Factors of Gait Independence at 15 Days after Stroke Onset and Their Interrelationships in StrokDecision Tree Analysise Patients:

Hiratsuka, Kenta; Tamiya, Takamichi; Matsuoka, Shinji; Kimura, Kei

doi:10.1589/rika.36.361

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…They did not describe the detailed motor function scores of the patients’ upper and lower extremity motor function [ 31 ]. Hiratsuka et al reported the detailed SIAS-MLE scores of patients independently ambulating (an FAC score of 4 or 5) 15 days after stroke onset [ 32 ]. The scores (mean ± standard deviation) were 4.3 ± 1.2, 4.4 ± 1.2, and 4.3 ± 1.0 for the hip-flexion, knee-extension, and foot-pat tests, respectively [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…Hiratsuka et al reported the detailed SIAS-MLE scores of patients independently ambulating (an FAC score of 4 or 5) 15 days after stroke onset [ 32 ]. The scores (mean ± standard deviation) were 4.3 ± 1.2, 4.4 ± 1.2, and 4.3 ± 1.0 for the hip-flexion, knee-extension, and foot-pat tests, respectively [ 32 ]. Although individual SIAS-MLE scores were not evaluated in our study, the total SIAS-MLE score was similar to that reported by Hiratsuka et al [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“…The scores (mean ± standard deviation) were 4.3 ± 1.2, 4.4 ± 1.2, and 4.3 ± 1.0 for the hip-flexion, knee-extension, and foot-pat tests, respectively [ 32 ]. Although individual SIAS-MLE scores were not evaluated in our study, the total SIAS-MLE score was similar to that reported by Hiratsuka et al [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

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The Clinical Variables Predicting the Acquisition of Independent Ambulation in the Acute Phase of Stroke: A Retrospective Study

Koumo,

Maki,

Goda

et al. 2023

Geriatrics

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Background: Predictive factors associated with independent ambulation post-stroke are less commonly reported for patients during the acute phase of stroke. This study aimed to identify the clinical variables predicting ambulation independence in the acute phase of stroke and test the superiority of their prediction accuracy. Methods: Sixty-nine patients, hospitalized in the acute phase for an initial unilateral, supratentorial stroke lesion, were divided into independent (n = 24) and dependent ambulation (n = 45) groups, with functional ambulation category scores of 4–5 and ≤ 3, respectively. They were evaluated upon admission using the modified Rankin scale (mRS), Stroke Impairment Assessment Set (SIAS) concerning the motor function of the lower extremities, Ability for Basic Movement Scale modified version 2 (ABMS2), and Functional Independence Measure (FIM). Results: The scores of the four measures were significantly different between the groups. A univariate logistic regression analysis identified these variables as prognostic factors for independent ambulation. A receiver operating characteristic curve analysis identified the cutoff values (area under the curve) for the mRS, SIAS, FIM, and ABMS2 as 3 (0.74), 12 (0.73), 55 (0.85), and 23 (0.84), respectively. Conclusion: In summary, the FIM and ABMS2 may be more accurate in predicting ambulation independence in patients with stroke during the acute phase.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Clinical Variables Predicting the Acquisition of Independent Ambulation in the Acute Phase of Stroke: A Retrospective Study

Koumo,

Maki,

Goda

et al. 2023

Geriatrics

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“…We have previously investigated the predictors of gait at 15 days after stroke onset based on functional assessments using decision tree analysis. Our study suggested that the Short-Form Berg Balance Scale (SFBBS), an index of balance function, is the most relevant predictor of gait [12]. However, to our knowledge, none of the previous studies have examined the factors and relationships that affect walking independence, including balance and walking ability, longer than 15 days after stroke onset using decision tree analysis.…”

Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Stroke impairment, balance, and cognitive status on admission predict walking independence up to 90 days post-stroke but their contributions change over time

Hiratsuka

Tamiya

Matsuoka

et al. 2022

International Journal of Rehabilitation Research

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This study aimed to identify predictors of gait independence in three successive patient cohorts that received inpatient rehabilitation for at least 30 days, 60 days, or 90 days post-stroke. A total of 26 independent variables were collected within 3 days of stroke onset, including basic information (age, sex, stroke type), sensorimotor function (Stroke Impairment Assessment Set), gait function, balance function, and cognitive function. The dependent variable was walking independence (without assistance from another person) at 30, 60, or 90 days post-stroke. A decision tree was developed for predicting gait independence at each assessment time point. The predictors of walking independence differed among the cohorts that received inpatient rehabilitation for at least 30, 60, and 90 days post-stroke. Specifically, the Short Form Berg Balance Scale score was in the higher layer and was a strong predictor of gait at all time points. The cognitive Functional Independence Measure progressed to the higher layer at later time points. The lower extremity motor function was an additional predictor in the 30-day cohort. For later cohorts, the predictive value of balance and cognitive function declined whereas the contribution of the paralyzed grip strength and trunk function increased. These results suggest that sensorimotor and cognitive function within 3 days of stroke can predict walking independence between 1 and 3 months post-stroke; however, the prognostic value of predictors varies among the patients who receive inpatient rehabilitation for shorter versus longer time.

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A Scoping Review of Prognosis Prediction Studies Focusing on Activity and Participation Among Patients with Stroke in Japan

Kobayashi,

Maruyama,

Hirose

et al. 2024

Asian J OT

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Objective: A comprehensive overview of prognosis prediction studies on activity and participation among stroke survivors in Japan is currently lacking. This scoping review aimed to identify outcome measures, study characteristics, gaps, and issues in prognosis prediction studies focusing on activity and participation among patients with stroke in Japan. The study sought to provide guidance for future research. Methods: The PubMed and Ichushi-web databases were searched. Two reviewers independently selected studies according to set inclusion and exclusion criteria. After study selection, author names, publication year, aims, study type, study design, study scale, setting, sample size, outcomes, main analysis methods, and main findings were extracted, categorized, and summarized. Results: Eighty-three articles were finally included. The most frequently covered outcomes were activity of daily living (ADL) scores, such as the Functional Independence Measure (34 studies, 39.5%), followed by walking (26 studies, 30.2%). On the other hand, only few studies covered outcomes related to instrumental ADL and social activities, such as return to work and driving resumption. Although the number of studies has been increasing in recent years, 85.5% of the studies were conducted at single centers. Furthermore, only approximately 15% of the studies examined the validity of prediction models and indicators using a validation group. Conclusions: In the future, prognosis prediction studies focusing on multiple aspects of activity and participation, such as instrumental ADL and social activities are required in Japan. Equally important is the generation of high-quality evidence, a goal achievable by promoting multicenter studies and validating existing predictive models and indicators.

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Factors of Gait Independence at 15 Days after Stroke Onset and Their Interrelationships in StrokDecision Tree Analysise Patients:

Cited by 3 publications

References 22 publications

The Clinical Variables Predicting the Acquisition of Independent Ambulation in the Acute Phase of Stroke: A Retrospective Study

The Clinical Variables Predicting the Acquisition of Independent Ambulation in the Acute Phase of Stroke: A Retrospective Study

Stroke impairment, balance, and cognitive status on admission predict walking independence up to 90 days post-stroke but their contributions change over time

A Scoping Review of Prognosis Prediction Studies Focusing on Activity and Participation Among Patients with Stroke in Japan

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