Relationship between Trunk Function and ADL of Hemiplegic Stroke Patients

亜弥, 江連; 慎一, 原田; 佑介, 小澤; 禎子, 荻野; 裕, 奥田; 靖, 内山

doi:10.1589/rika.25.147

Cited by 7 publications

(7 citation statements)

References 6 publications

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“…The close relationship between trunk function and ADL has been reported by previous studies 4 , 5 , 6 , 7 , 9 ) . However, to the best of our knowledge, this is the first study to identify the independent effect of trunk function on ADL using partial correlation analysis.…”

Section: Discussionsupporting

confidence: 86%

“…However, Fong et al 8 ) reported that lower limb impairment correlated more closely with ADL than upper limb impairment. In contrast, Ezure et al 9 ) reported that the upper limb, lower limb, and trunk functions were significantly correlated with ADL. Multiple linear regression analysis revealed that trunk function exhibited a stronger relationship with ADL than the affected side function.…”

Section: Introductionmentioning

confidence: 89%

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Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

et al. 2015

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[Purpose] This study aimed to clarify the independent impact of the affected upper and lower limb, trunk, and unaffected side motor functions on activities of daily living in stroke patients using partial correlation analysis. [Subjects and Methods] This retrospective study included 77 stroke patients. Motor functions were assessed using the Stroke Impairment Assessment Set, and the activities of daily living performance was assessed using the Barthel index or Functional Independence Measure. Further, simple and partial correlation analyses were conducted between each motor function and activities of daily living parameter. [Results] Simple correlation analysis identified significant positive correlations for each pair. In contrast, partial correlation analysis only identified significant positive correlations between the affected lower limb or unaffected side functions and the Barthel index or Functional Independence Measure. This discrepancy between the two tests was explained by the significant interaction between the affected upper and lower limb functions and between the trunk and unaffected side functions. [Conclusion] The present study identified the affected lower limb and unaffected side motor functions as the major determinants of activities of daily living performance in stroke patients. These findings suggest that rehabilitation programs can be improved by targeting these areas.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 89%

Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

et al. 2015

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“…This is similar to a previous systematic review (Veerbeek et al, 2011), where only a small non-significant effect of augmented exercises on activities of daily living measured by the Barthel Index, was found. Nevertheless, previous studies have found trunk performance to be a good predictor of functional independence following in-patient rehabilitation (Ezure et al, 2010;Hsieh et al, 2002;Macrohon & Suarez, 2006;Verheyden et al, 2007). Therefore it is important that future studies should include this important outcome in addition to measures such as balance and trunk performance.…”

Section: Discussionmentioning

confidence: 99%

“…These trunk impairments have also been shown to have significant negative associations with measures of whole body performance of balance, gait and functional ability, suggesting that trunk performance is an important predictor of functional recovery and outcome after stroke with improved trunk performance associated with better functional recovery (Duarte et al, 2002;Ezure et al, 2010;Franchignoni, Tesio, Ricupero, & Martino, 1997;Hsieh, Sheu, Hsueh, & Wang, 2002;Verheyden et al, 2007). Thus rehabilitation programmes that incorporate specific trunk exercises alongside conventional rehabilitation, with the aim of improving overall functional recovery after stroke may be beneficial.…”

Section: Introductionmentioning

confidence: 99%

Does additional exercise improve trunk function recovery in stroke patients? A meta-analysis

Sorinola

Powis

White

2014

NRE

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BACKGROUND: The restoration of trunk function following stroke is a key component of rehabilitation, however there is limited evidence of the efficacy of additional trunk training. OBJECTIVES: To evaluate the efficacy of trunk exercises added to conventional rehabilitation on functional outcomes. METHODS: Relevant randomised controlled trials (RCTs), published up to July 2012, evaluating the effect of the addition of trunk exercises to conventional rehabilitation on functional outcomes were identified in Medline, Cinahl, Embase, Pubmed, PEDro, Web of Science and Scopus databases. Findings were summarised across studies as mean or standardised mean differences (MD or SMD) with 95% confidence intervals. RESULTS: Six RCTs with 155 participants and a mean PEDro score of 6.5 (range 6 to 8) were included. Data from two to five studies were pooled in meta-analyses that showed a moderate, non-significant effect of additional trunk exercise on trunk performance, (SMD = 0.50; 95% CI −0.25, 1.25; P = 0.19); large effects on standing balance, SMD = 0.72 (95% CI −0.01, 1.45 P = 0.05); and walking ability, (SMD = 0.81; 95% CI 0.30, 1.33. P = 0.002) and a small, non-significant effect, MD = 10.03 (95% CI −15.70, 35.75. P = 0.44) on functional independence. CONCLUSIONS: There is moderate evidence that the addition of specific trunk exercise to conventional early stroke rehabilitation significantly improve standing balance and mobility after stroke; however the evidence was weak for the effect of additional trunk exercise on trunk performance and in functional independence.

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“…Tokumoto et al reported that greater improvement in ADL was observed in acute stroke patients due to the involvement of occupational therapists in the early phase [9,10]. Furthermore, Ezure et al reported that the ADL of post-stroke hemiplegic patients was more strongly related to trunk function than to the functions of the paretic side [11]. In particular, toileting activities include going to the toilet, transferring to and operating the toilet seat, handling the lower garments, urination and defecation, and subsequent cleaning up.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of the pressure ratio of the gluteal and sole regions during sitting in acute stroke patients using a body pressure distribution measuring system

Yumiko

Tsubakino

Eri³

et al. 2019

Jpn J Compr Rehabil Sci

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Relationship between Trunk Function and ADL of Hemiplegic Stroke Patients

Cited by 7 publications

References 6 publications

Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis

Does additional exercise improve trunk function recovery in stroke patients? A meta-analysis

Characteristics of the pressure ratio of the gluteal and sole regions during sitting in acute stroke patients using a body pressure distribution measuring system

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