Clinical factors associated with trunk control after stroke: A prospective study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , |
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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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 |
_version_ |
1810021369056854016 |