Article

OBJECTIVE: To compare the predictive validity of trunk control in sitting
position assessed by Trunk Impairment Scale and balance in lying, sitting and
standing posture assessed by Postural Assessment Scale for Stroke patients on
functional outcome in stroke survivors. DESIGN: Prospective observational study.
SETTING: A single rehabilitation hospital in Italy.
SUBJECTS: Sixty of 68
consecutive subjects admitted to a rehabilitation hospital after stroke. MAIN
MEASURES: We performed Trunk Impairment Scale and Postural Assessment Scale for
Stroke patients at admission to inpatient rehabilitation. Outcome measures at
discharge were Functional Independence Measure score and destination (classified
as either home or institution). RESULTS: After adjustment for 14 potential
confounders, including Functional Independence Measure score at admission to
rehabilitation, both Trunk Impairment Scale and Postural Assessment Scale for
Stroke patients scores were significantly associated with the Functional
Independence Measure score at discharge (P = 0.010 and P =0.04, respectively),
change in the Functional Independence Measure score during rehabilitation (P =
0.003 and P<0.001, respectively), Functional Independence Measure effectiveness
(P = 0.024 and P =0.017, respectively) and destination at discharge (P = 0.040
and P =0.032, respectively). The panel of prognostic variables predicted 64-65%
of the variance in the final Functional Independence Measure score, 30-35% of the
variance in the change of the Functional Independence Measure score during
rehabilitation, and 45-46% of the variance in the Functional Independence Measure
effectiveness depending on the inclusion of either Trunk Impairment Scale or
Postural Assessment Scale for Stroke patients score among the predictors.

Langue : ANGLAIS