The Sitting-Unsupported Balance Score as an Early Predictor of Functional Prognosis in Stroke Patients: A Pilot Study
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective To evaluate the impact of initial “sitting-unsupported” Berg Balance Scale (SUB), the specific trunk control parameter, on patients’ functional outcome, Korean version of Modified Barthel Index (K-MBI) at 6 months.Methods The charts of 30 patients retrospectively reviewed reviewed. The initial Korean version of Berg Balance Scale (K-BBS) including SUB along with patients’ Korean version of Mini-Mental State Examination (K-MMSE), Glasgow Coma Scale (GCS), and other functional parameters that affect functional outcome were recorded. Cases were divided into low (group I) and high (group II) initial SUB score groups. Correlation and regression analysis were performed to assess the relationship between the initial SUB on the K-MBI at 6 months.Results The mean±standard deviation score of initial SUB/K-MBI at 6 months of groups I and II were 0.056±0.236/26.89±32.48, 3.58±0.515/80.25±18.78, respectively, and showed statistical significant differences to each other (p<0.05). K-MBI at 6 months was highly correlated with initial GCS, SUB, K-BBS, K-MMSE, and initial K-MBI (p<0.05). In multiple linear regression analysis, initial SUB and GCS scores remained significantly associated with K-MBI at 6 months. A logistic regression model revealed that initial SUB (p=0.004, odds ratio=16), initial K-MBI, GCS, and K-MMSE were all significant predictors of K-MBI scores at 6 months.Conclusion Initial SUB scores could be helpful in predicting patient’s potential functional recovery at 6 months. Further studies with concurrent controls and a larger sample group are required to fully establish this tool.
Abstract
Objective To evaluate the impact of initial “sitting-unsupported” Berg Balance Scale (SUB), the specific trunk control parameter, on patients’ functional outcome, Korean version of Modified Barthel Index (K-MBI) at 6 months.Methods The charts of 30 patients retrospectively reviewed reviewed. The initial Korean version of Berg Balance Scale (K-BBS) including SUB along with patients’ Korean version of Mini-Mental State Examination (K-MMSE), Glasgow Coma Scale (GCS), and other functional parameters that affect functional outcome were recorded. Cases were divided into low (group I) and high (group II) initial SUB score groups. Correlation and regression analysis were performed to assess the relationship between the initial SUB on the K-MBI at 6 months.Results The mean±standard deviation score of initial SUB/K-MBI at 6 months of groups I and II were 0.056±0.236/26.89±32.48, 3.58±0.515/80.25±18.78, respectively, and showed statistical significant differences to each other (p<0.05). K-MBI at 6 months was highly correlated with initial GCS, SUB, K-BBS, K-MMSE, and initial K-MBI (p<0.05). In multiple linear regression analysis, initial SUB and GCS scores remained significantly associated with K-MBI at 6 months. A logistic regression model revealed that initial SUB (p=0.004, odds ratio=16), initial K-MBI, GCS, and K-MMSE were all significant predictors of K-MBI scores at 6 months.Conclusion Initial SUB scores could be helpful in predicting patient’s potential functional recovery at 6 months. Further studies with concurrent controls and a larger sample group are required to fully establish this tool.
참고문헌 (18)
- Jongbloed L., "Prediction of function after stroke : a critical review", Stroke, 17, pp.765~776 (1986)
- Kim YC., "Prognostic factors of ambulation in stroke patients", J Korean Acad Rehabil Med, 16, pp.443~451 (1992)
- Kwakkel G., "Predicting disability in stroke : a critical review of the literature", Age Ageing, 25, pp.479~489 (1996)
- Skilbeck CE., "Recovery after stroke", J Neurol Neurosurg Psychiatry, 46, pp.5~8 (1983)
- Wade DT., "Functional abilities after stroke : measurement, natural history and prognosis", J Neurol Neurosurg Psychiatry, 50, pp.177~182 (1987)
- Meijer R., "Prognostic factors for ambulation and activities of daily living in the subacute phase after stroke : a systematic review of the literature", Clin Rehabil, 17, pp.119~129 (2003)
- Duarte E., "Trunk control test as a functional predictor in stroke patients", J Rehabil Med, 34, pp.267~272 (2002)
- 정한영, "뇌졸중 환자에서 Berg 균형검사와 FIM 검사와의 상관관계", Annals of Rehabilitation Medicine, 29(2), pp.167~170 (2005), 대한재활의학회
- 이재준, "뇌졸중 환자에서 보행관련 활동평가척도로서의 한글판 버그균형검사", Annals of Rehabilitation Medicine, 31(4), pp.400~403 (2007), 대한재활의학회
- Sandin KJ., "The measure of balance in sitting in stroke rehabilitation prognosis", Stroke, 21, pp.82~86 (1990)
- Feigin L., "Sitting equilibrium 2 weeks after a stroke can predict the walking ability after 6 months", Gerontology, 42, pp.348~353 (1996)
- Verheyden G., "Trunk performance after stroke : an eye catching predictor of functional outcome", J Neurol Neurosurg Psychiatry, 78, pp.694~698 (2007)
- Amusat N., "Assessment of sitting balance of patients with stroke undergoing inpatient rehabilitation", Physiother Theory Pract, 25, pp.138~144 (2009)
- Verheyden G., "The trunk impairment scale : a new tool to measure motor impairment of the trunk after stroke", Clin Rehabil, 18, pp.326~334 (2004)
- Sacks L., "Validation of the activity inventory of the Chedoke-McMaster stroke assessment and the clinical outcome variables scale to evaluate mobility in geriatric clients", J Rehabil Med, 42, pp.90~92 (2010)
- Benaim C., "Validation of a standardized assessment of postural control in stroke patients : the Postural Assessment Scale for Stroke patients(PASS)", Stroke, 30, pp.1862~1868 (1999)
- Smith PS., "Berg balance scale and functional reach : determining the best clinical tool for individuals post acute stroke", Clin Rehabil, 18, pp.811~818 (2004)
- Juneja G., "Admission balance and outcomes of patients admitted for acute inpatient rehabilitation", Am J Phys Med Rehabil, 77, pp.388~393 (1998)