Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Balasch i Bernat, Mercèa; * | Balasch i Parisi, Sebastiáb | Sebastián, Enrique Noéc | Moscardó, Lirios Dueñasa | Ferri Campos, Joanc | López Bueno, Lauraa
Affiliations: [a] Department of Physiotherapy, Universidad de Valencia, Valencia, Spain | [b] Department of Applied Statistics and Operational Research, and Quality, Universidad Politécnica de Valencia, Valencia, Spain | [c] Neurorehabilitation Service at Hospitales NISA, Valencia, Spain
Correspondence: [*] Address for correspondence: Mercè Balasch i Bernat, C/ Gascó Oliag n° 5, 46020 Valencia, Spain. Tel.: +34 653507630; Work: +34 963983854/Ext. 83854; Fax: +34 963983852; E-mail: merce.balasch@uv.es
Abstract: BACKGROUND:A wide variety of well-validated assessment scales of functioning and disability have been developed for stroke population. However, these instruments have limitations in their interpretation. Therefore, determining cut-off points for their categorization becomes necessary. OBJECTIVES:To determine cut-off points for the BI, FIM and FAM scales to differentiate clinical disability categories and to establish the relationship between mRS and DOS scales. METHODS:One hundred and six adults with ischemic or haemorrhagic stroke were mainly recruited from a rehabilitation facility (Hospitales Nisa, Valencia, Spain). RESULTS:A high correlation was observed between the DOS and mRS scales (Kendall’s tau-b = 0.475; p = 0.000) although a certain amount of disagreement between the two scales was detected. The cut-off points were 62.90 (95% CI, 57.26–69.29) and 21.30 (95% CI, 16.34–26.03) for the BI; 70.62 (95% CI, 66.65–75.22) and 38.29 (95% CI, 34.07–42.25) for the FIM; and 116.07 (95% CI, 110.30–122.68) and 66.02 (95% CI, 59.20–72.35) for the FAM. CONCLUSION(S):DOS was observed to be more demanding than the mRS, in terms of patient independence. Additionally, the lower cut-off points separating the levels of severe and moderate disability in the BI, FIM and FAM were determined. These findings would facilitate practitioners clinical interpretation of disability levels in post-stroke patients.
Keywords: Stroke, activities of daily living, disability, rehabilitation, clinical evaluation
DOI: 10.3233/NRE-151249
Journal: NeuroRehabilitation, vol. 37, no. 2, pp. 165-172, 2015
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
sales@iospress.com
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
info@iospress.nl
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office info@iospress.nl
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
china@iospress.cn
For editorial issues, like the status of your submitted paper or proposals, write to editorial@iospress.nl
如果您在出版方面需要帮助或有任何建, 件至: editorial@iospress.nl