Postural Assessment Scale for Stroke Patients Scores as a predictor of stroke patient ambulation at discharge from the rehabilitation ward

Abstract

Objective: 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 inpa tient rehabilitation. Methods: In this retrospective study, a total of 341 stroke pa tients 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 nonambulatory (n = 95). Receiver operating character istic curve and adjusted bivariate logistic regression was ap plied to analyse the predictive value of baseline PASS scores, variables of demographic data, and rolling ability at admis sion to inpatient rehabilitation. Results: For all stroke patients, mean admission to the reha bilitation ward was 34.40 days after stroke and mean length of hospitalization 18.12 days. The receiver operating charac teristic curve was obtained with a cutoff 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 roll ing 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.

Two Balance Measures as Poststroke Predictors of Ambulation Status at Discharge From Inpatient Rehabilitation

“…Walking velocity as measured by SSGS on admission was identified as a potential predictor of community ambulation at discharge. The result of the study supports the findings from previous studies indicating that balance and walking velocity outcome measures on admission may predict the walking capacity of patients with stroke at discharge 6,8,27–31. The results of this study support findings from others that also analyzed the use of the BBS in predicting household and community ambulators at discharge 8,13.…”

WITHDRAWN: Intrarater and Interrater Reliability of Dynamic Gait Index in Post Stroke Patients With Eye Movement Disorders

“…In clinical practice, various clinical tools have been used to assess dynamic balance and walking performance in stroke patients such as functional independent measure (10), functional classi cation ambulation (11) and timed walking tests (12) but these clinical measures provide limited information to plan treatment and outcome measurements. In addition, it has been reported that dynamic balance of chronic stroke patients during walking cannot be measured with static balance scales (13).…”

Kronik İnmede İnmeli Hastalar için Postüral Değerlendirme Ölçeği'nin Psikometrik Özelliklerinin Berg Denge Ölçeği ve Brunel Denge Değerlendirmesi ile Karşılaştırılması

“…PASS is a practical test that is easy to apply and understand to assess postural control and balance in patients with low physical performance levels. They also showed that it could be used in determining the discharge recommendations in acute care (14) and in predicting ambulation levels (15). An and Lee ( 16) examined the validity and reliability of PASS in patients with chronic stroke, and found the intra-rater (ICC 3,1=0.97, 95% CI) and absolute (SEM=1.01) reliability, and BBS to be high.…”