Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards
Objectives: Although numerous studies have examined activities of daily living (ADL) in stroke rehabilitation, there has been little focus on impairment, despite its close relationship to ADL. Therefore, we evaluated the change in impairment from admission to discharge of patients with stroke in com...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Fujita Medical Society
2020-05-01
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| Series: | Fujita Medical Journal |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/fmj/6/2/6_2019-010/_pdf/-char/en |
| _version_ | 1819064111934210048 |
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| author | Kei Yagihashi Shigeru Sonoda Makoto Watanabe Sayaka Okamoto Yuko Okuyama Hideto Okazaki |
| author_facet | Kei Yagihashi Shigeru Sonoda Makoto Watanabe Sayaka Okamoto Yuko Okuyama Hideto Okazaki |
| author_sort | Kei Yagihashi |
| collection | DOAJ |
| description | Objectives: Although numerous studies have examined activities of daily living (ADL) in stroke rehabilitation, there has been little focus on impairment, despite its close relationship to ADL. Therefore, we evaluated the change in impairment from admission to discharge of patients with stroke in comprehensive inpatient rehabilitation wards using the Stroke Impairment Assessment Set (SIAS).
Methods: Data from 3279 patients with first stroke who were admitted to comprehensive inpatient rehabilitation wards between 2004 and 2016 were analyzed. A scattergram of the items showing the percentage of the highest score on admission and the percentage of patients whose score improved during hospitalization was plotted. The items of the SIAS were grouped by their location on the scattergram.
Results: Three clusters could be discriminated on the scattergram. The upper right group, showed an improved score during hospitalization in combination with a high percentage of patients with the highest score on admission. This group consisted of the verticality, unaffected-side quadriceps, visuospatial, and pain items of the SIAS. The upper left group improved during hospitalization, but only contained a small percentage of patients with a high score on admission, and consisted of motor function items. The lower group was characterized by poor improvement during hospitalization and consisted of sensory, tone, range of motion, speech, and grip power items.
Conclusions: Understanding the change in impairment during hospitalization using the three groups described above will facilitate design of a plan for stroke rehabilitation on admission. |
| first_indexed | 2024-12-21T15:25:23Z |
| format | Article |
| id | doaj.art-a711be61fecf4183967cfd29cd99cfc9 |
| institution | Directory Open Access Journal |
| issn | 2189-7247 2189-7255 |
| language | English |
| last_indexed | 2024-12-21T15:25:23Z |
| publishDate | 2020-05-01 |
| publisher | Fujita Medical Society |
| record_format | Article |
| series | Fujita Medical Journal |
| spelling | doaj.art-a711be61fecf4183967cfd29cd99cfc92022-12-21T18:58:55ZengFujita Medical SocietyFujita Medical Journal2189-72472189-72552020-05-01624953https://doi.org/10.20407/fmj.2019-010Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wardsKei YagihashiShigeru SonodaMakoto WatanabeSayaka OkamotoYuko OkuyamaHideto OkazakiObjectives: Although numerous studies have examined activities of daily living (ADL) in stroke rehabilitation, there has been little focus on impairment, despite its close relationship to ADL. Therefore, we evaluated the change in impairment from admission to discharge of patients with stroke in comprehensive inpatient rehabilitation wards using the Stroke Impairment Assessment Set (SIAS). Methods: Data from 3279 patients with first stroke who were admitted to comprehensive inpatient rehabilitation wards between 2004 and 2016 were analyzed. A scattergram of the items showing the percentage of the highest score on admission and the percentage of patients whose score improved during hospitalization was plotted. The items of the SIAS were grouped by their location on the scattergram. Results: Three clusters could be discriminated on the scattergram. The upper right group, showed an improved score during hospitalization in combination with a high percentage of patients with the highest score on admission. This group consisted of the verticality, unaffected-side quadriceps, visuospatial, and pain items of the SIAS. The upper left group improved during hospitalization, but only contained a small percentage of patients with a high score on admission, and consisted of motor function items. The lower group was characterized by poor improvement during hospitalization and consisted of sensory, tone, range of motion, speech, and grip power items. Conclusions: Understanding the change in impairment during hospitalization using the three groups described above will facilitate design of a plan for stroke rehabilitation on admission.https://www.jstage.jst.go.jp/article/fmj/6/2/6_2019-010/_pdf/-char/encerebrovascular disordersimpairmentparalysisrehabilitation |
| spellingShingle | Kei Yagihashi Shigeru Sonoda Makoto Watanabe Sayaka Okamoto Yuko Okuyama Hideto Okazaki Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards Fujita Medical Journal cerebrovascular disorders impairment paralysis rehabilitation |
| title | Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards |
| title_full | Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards |
| title_fullStr | Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards |
| title_full_unstemmed | Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards |
| title_short | Pattern of item score change in Stroke Impairment Assessment Set in comprehensive inpatient rehabilitation wards |
| title_sort | pattern of item score change in stroke impairment assessment set in comprehensive inpatient rehabilitation wards |
| topic | cerebrovascular disorders impairment paralysis rehabilitation |
| url | https://www.jstage.jst.go.jp/article/fmj/6/2/6_2019-010/_pdf/-char/en |
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