Motor Function Cutoff Values for Independent Dressing in Stroke Patients

Fujita, Takaaki; Sato, Atsushi; Yamamoto, Yuichi; Otsuki, Koji; Tsuchiya, Kenji J.; Tozato, Fusae

doi:10.5014/ajot.2016.018945

Cited by 19 publications

(22 citation statements)

References 18 publications

(27 reference statements)

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“…Thus, it is important to elucidate the relationship between motor impairments and the level of independence in dressing to properly examine effective rehabilitation strategies to improve dressing skills. Previous studies have reported that gross motor function of the affected upper and lower limbs 3 , 8 ) , vertical orientation in the seated position 8 ) , abdominal muscle strength 9 ) , extensor strength of the unaffected knee 8 ) , and balance 10 ) are factors related to the level of independence in dressing in stroke patients. However, it is unclear which motor function is strongly related to dressing performance.…”

Section: Introductionmentioning

confidence: 99%

Relationship between dressing and motor function in stroke patients: a study with partial correlation analysis

Fujita

Sato²,

Yamamoto

et al. 2015

J Phys Ther Sci

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[Purpose] The aim of the present study was to elucidate which motor functions are most or more important for dressing performance before and after rehabilitation. [Subjects] Seventy-nine first episode stroke patients in a hospital convalescent rehabilitation ward. [Methods] The relationships between motor function of the affected upper and lower limbs, unaffected side function, trunk function, balance, cognitive function, and independence level in dressing were examined at admission and discharge using partial correlation analysis. [Results] Independence level of dressing correlated with motor function of the affected upper limb and balance at admission, but correlated only with balance at discharge. [Conclusion] Balance function was strongly associated with level of dressing independence. The effect of gross motor function of the affected upper and lower limbs on the level of independence in dressing may thus be smaller than originally expected. Enhanced balance ability can be important for learning single-handed actions of self-dressing during rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Relationship between dressing and motor function in stroke patients: a study with partial correlation analysis

Fujita

Sato²,

Yamamoto

et al. 2015

J Phys Ther Sci

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“…Previous studies have reported that the level of independence in dressing relates to the balance function [ 6 , 7 ], motor and sensory functions of the affected limb [ 8 ], strength of the abdominal muscles [ 9 ], and degree of visuospatial deficits [ 10 ]. Therefore, we established a hypothesis by which all these functions are related to the level of independence in dressing.…”

Section: Discussionmentioning

confidence: 99%

“…The maximum total score is 56 points, with a higher score indicating better balance function. A BBS score of 40 points was reported as a cut-off value for independent functional walking ability among stroke inpatients [ 15 ], whereas achieving a BBS score of 44 points was the reported requirement for independent dressing [ 6 ]. The reliability and validity of this scale have been confirmed in stroke patients [ 16 ].…”

Section: Methodsmentioning

confidence: 99%

“…Path analysis based on structural equation modeling was performed to clarify the hierarchical structure of the relation and causal association between the level of independence in dressing and various dysfunctions. A hypothetical path model was created on the basis of previous reports [ 6 – 10 ], which reported that the level of independence in dressing for stroke patients is associated with: balance function, motor and sensory function of affected side lower limb, the strength of the abdominal muscles, and unilateral spatial neglect ( Fig 1 ). Therefore, we established a hypothesis describing which of these 5 functions has a direct effect on the level of independence in dressing in addition to the age and time post stroke.…”

Section: Methodsmentioning

confidence: 99%

“…Dressing is an ADL that is difficult for stroke patients to perform [ 5 ]. Previous studies have reported that a stroke patient’s level of independence in dressing themselves is associated with balance function [ 6 , 7 ], motor and sensory functions of the affected limbs [ 8 ], abdominal muscle strength [ 9 ], and visuospatial deficits [ 10 ]. As stated above, there is a possibility that these dysfunctions affect the level of independence in dressing not in parallel, but in a hierarchical manner.…”

Section: Introductionmentioning

confidence: 99%

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Hierarchy of Dysfunction Related to Dressing Performance in Stroke Patients: A Path Analysis Study

Fujita

Nagayama

Sato³

et al. 2016

PLoS ONE

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Previous reports indicated that various dysfunctions caused by stroke affect the level of independence in dressing. These dysfunctions can be hierarchical, and these effects on dressing performance can be complicated in stroke patients. However, there are no published reports focusing on the hierarchical structure of the relationships between the activities of daily living and balance function, motor and sensory functions of the affected lower limb, strength of the abdominal muscles and knee extension on the unaffected side, and visuospatial deficits. The purpose of this study was to elucidate the hierarchical and causal relationships between dressing performance and these dysfunctions in stroke patients. This retrospective study included 104 first-time stroke patients. The causal relationship between the dressing performance and age, time post stroke, balance function, motor and sensory functions of the affected lower limb, strength of the abdominal muscles and knee extension on the unaffected side, and visuospatial deficits were examined using path analysis. A hypothetical path model was created based on previous studies, and the goodness of fit between the data and model were verified. A modified path model was created that achieved an almost perfect fit to the data. Balance function and abdominal muscle strength have direct effects on dressing performance, with standardized direct effect estimates of 0.78 and 0.15, respectively. Age, motor and sensory functions of the affected lower limb, and strength of abdominal muscle and knee extension on the unaffected side have indirect effects on dressing by influencing balance function. Our results suggest that dressing performance depends strongly on balance function, and it is mainly influenced by the motor function of the affected lower limb.

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Simple Indicator to Judge the Independence Level Required in Dressing in a Hospital Ward for Patients with Stroke

Fujita

Sato²,

Yamamoto

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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Motor Function Cutoff Values for Independent Dressing in Stroke Patients

Abstract: Balance was strongly correlated with the level of dressing independence, and cutoff values for the BBS were indicators of the balance required to reach independent and supervision levels of dressing.

Cited by 19 publications

References 18 publications

Relationship between dressing and motor function in stroke patients: a study with partial correlation analysis

Relationship between dressing and motor function in stroke patients: a study with partial correlation analysis

Hierarchy of Dysfunction Related to Dressing Performance in Stroke Patients: A Path Analysis Study

Simple Indicator to Judge the Independence Level Required in Dressing in a Hospital Ward for Patients with Stroke

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