a Department of Nurse , Dongseo University , Busan , Republic of Korea.
b Department of Physical Therapy , National Rehabilitation Center , Seoul , Republic of Korea.
Disabil Rehabil. 2018 May;40(10):1200-1205. doi: 10.1080/09638288.2017.1282990. Epub 2017 Feb 7.
The present study aimed to determine the discriminant power of the modified Trunk Impairment Scale (mTIS) in stroke survivors versus healthy adults.
Cross-sectional.
Inpatient rehabilitation center.
Fifty-five subjects with stroke and 29 healthy adults.
Subjects were examined using the mTIS, Berg Balance Scale, and Timed Up and Go test for balance; 5-m Walk Test and Functional Ambulation Category for gait; Fugl-Meyer Assessment for motor function; Postural Assessment Scale for Stroke-Trunk Control and Trunk Control Test for trunk control; and Modified Barthel Index for activities of daily living performance.
The mTIS results differed significantly between stroke survivors and healthy adults (p < 0.001). In addition, mTIS scores were significantly correlated with the Berg Balance Scale (r = 0.82), Timed Up and Go test (r = -0.70), 5-m Walk Test (r = 0.73), Functional Ambulation Category (r = 0.54), Fugl-Meyer Assessment (r = 0.37-0.80), Postural Assessment Scale for Stroke-Trunk Control and Trunk Control Test (r = 0.55-0.63), and Modified Barthel Index score (r = 0.56) results (p < 0.05-0.01). The mTIS also showed 66% influence on the Berg Balance Scale, 49% on the Timed Up and Go test, 53% on the 5-m Walk Test, 28% on the Functional Ambulation Category, 12% on the Fugl-Meyer Assessment-upper extremity, 64% on the Fugl-Meyer Assessment-lower extremity, and 30% on the Modified Barthel Index. The cutoff value of the mTIS for the Modified Barthel Index classification was >10.5 points, while the area under the curve had a moderate accuracy of 73%.
The mTIS can be used to examine the degree of trunk control or the level of trunk impairment, which is seen as a prerequisite for balance, gait, motor function, and activities of daily living performance in stroke survivors. Implications for Rehabilitation The modified Trunk Impairment Scale can be used as an assessment tool to classify the degree of trunk control or its level of impairment in stroke survivors. The modified Trunk Impairment Scale may have a favorable correlation with assessing physical functions such as balance, gait, motor function, and ADL in stroke survivors.
本研究旨在确定改良躯干损伤量表（mTIS）在脑卒中幸存者与健康成年人之间的鉴别能力。
横断面研究。
住院康复中心。
55 例脑卒中患者和 29 例健康成年人。
采用 mTIS、Berg 平衡量表和计时起立-行走测试评估平衡；5 米步行测试和功能性步行分类评估步态；Fugl-Meyer 评估法评估运动功能；姿势评估量表-脑卒中躯干控制和躯干控制测试评估躯干控制；改良巴氏指数评估日常生活活动能力。
脑卒中幸存者与健康成年人的 mTIS 结果差异有统计学意义（p<0.001）。此外，mTIS 评分与 Berg 平衡量表（r=0.82）、计时起立-行走测试（r=-0.70）、5 米步行测试（r=0.73）、功能性步行分类（r=0.54）、Fugl-Meyer 评估法（r=0.37-0.80）、姿势评估量表-脑卒中躯干控制和躯干控制测试（r=0.55-0.63）以及改良巴氏指数评分（r=0.56）结果显著相关（p<0.05-0.01）。mTIS 对 Berg 平衡量表的影响为 66%，对计时起立-行走测试的影响为 49%，对 5 米步行测试的影响为 53%，对功能性步行分类的影响为 28%，对 Fugl-Meyer 评估法上肢的影响为 12%，对 Fugl-Meyer 评估法下肢的影响为 64%，对改良巴氏指数的影响为 30%。mTIS 对改良巴氏指数分类的截断值>10.5 分，曲线下面积的准确性为中等水平（73%）。
mTIS 可用于评估脑卒中幸存者的躯干控制程度或躯干损伤程度，这被认为是平衡、步态、运动功能和日常生活活动能力的前提。
改良躯干损伤量表可作为评估工具，用于分类脑卒中幸存者的躯干控制程度或损伤程度。改良躯干损伤量表与评估脑卒中幸存者的平衡、步态、运动功能和日常生活活动能力等身体功能具有良好的相关性。
