Study of the Responsiveness and Minimal Clinically Important Difference of the Trunk Impairment Scale in Patients With Acute Stroke.
| Autor: | Masahiro Ishiwatari, Tsuyoshi Takahara, Masato Hayakawa, Akihiro Ogawa, Satoshi Kido |
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| Předmět: |
TORSO physiology
STROKE KEY performance indicators (Management) FUNCTIONAL status RESEARCH methodology ACTIVITIES of daily living MANN Whitney U Test CLINICAL medicine STROKE rehabilitation STROKE patients HOSPITAL care DESCRIPTIVE statistics CHI-squared test SENSITIVITY & specificity (Statistics) RECEIVER operating characteristic curves DATA analysis software ACUTE diseases DISCHARGE planning DISEASE complications |
| Zdroj: | Advances in Rehabilitation Science & Practice; Jan-Dec2023, Vol. 12, p1-8, 8p |
| Abstrakt: | BACKGROUND: Trunk function is a prerequisite for functional activity; thus, it is crucial to carry out proper assessments and interventions. However, there is no clear indicator for trunk function evaluation in patients with stroke. To understand the effects of interventions over time, it is important to adopt responsive clinical indicators. PURPOSE: To examine the Trunk Impairment Scale (TIS) (Fujiwara version) in terms of responsiveness and the minimal clinically important difference (MCID). METHODS: In total, 55 patients who experienced an acute stroke were evaluated on the seventh day of hospitalization and the day before discharge. The responsiveness of the TIS was assessed by the effect size and standardized response mean (SRM). Additionally, an MCID study was conducted to examine the amount of change in TIS scores required to indicate a clinically meaningful change, which was determined by the presence or absence of improvement in the activities of daily living. RESULTS: The SRM of the TIS was 1.42. Additionally, the MCID was determined to be 3 points. CONCLUSION: The TIS score improved over time and a 3-point improvement in the TIS score was associated with improvement in the activities of daily living. Thus, this scale's clinical sensitivity and MCID have been established in patients with stroke. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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