Trunk Impairment Scale -TIS precise tool for evaluating trunk motor deficit of stroke patients

Abstract

Stroke causes impairment of brain function resulting in the disorder of motor control of the trunk. Assessment of the movement of a patient with hemiparesis poses many difficulties and limitations. A standard clinical neurological diagnosis does not provide an accurate assessment in terms of trunk deficit. This is the reason for the relatively small and insufficient monitoring of motor changes in patients. Post stroke assessment of the trunk is still insufficient despite the fact that disorders are a common problem in patients with stroke. Trunk function has been identified as an important early predictor of functional outcome after stroke. Trunk Impairment Scale-TIS is the only well-validated tool to examine a patient with hemiparesis taking into account qualitative and quantitative assessment of the trunk deficit. This scale consists of three subscales: static balance in sitting, dynamic balance sitting and coordination. TIS assesses existing compensation during motor tasks. The scale was translated into Polish and pre-adapted to clinical practice The scale supports clinical reasoning in terms of structure and function, body disorders and activity limitations of patients after stroke It appears that the introduction of scale in the clinical study for patients with stroke hemiplegia may not only affect the expansion of detailed documentation of motor deficits, but to support planning and carrying out appropriate (suitable) physiotherapy strategies.

Relationship between motor dysfunction, the respiratory muscles and pulmonary function in stroke patients with hemiplegia: a retrospective study

“…Trunk function has been identified as an important early predictor of functional outcomes after stroke. The TIS is a valid tool for examining person with hemiplegia' trunk control ability, allowing for both qualitative and quantitative assessment of trunk deficits [20]. TIS consists of 3 subscales: namely, static, dynamic sitting balance and trunk coordination in a sitting position, with a total maximum score of 23 [21].…”