Propensity-matched analysis of the gap between capacity and actual performance of dressing in patients with stroke

Takaaki Fujita, Atsushi Sato, Yuichi Yamamoto, Koji Otsuki, Kazuaki Iokawa, Toshimasa Sone, Manabu Midorikawa, Kenji Tsuchiya, Lee Bumsuk, Fusae Tozato

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

[Purpose] Dressing is an activity of daily living for which stroke patients often show discrepancies between capacity and actual performance. The aim of this study was to elucidate the physical function and unilateral spatial neglect in stroke patients that reduce their level of actual performance despite having the capacity for dressing independently. [Subjects and Methods] This retrospective study included 60 first-time stroke patients judged by occupational therapists as able to dress independently. The patients were divided into two groups according to their FIM® instrument scores for dressing the upper and lower body: an independent group with both scores ≥6 and an assistance group with one or both scores ≤5. After adjusting for confounding factors through propensity score matching, the groups were compared by using Stroke Impairment Assessment Set items, the Simple Test for Evaluating Hand Function of both upper limbs, and the Berg balance scale. [Results] The assistance group had a significantly lower score for the Berg balance scale than the independent dressing group (31.0 ± 12.3 vs. 47.8 ± 7.4). [Conclusion] The results of the present study suggested that the balance function has an effect on the discrepancy between dressing capacity and performance.

Original languageEnglish
Pages (from-to)1883-1887
Number of pages5
JournalJournal of Physical Therapy Science
Volume28
Issue number6
DOIs
Publication statusPublished - 2016 Jan 1
Externally publishedYes

Keywords

  • Balance
  • Dressing
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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