Clinical measurement tools to assess trunk performance after stroke: a systematic review

Sorrentino, Gregorio; Sale, Patrizio; Solaro, Claudio; Rabini, Alessia; Cerri, C; Ferriero, Giorgio

doi:10.23736/s1973-9087.18.05178-x

Cited by 35 publications

(21 citation statements)

References 59 publications

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“…Based on JBI guidelines checklist, nine (26%) systematic reviews used a standardized methodology, either PRISMA guidelines [ 21 , 49 , 52 – 54 , 57 ] or standardized accepted guidelines from previously published work [ 25 , 46 , 63 ]. Although the quality of evidence of the literature search and evaluation of measurement properties of the review was generally acceptable, a minority of systematic reviews (17%) [ 21 , 26 , 49 , 52 – 54 ] used the COSMIN Risk of Bias checklist, which resulted in low quality of evidence (SI.…”

Section: Resultsmentioning

confidence: 99%

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

et al. 2022

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Background and objective While several mobility measures exist, there is large variability across measures in how mobility is conceptualized, the source of information and the measurement properties making it challenging to select relevant mobility measures for individuals with acquired brain injury (ABI). Therefore, the objective was to conduct a comprehensive synthesis of existing evidence on the measurement properties, the interpretability and the feasibility of mobility measures from various sources of information (patients, clinicians, technology) using an umbrella review of published systematic reviews among individuals with ABI. Methods Ovid MEDLINE, CINHAL, Cochrane Library and EMBASE electronic databases were searched from 2000 to March 2020. Two independent reviewers appraised the methodological quality of the systematic reviews using the Joanna Briggs Institute critical appraisal checklist. Measurement properties and quality of evidence were applied according to COnsensus-based Standards for the Selection of Health Measurement Instrument (COSMIN) guidelines. Mobility measures were categorized using international standards with the international classification of functioning, disability and health (ICF). Results Thirty-five systematic reviews were included covering 147 mobility measures, of which 85% were mapped to the ICF Activity and Participation component. Results showed an acceptable overall "sufficient" rating for reliability, construct validity and responsiveness for 132 (90%), 127 (86%) and 76 (52%) of the measures, respectively; however, among these measures, ≤ 25% of the methods for evaluating these properties were rated as ‘high’ quality of evidence. Also, there was limited information that supports measure feasibility and scoring interpretability. Conclusions Future systematic reviews should report measures’ content validity to support the use of the measure in clinical care and research. More evaluations of the minimal important difference and floor and ceiling effects are needed to help guide clinical interpretation. Registration information International Prospective Register of Systematic Reviews (PROSPERO); ID: CRD42018100068.

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Section: Resultsmentioning

confidence: 99%

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

et al. 2022

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“…The function and stability of the trunk are essential for balance, mobility, gait, and activities of daily living 6,26,27) . Previous studies have shown that trunk function along with trunk muscle strength, activities, and postural control are impaired in stroke patients 28) . This study showed that KT application on the trunk could improve TIS scores and DCL in LOS immediately, suggesting that trunk KT application may be an effective intervention for trunk function and postural control in stroke patients, at least in the short term.…”

Section: Discussionmentioning

confidence: 97%

Effects of kinesiology taping on trunk function, balance, and mobility in stroke patients: a pilot feasibility study

Liao

et al. 2020

J Phys Ther Sci

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This study aimed to explore whether trunk kinesiology taping (KT) can improve trunk function, mobility, and balance in post-stroke patients with hemiparesis. [Participants and Methods] We conducted a single-group pre-post design pilot feasibility study. Thirteen individuals with post-stroke hemiplegia were recruited for this study. All patients received therapeutic trunk KT on the skin, representing the direction of fibres of the trunk muscles underneath. We used the Trunk Impairment Scale (TIS) and Trunk Control Test (TCT) to measure trunk function, Fugl-Meyer assessment (FMA) for balance, limits of stability (LOS) to evaluate balance, and the modified Rivermead mobility index (MRMI) to assess mobility in post-stroke patients. All measures were assessed before and immediately after the intervention. [Results] No adverse effects were found and all patients completed the trial. Compared to the baseline, TIS scores were significantly increased after KT, whereas no changes in TCT score were detected. The directional control of LOS was significantly improved, while no significant changes were seen in the other parameters of LOS, FMA-balance, and MRMI scores. [Conclusion] The results of this investigation show that trunk KT has immediate effects that improve certain trunk functional and balance parameters in stroke patients.

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“…Although many reports have already demonstrated the motor function of the limbs ( 5 – 7 ), we believe that the severity and improvement of paralysis do not necessarily correspond to trunk function improvement. Several systematic reviews have investigated a method of measuring the balance in the clinical practice and as a clinical measurement tool for assessing the trunk function after stroke ( 42 – 44 ). TCT is the first clinical tool to assess the motor capacity of the trunk ( 1 ).…”

Section: Discussionmentioning

confidence: 99%

Trunk Impairment as a Predictor of Activities of Daily Living in Acute Stroke

et al. 2021

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Background and purpose: Trunk function plays a key role in performing activities of daily living (ADL) including locomotion and sitting. Sitting and ADL should be performed as early as possible especially during the acute phase of stroke rehabilitation. Therefore, this study aimed to assess trunk function among patients with acute stroke using the Trunk Impairment Scale (TIS) and to predict its functional outcomes.Methods: Overall, 67 patients with acute stroke (i.e., within 2 days of occurrence of the stroke) were included. The following clinical assessment items were obtained within 48 h after stroke onset and on the day before discharge from the hospital. Trunk function was examined using TIS and Trunk Control Test (TCT). The motor function of the upper and lower extremities was assessed using the stroke impairment assessment set motor (SIAS-M) score, and ADL was assessed using functional independence measure motor (FIM-M) items.Results: Multiple regression analysis was performed using the stepwise regression method, using the total FIM-M score following discharge as the dependent variable and age, TIS, TCT, SIAS-M, and FIM-M within 48 h after stroke onset as the independent variables. Age, TIS, and FIM-M within 48 h after stroke onset were selected as the input variables and showed a high-adjusted determination coefficient (R2 = 0.79; P < 0.001).Conclusion: TIS is a reliable method for evaluating trunk control function and is an early predictor of ADL among patients with acute stroke.

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Clinical measurement tools to assess trunk performance after stroke: a systematic review

Cited by 35 publications

References 59 publications

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

Quality of mobility measures among individuals with acquired brain injury: an umbrella review

Effects of kinesiology taping on trunk function, balance, and mobility in stroke patients: a pilot feasibility study

Trunk Impairment as a Predictor of Activities of Daily Living in Acute Stroke

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