Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Assessment of the Influence of Physical Impairments on Activities in Persons With Stroke

  • Woo, Young-Keun (Dept. of Physical Therapy, College of Alternative Medicine, Jeonju University)
  • Received : 2011.08.18
  • Accepted : 2011.09.20
  • Published : 2011.11.19
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Abstract

The aim of this study was to analyze the relationship between physical impairments and daily activities on the basis of the outcome measurements in stroke patients. Seventy-six stroke patients participated in this study. Two physical therapists evaluated 3 clinical common measurements, i.e., the Fugl-Meyer Assessment (FMA), the Berg Balance Scale (BBS), and the Functional Independence Measure (FIM). Multiple regression analysis was used, as the dependent variables were the BBS and FIM; the independent variables were post-stroke duration, FMA of Upper Extremity (FMU), and FMA of Lower Extremity (FML). In the regression equation of the BBS, the coefficient of determination ($R^2$) was .383, and the FML was found to be the most important variable for determining the BBS score. In the regression equation of the FIM, $R^2$ was .531, and the FML was found to be the most important variable for determining the FIM. These results suggest that there is a need to determine the function of activities on the basis of the physical impairments of stroke patients. More variable measurement tools on the levels of body function and structure, as well as activity limitations are required.

Keywords

References

  1. Barak S, Duncan PW. Issues in selecting outcome measures to assess functional recovery after stroke. NeuroRx. 2006;3(4):505-524. https://doi.org/10.1016/j.nurx.2006.07.009
  2. Beninato M, Portney LG, Sullivan PE. Using the international classification of functioning, disability and health as a framework to examine the association between falls and clinical assessment tools in people with stroke. Phys Ther. 2009;89(8):816-825. https://doi.org/10.2522/ptj.20080160
  3. Berg K, Wood-Dauphinee S, Williams JI. The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehbil Med. 1995;27(1):27-36.
  4. Carr JH, Shepherd RB. Stroke Rehabilitation: Guidelines for exercise and training to optimize motor skill. Sseattle Butterworth Heinemann Medical Books, 2003:3-31.
  5. Carr JH, Shepherd RB. Neurological Rehabilitation: Optimizing motor performance. Churchill Livingstone, 2nd ed, 2010:57-74.
  6. Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand J Rehab Med. 1975;7(1):13-31.
  7. Mao HF, Hsueh IP, Tanq PF, et al. Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke. 2002;33(4):1022-1027. https://doi.org/10.1161/01.STR.0000012516.63191.C5
  8. Murtezani A, Hundozi H, Gashi S, et al. Factors associated with reintegration to normal living after stroke. Med Arh. 2009;63(4):216-219.
  9. Nakamura D, Holm M, Wilson A. Measures of balance and fear of falling in the elderly: A review. Physical & Occupational Therapy in Geriatrics. 1999;15:17-32.
  10. Ottenbacher KJ, Hsu Y, Granger CV, et al. The reliability of the functional independence measure: A quantitative review. Arch Phys Med Rehabil. 1996;77(12):1226-1232. https://doi.org/10.1016/S0003-9993(96)90184-7
  11. Platz T, Pinkowski C, van Wijck F, et al. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: A multicentre study. Clin Rehabil. 2005;19(4):404-411. https://doi.org/10.1191/0269215505cr832oa
  12. Salter K, Jutai JW, Teasell R, et al. Issues for selection of outcome measures in stroke rehabilitation: ICF activity. Disabil Rehabil. 2005;27(6):315-340. https://doi.org/10.1080/09638280400008545
  13. Soberg HL, Finset A, Roise O, et al. Identification and comparison of rehabilitation goals after multiple injuries: An analysis of the patients' physiotherapists' and other allied professionals' reported goals. J Rehabil Med. 2008;40(5):340-346. https://doi.org/10.2340/16501977-0174
  14. Steiner WA, Ryser L, Huber E, et al. Use of the ICF model as a clinical problem-solving tools in physical therapy and rehabilitation medicine. Phys Ther. 2002;82(11):1098-1107.
  15. van der Putten JJ, Hobart JC, Freeman JA, et al. Measuring change in disability after inpatient rehabilitation: Comparison of the responsiveness of the Barthel Index and the Functional Independence Measures. J Neurol Neurosurg Psychiatry. 1999;66(4):480-484. https://doi.org/10.1136/jnnp.66.4.480
  16. Wee JY, Wong H, Palepu A. Validation of the Berg balance scale as a predictor of length of stay and discharge destination in stroke rehabilitation. Arch Phys Med Rehabil. 2003;84(5):731-735. https://doi.org/10.1016/S0003-9993(02)04940-7
  17. WHO. International Classification of Functioning, Disability and Health. World Health Organization. 2001.
  18. Yates JS, Lai SM, Duncan PW, et al. Falls in community-dwelling stroke survivors: An accumulated impairments model. J Rehabil Res Dev. 2002;39(3):385-394.