ORIGINAL PAPER
Predicting independent walking ability using the Simplified Stroke Rehabilitation Assessment of Movement, Berg Balance Scale, and Barthel Index for Activities of Daily Living in individuals post-stroke: an observational preliminary study
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1
Kyiv Regional Clinical Hospital, Kyiv, Ukraine
2
Department of Rehabilitation of Patients with Consequences of Diseases and Injuries of the Nervous System, Kyiv, Ukraine
Submission date: 2023-08-05
Acceptance date: 2023-10-09
Publication date: 2024-12-06
Corresponding author
Mykola Romanyshyn
Department of Rehabilitation of Patients with Consequences of Diseases and Injuries of the Nervous System, Baggovutovskaya Street 1, Kyiv, 04106 Ukraine
Physiother Quart. 2024;32(4):55-59
KEYWORDS
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ABSTRACT
Introduction:
The purpose of this study was to determine cut scores to predict independent ambulation for the Simplified Stroke Rehabilitation Assessment of Movement (S-STREAM), Berg Balance Scale (BBS), Barthel Index (BI) for Activities of Daily Living for patients with time after stroke up to 1 year. The study’s second goal was to establish statistical dependence between the tests the S-STREAM, BBS, BI, and the Functional Ambulation Category (FAC).
Methods:
Cohort observational retrospective pilot study by design. Twenty-four people who suffered a stroke within the past year were enrolled in the study. The FAC was used to classify patients into independent walking and non-walking groups (scores 0–2 are non-walking patients, scores 4–5 are independent walking patients). Receiver operating characteristic (ROC) curve analysis was performed for the S-STREAM, BBS, BI selected according to the multiple logistic regression analysis with dichotomy on groups independent walking patients and not.
Results:
ROC analysis of scores at admission were used to determine cut scores for the independent waking ability for each of the listed measures. The cut score for S-STREAM was 19 points, for BBS was 27 points and for BI was 65 points. Based on this analysis it appears there is sufficient evidence to conclude a significant linear relationship between all tests the S-STREAM, BBS, BI, and FAC.
Conclusions:
In patients who were ambulators, less than one year post stroke, this pilot study established a cut score for standardized assessment tools S-STREAM, BBS, BI for Activities of Daily Living.
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