Different cutoff values for 10-m walking speed simply classification of walking independence in stroke patients with or without cognitive impairment
| Autor: | Yukitsuna Oyama, Yoshinobu Yoshimoto, Mamoru Tanaka |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Cognition disorders Stroke patient business.industry media_common.quotation_subject Physical Therapy Sports Therapy and Rehabilitation Cognition Walking medicine.disease Likelihood ratios in diagnostic testing Independence Preferred walking speed Stroke Physical therapy medicine Cutoff Original Article Cognitive impairment business human activities media_common |
| Zdroj: | Journal of Physical Therapy Science |
| ISSN: | 0915-5287 |
| Popis: | [Purpose] The aim of this study was to determine the threshold for classifying walking independence in stroke patients with and without cognitive disorders. [Subjects] The subjects were 130 patients with initial stroke hemiplegia. [Methods] The following factors were analyzed for associations with walking independence: Brunnstrom stage, one-leg standing time on the paralytic side, one-leg standing time on the non-paralytic side, and 10-m walking speed. We classified the patients with Mini-Mental State Examination (MMSE) scores ≥24 points into the high-score group and those with MMSE scores of ≤23 points into the low-score group and examined the main factors and cutoff values associated with walking independence in each group. [Results] The high-score group included 69 subjects (53.1%), and the low-score group included 61 subjects (46.9%). The primary factor associated with high MMSE scores among the stroke patients was the 10-m walking time. Using a cutoff level for the 10-m walking speed of 41.4 m/min resulted in a positive likelihood ratio of 6.3. The primary factor associated with low MMSE scores among the stroke patients was the 10-m walking time. Using a cutoff level for the 10-m walking speed of 48.0 m/min resulted in a positive likelihood ratio of 7.6. [Conclusion] The cutoff value for the 10-m walking speed can be used to evaluate walking independence in patients with stroke among patients with high or low MMSE scores. |
| Databáze: | OpenAIRE |
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