Department of Physiotherapy, Father Muller Medical College & Hospital, Mangalore, India.
Top Stroke Rehabil. 2013 Jan-Feb;20(1):62-7. doi: 10.1310/tsr2001-62.
Attainment of functional independence is the ultimate goal of a sound stroke rehabilitation program. Good trunk stability is essential for balance and extremity use. Stroke patients may have upper extremity impairments that may affect functional activity and lower extremity impairments that may hinder mobility. Hence, quantifying the specific levels of impairment in the trunk, upper extremity, and lower extremity is helpful to determine the extent to which each might influence the ability to perform activities of daily living.
To assess the impairment of the trunk and the upper and lower extremity of stroke patients and correlate it with overall function.
A cross-sectional repeated correlation study. Twenty-three subjects with a first-time stroke, between 50 and 75 years of age, of both genders, admitted in hospital within 5 weeks of stroke onset were included using purposive sampling technique. On the eighth day of the stroke, trunk impairment was assessed using the Trunk Impairment Scale, upper and lower limb impairment was assessed using the Simplified Stroke Rehabilitation Assessment of Movement (upper and lower limb subscale, respectively), and overall function was measured by FIM.
Trunk activity showed highly significant correlation (r = 0.598, P = .003) with overall function compared with upper limb activity (r = 0.501, P = .015). Lower limb impairment showed no correlation with overall function (r = 0.208, P = .342).
The overall functional independence in acute stroke patients is most closely correlated with the levels of impairments of trunk function, followed by upper limb impairments.
实现功能独立是健全的中风康复计划的最终目标。良好的躯干稳定性对于平衡和四肢使用至关重要。中风患者可能上肢受损，这可能会影响功能活动，也可能下肢受损，这可能会妨碍移动能力。因此，量化躯干、上肢和下肢的具体损伤程度有助于确定每个部位对完成日常生活活动能力的影响程度。
评估中风患者的躯干和上下肢的损伤程度，并与整体功能相关联。
一项横断面重复相关研究。使用目的抽样技术纳入 23 名首次中风、年龄在 50 至 75 岁之间、性别不限的患者，他们在中风发作后 5 周内住院。在中风发作的第 8 天，使用躯干损伤量表评估躯干损伤，使用简化中风康复运动评估（上肢和下肢子量表分别评估上肢和下肢损伤）评估上肢和下肢损伤，使用 FIM 评估整体功能。
与上肢活动相比，躯干活动与整体功能具有高度显著相关性（r = 0.598，P =.003）。下肢损伤与整体功能无相关性（r = 0.208，P =.342）。
急性中风患者的整体功能独立性与躯干功能损伤程度最密切相关，其次是上肢损伤。
