Functions necessary for gait independence in patients with stroke: A study using decision tree
| Autor: | Kazuhiro Yamane, Yuichi Yamamoto, Koji Otsuki, Toshimasa Sone, Kazuaki Iokawa, Yoko Ohira, Takaaki Fujita, Yuji Ohashi, Megumi Kurita |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Decision tree Logistic regression Disability Evaluation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Gait (human) medicine Humans Knee Muscle Strength Muscle Skeletal Gait Stroke Aged Retrospective Studies Aged 80 and over Proprioception business.industry Decision Trees Rehabilitation Stroke Rehabilitation Cognition Recovery of Function Middle Aged medicine.disease Trunk Cross-Sectional Studies Multivariate Analysis Independence (mathematical logic) Female Surgery Independent Living Neurology (clinical) Gait Analysis Cardiology and Cardiovascular Medicine business human activities 030217 neurology & neurosurgery |
| Zdroj: | Journal of Stroke and Cerebrovascular Diseases. 29:104998 |
| ISSN: | 1052-3057 |
| DOI: | 10.1016/j.jstrokecerebrovasdis.2020.104998 |
| Popis: | Background Little is known about the existence and impact of interactions among multiple impairments to gait independence. The purpose of this study is to reveal the interaction of physical functions and its impact on gait independence in stroke patients. Methods This retrospective study included 108 subacute stroke patients. We conducted a decision tree analysis to examine the existence of interactions in relation to gait independence among the gross motor function of lower limb, knee extension strength, sensory function, and trunk function. Further, we confirmed the existence and impact of interaction detected via the decision tree after adjusting for the effects of confounding factors using logistic regression. Results The knee extension strength and proprioception on the affected side were selected in the first and second level of the decision tree. In addition, the knee extension strength was selected in the third level. The interaction of the knee extension strength and proprioception on the affected side was significantly associated with gait independence, both before and after adjusting for age, visuospatial perception, and cognitive functions. Conclusions Our results suggest that the interaction of the knee extension strength and proprioception on the affected side is strongly associated with gait independence in stroke patients. |
| Databáze: | OpenAIRE |
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