The relationship between initial trunk control or postural balance and inpatient rehabilitation outcome after stroke: a prospective comparative study

Abstract

After adjustment for 14 potential confounders, including Functional Independence Measure score at admission to rehabilitation, both Trunk Impairment Scale and Postural Assessment Scale for Stroke patients scores were significantly associated with the Functional Independence Measure score at discharge (P = 0.010 and P =0.04, respectively), change in the Functional Independence Measure score during rehabilitation (P = 0.003 and P<0.001, respectively), Functional Independence Measure effectiveness (P = 0.024 and P =0.017, respectively) and destination at discharge (P = 0.040 and P =0.032, respectively). The panel of prognostic variables predicted 64-65% of the variance in the final Functional Independence Measure score, 30-35% of the variance in the change of the Functional Independence Measure score during rehabilitation, and 45-46% of the variance in the Functional Independence Measure effectiveness depending on the inclusion of either Trunk Impairment Scale or Postural Assessment Scale for Stroke patients score among the predictors.

Guidelines for Adult Stroke Rehabilitation and Recovery

“…54,271 The presence of neglect syndrome can predict a longer rehabilitation stay and lower functional status at discharge. 272 Among patients with less neurological impairment, assessment of balance ability with standardized measures such as the Berg Balance Scale or the Postural Assessment Scale for Stroke can help determine the risk of fall and need for inpatient rehabilitation rather than discharge home with outpatient services [273][274][275] (The Prevention of Falls section provides more information). For patients who can walk, assessment of gait speed with the 10-m walk test can help determine functional ambulatory ability.…”

Prognosis and Recovery of Motor Function with Lesion–Symptom Mapping in Patients with Stroke

“…For this reason, the analysis of recovery profiles is important because this information can help to provide more specific plans for stroke rehabilitation [11]. Several investigators have studied clinical post-stroke recovery, mostly in terms of upper and lower motor function, gait, balance, cognition, trunk control, and activities of daily living (ADL) [6,7,9,[12][13][14][15][16][17][18][19][20][21]. Our knowledge of the details of stroke recovery remains limited, and there are few validated predictors of clinical recovery and generally insufficient data on the degree of recovery that can be achieved.…”

Trunk Control and Lesion Locations According to Alberta Stroke Program Early CT Score in Acute Stroke: A Cross-Sectional Study

“…Trunk control has been found to be associated with balance and functional ability [31,32], functional change and destination at discharge [33], and to predict functional outcome at 6 months post stroke better than Barthel Index [34]. Trunk impairments may potentially be one explanatory factor for the patients' level of disability post stroke as seen in clinical practice.…”