Article

The Postural Assessment Scale for Stroke Patients (PASS) is used to
assess static and dynamic balance of stroke patients.
PASS has demonstrated good
measurement pro-perties for reliability and validity, but its predictive effect
for ambulation in stroke patients has not been investigated.
The aim of this
study was to investigate the predictive value of PASS for ambulation in patients
with stroke after inpatient rehabilitation. METHODS:
In this retrospective study,
a total of 341 stroke patients were recruited from a rehabilitation ward of a
medical university hospital. Patients were assessed at baseline using PASS and
observation of rolling ability, and divided into 2 groups at discharge:
independently ambulatory
(n = 246) and non-ambulatory
(n = 95). Receiver
operating characteristic curve and adjusted bivariate logistic regression was
applied to analyse the predictive value of baseline PASS scores, variables of
demographic data, and rolling ability at admission to inpatient rehabilitation.
RESULTS: For all stroke patients, mean admission to the rehabilitation ward was
34.40 days after stroke and mean length of hospitalization 18.12 days. The
receiver operating characteristic curve was obtained with a cut-off score of 3.5
points for static PASS, 8.5 points for dynamic PASS, and 12.5 points for total
PASS, demonstrating the highest percentage of accurately predicted ability of
independently walking at discharge. Adjusted bivariate logistic regression found
rolling ability, static PASS and dynamic PASS to be predictors for ambulation of
stroke patients at discharge. CONCLUSION: Initial static PASS score, dynamic PASS
score and rolling can be predictors for independent ambulation of stroke patients
after a course of inpatient rehabilitation.

Langue : ANGLAIS