function. At 90 days, the variables evaluated were autonomy (Functional Independence Measure–FIM, Barthel Index); gait mobility (Tinetti mobility test -TMT); quality of life (European Quality of Life Scale - EuroQol-5D) and trunk control (trunk impairment scale - TIS). The participants were considered to have satisfactory (TIS³14) or non-satisfactory trunk control (TIS≤13), and the differences between them were assessed by chi-square test (categorical variables) and Mann-Whitney/unpaired t-test (continuous variables). A ROC curve was used to show cut-off value of clinical variables to predict trunk control. Results: The unsatisfactory trunk control group presented ahigher NIHSS at discharge (p=0.01), higher mRS at discharge (p=0.00), lower Barthel Index at 90 days (p=0.03), lower FIM at 90 days (p=0.01) and lower TMT at 90 days (p=0.00) than the satisfactory trunk control group. The best cut-off points for the NIHSS and mRS scores at discharge for predicting unsatisfactory trunk control are ≥6 and ≥3, respectively. Conclusion: Greater NIHSS and mRS scores at hospital discharge increase the chance of unsatisfactory trunk control at 90 days after stroke.Rehabilitation Department Botucatu Medical SchoolDoctorate student in Physiopathology in Internal Medicine Botucatu Medical SchoolNeurologist in the Stroke Unit Botucatu Medical SchoolDepartment of Public Health Botucatu Medical SchoolDepartment of Internal Medicine Botucatu Medical SchoolDepartment of Applied Physical Therapy Federal University of Triângulo Mineiro (UFTM)Department of Neurology Psychology and Psychiatry Botucatu Medical SchoolRehabilitation Department Botucatu Medical SchoolDoctorate student in Physiopathology in Internal Medicine Botucatu Medical SchoolNeurologist in the Stroke Unit Botucatu Medical SchoolDepartment of Public Health Botucatu Medical SchoolDepartment of Internal Medicine Botucatu Medical SchoolDepartment of Neurology Psychology and Psychiatry Botucatu Medical SchoolUniversidade Estadual Paulista (UNESP)Federal University of Triângulo Mineiro (UFTM)Martins, Laís Geronutti [UNESP]Molle da Costa, Rafael Dalle [UNESP]Alvarez Sartor, Lorena Cristina [UNESP]Thomaz de Souza, Juli [UNESP]Winckler, Fernanda Cristina [UNESP]Regina da Silva, Taís [UNESP]Modolo, Gabriel Pinheiro [UNESP]Nunes, Hélio Rubens De Carvalho [UNESP]Bazan, Silméia Garcia Zanati [UNESP]Martin, Luis Cuadrado [UNESP]Luvizutto, Gustavo JoséBazan, Rodrigo [UNESP]2022-04-29T08:28:57Z2022-04-29T08:28:57Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article181-189http://dx.doi.org/10.1080/10749357.2020.1805244Topics in Stroke Rehabilitation, v. 28, n. 3, p. 181-189, 2021.1945-51191074-9357http://hdl.handle.net/11449/22883710.1080/10749357.2020.18052442-s2.0-85089189868Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengTopics in Stroke Rehabilitationinfo:eu-repo/semantics/openAccess2024-09-03T14:11:19Zoai:repositorio.unesp.br:11449/228837Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T14:11:19Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Clinical factors associated with trunk control after stroke: A prospective study
title Clinical factors associated with trunk control after stroke: A prospective study
spellingShingle Clinical factors associated with trunk control after stroke: A prospective study
Martins, Laís Geronutti [UNESP]
outcomes assessment
posture control
rehabilitation
Stroke
torso
title_short Clinical factors associated with trunk control after stroke: A prospective study
title_full Clinical factors associated with trunk control after stroke: A prospective study
title_fullStr Clinical factors associated with trunk control after stroke: A prospective study
title_full_unstemmed Clinical factors associated with trunk control after stroke: A prospective study
title_sort Clinical factors associated with trunk control after stroke: A prospective study
author Martins, Laís Geronutti [UNESP]
author_facet Martins, Laís Geronutti [UNESP]
