a Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation , Hacettepe University , Ankara , Turkey.
b Faculty of Health Sciences Department of Physiotherapy and Rehabilitation , Trakya University , Edirne , TURKEY.
Top Stroke Rehabil. 2019 Jul;26(5):359-365. doi: 10.1080/10749357.2019.1607994. Epub 2019 May 2.
It is important to evaluate trunk control, given that it is one of the indicators of adequate functional and motor recovery in patients following a stroke. The assessment should be feasible and adequate in clinical conditions in the acute phase. The aim of this study was to detect the most appropriate scale used for trunk control assessment in very acute stroke patients in terms of time and ease of implementation. Sixty-five patients with very acute stroke were included in the study. The patients were assessed with the Trunk Impairment Scale-1 (VTIS), the Trunk Impairment Scale-2 (FTIS), the Motor Assessment Scale trunk subscale (T-MAS) and the Trunk Control Test (TCT), and Functional Impairment Measure (FIM). Floor/ceiling effects, reliability, validity responsiveness of all trunk control scales analyzed. The correlation between all scales and FIM were calculated. All scales had similar reliability, responsiveness and construct validity level. T-MAS and TCT were more advantageous than other scales according to time. TCT and VTIS showed floor effect. The best were observed for the T-MAS and TCT. Four scales investigated in this study can also be used to evaluate the patients with very acute stroke. On the other hand, the advantages and disadvantages of the scales should be thoroughly assessed and researchers can use one of four scales considering their aim, patient populations and clinical characteristics of patients.
鉴于躯干控制是中风后患者充分的功能和运动恢复的指标之一，因此评估躯干控制非常重要。评估应在急性阶段的临床条件下可行且充分。本研究的目的是检测在极急性中风患者中用于躯干控制评估的最合适的量表，从时间和实施的容易程度方面考虑。本研究纳入了 65 例极急性中风患者。使用躯干损伤量表-1（VTIS）、躯干损伤量表-2（FTIS）、运动评估量表躯干子量表（T-MAS）和躯干控制测试（TCT）以及功能障碍评估量表（FIM）对患者进行评估。分析了所有躯干控制量表的地板/天花板效应、可靠性、有效性反应性。计算了所有量表与 FIM 的相关性。所有量表的可靠性、反应性和结构有效性水平相似。T-MAS 和 TCT 在时间方面比其他量表更有优势。TCT 和 VTIS 显示出地板效应。T-MAS 和 TCT 的效果最佳。本研究调查的四个量表也可用于评估极急性中风患者。另一方面，应彻底评估量表的优缺点，研究人员可以根据其目的、患者人群和患者的临床特征选择使用四个量表中的一个。
