Repositori URV

Identifier: TDX:621

Handle: https://hdl.handle.net/20.500.11797/TDX621

Authors:
Duarte Oller, Esther

Abstract:
TRUNK BALANCE AS A PREDICTOR OF MOTOR OUTCOME IN PATIENTS WITH STROKE ABSTRACTBackground: The search for predictors of functional stroke outcome has always been matter of research in Physical Medicine and Rehabilitation. Outcome prediction at an early stage enables clinicians not only to inform patients and their families, but also to set realistic therapeutic goals. A lot of prognostic studies have evaluated several factors, which either individually or in combination claim to predict functional outcome in stroke. The Trunk Control Test (TCT) proposed by Collin & Wade administered at 6 weeks post-stroke is a predictor of the walking ability at 18 weeks. The TCT reliability and validity has been demonstrated in stroke patients, as well as its positive correlation with disability at hospital discharge from in-patient rehabilitation measured with the Functional Independence Measure (FIM). In a previous study, a predictive model which only includes the FIM and the TCT measured at admission of patients to a rehabilitation ward, predicts 66.5% of the variability of the functional level at discharge (total FIM). Objective: To develop an early model to predict motor function (disability, walking ability and balance)at 6 months, taking into account the TCT and other valid predictors evaluated in the first and second week after suffering a stroke.Patients and Methods: Seventy-five consecutive patients with first stroke who were admitted to a rehabilitation hospital were studied. Sex, age, the stroke type, urinary incontinence, the National Institutes of Health Stroke Scales (NIHSS) and the TCT scores (assessed at first and second week post-stroke) as independent variables. Motor function outcome at 6 months after stroke is defined by the use the Rankin score, the motor FIM and