Molle da Costa, Rafael Dalle [UNESP]
Alvarez Sartor, Lorena Cristina [UNESP]
Thomaz de Souza, Juli [UNESP]
Winckler, Fernanda Cristina [UNESP]
Regina da Silva, Taís [UNESP]
Modolo, Gabriel Pinheiro [UNESP]
Nunes, Hélio Rubens De Carvalho [UNESP]
Bazan, Silméia Garcia Zanati [UNESP]
Martin, Luis Cuadrado [UNESP]
Luvizutto, Gustavo José
Bazan, Rodrigo [UNESP]
author_role author
author2 Molle da Costa, Rafael Dalle [UNESP]
Alvarez Sartor, Lorena Cristina [UNESP]
Thomaz de Souza, Juli [UNESP]
Winckler, Fernanda Cristina [UNESP]
Regina da Silva, Taís [UNESP]
Modolo, Gabriel Pinheiro [UNESP]
Nunes, Hélio Rubens De Carvalho [UNESP]
Bazan, Silméia Garcia Zanati [UNESP]
Martin, Luis Cuadrado [UNESP]
Luvizutto, Gustavo José
Bazan, Rodrigo [UNESP]
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
Federal University of Triângulo Mineiro (UFTM)
dc.contributor.author.fl_str_mv Martins, Laís Geronutti [UNESP]
Molle da Costa, Rafael Dalle [UNESP]
Alvarez Sartor, Lorena Cristina [UNESP]
Thomaz de Souza, Juli [UNESP]
Winckler, Fernanda Cristina [UNESP]
Regina da Silva, Taís [UNESP]
Modolo, Gabriel Pinheiro [UNESP]
Nunes, Hélio Rubens De Carvalho [UNESP]
Bazan, Silméia Garcia Zanati [UNESP]
Martin, Luis Cuadrado [UNESP]
Luvizutto, Gustavo José
Bazan, Rodrigo [UNESP]
dc.subject.por.fl_str_mv outcomes assessment
posture control
rehabilitation
Stroke
torso
topic outcomes assessment
posture control
rehabilitation
Stroke
torso
description Introduction: Poor trunk control after stroke can impact recovery of global functional abilities. Therefore, the aim of this study was to evaluate whether clinical and functional data from stroke participants can be used to predict trunk control at 90 days. Methods: This is a prospective study of 37 participants with stroke. The variables evaluated at hospital discharge were stroke severity (National Institute of Health Stroke Scale - NIHSS); functional capacity (modified Rankin scale - mRS); handgrip; and cognitive function. At 90 days, the variables evaluated were autonomy (Functional Independence Measure–FIM, Barthel Index); gait mobility (Tinetti mobility test -TMT); quality of life (European Quality of Life Scale - EuroQol-5D) and trunk control (trunk impairment scale - TIS). The participants were considered to have satisfactory (TIS³14) or non-satisfactory trunk control (TIS≤13), and the differences between them were assessed by chi-square test (categorical variables) and Mann-Whitney/unpaired t-test (continuous variables). A ROC curve was used to show cut-off value of clinical variables to predict trunk control. Results: The unsatisfactory trunk control group presented ahigher NIHSS at discharge (p=0.01), higher mRS at discharge (p=0.00), lower Barthel Index at 90 days (p=0.03), lower FIM at 90 days (p=0.01) and lower TMT at 90 days (p=0.00) than the satisfactory trunk control group. The best cut-off points for the NIHSS and mRS scores at discharge for predicting unsatisfactory trunk control are ≥6 and ≥3, respectively. Conclusion: Greater NIHSS and mRS scores at hospital discharge increase the chance of unsatisfactory trunk control at 90 days after stroke.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
2022-04-29T08:28:57Z
2022-04-29T08:28:57Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1080/10749357.2020.1805244
Topics in Stroke Rehabilitation, v. 28, n. 3, p. 181-189, 2021.
1945-5119
1074-9357
http://hdl.handle.net/11449/228837
10.1080/10749357.2020.1805244
2-s2.0-85089189868
url http://dx.doi.org/10.1080/10749357.2020.1805244
http://hdl.handle.net/11449/228837
identifier_str_mv Topics in Stroke Rehabilitation, v. 28, n. 3, p. 181-189, 2021.
1945-5119
1074-9357
10.1080/10749357.2020.1805244
2-s2.0-85089189868
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Topics in Stroke Rehabilitation
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 181-189
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
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