Propensity-matched analysis of the gap between capacity and actual performance of dressing in patients with stroke

Abstract

[Purpose] Dressing is an activity of daily living for which stroke patients often show discrepancies between capacity and actual performance. The aim of this study was to elucidate the physical function and unilateral spatial neglect in stroke patients that reduce their level of actual performance despite having the capacity for dressing independently. [Subjects and Methods] This retrospective study included 60 first-time stroke patients judged by occupational therapists as able to dress independently. The patients were divided into two groups according to their FIM® instrument scores for dressing the upper and lower body: an independent group with both scores ≥6 and an assistance group with one or both scores ≤5. After adjusting for confounding factors through propensity score matching, the groups were compared by using Stroke Impairment Assessment Set items, the Simple Test for Evaluating Hand Function of both upper limbs, and the Berg balance scale. [Results] The assistance group had a significantly lower score for the Berg balance scale than the independent dressing group (31.0 ± 12.3 vs. 47.8 ± 7.4). [Conclusion] The results of the present study suggested that the balance function has an effect on the discrepancy between dressing capacity and performance.

Impairment in toileting behavior after a stroke

“…Di Monaco et al reported that balance is one of the most significant predictors of functional independence after stroke . Fujita et al noted that frail patients with balance impairments were dependent for toileting . In addition, according to the generalized linear model, motor paresis, cognitive impairment (such as unilateral special neglect and aphasia), diagnosis and the side of the lesion were significantly different between patients who can carry out toileting activities independently and those who cannot.…”

“…Many studies have shown a relationship between difficulty in toileting and psychosomatic impairments including, paralysis, balance impairments and cognitive impairments . Therefore, the presence or absence of these impairments was also determined.…”

“…Patients with a balance disorder have to use a handrail to avoid falling while carrying out toileting activities. The different component activities of the overall TB are associated with varying degrees of difficulty, which are also dependent on physical and cognitive disorders . However, difficulties associated with specific component activities of toileting and the predictors of physical and cognitive impairments related to independent toileting are unknown.…”

“…The different component activities of the overall TB are associated with varying degrees of difficulty, which are also dependent on physical and cognitive disorders. [10][11][12] However, difficulties associated with specific component activities of toileting and the predictors of physical and cognitive impairments related to independent toileting are unknown. This knowledge could help patients, their caregivers and clinicians understand the prognosis with respect to the activities of daily living, as well as promote the development of evidence-based interventions in stroke rehabilitation.…”

Re‐employment of people with chronic stroke: A single‐centre retrospective study

“…It was reported that the items of clothing worn on the lower half of the body were significantly correlated with the physical assessments. In particular, balance and kinaesthetic sensation were related to lower body dressing ability but skin sensations were not (Fujita et al ., ; Walker & Lincoln, ). Lower body dressing of stroke survivors is also suggested to be closely related to good sitting balance which might correlate with the ability to keep a stable posture while working (Hama et al ., ).…”