Research Article  |   April 2016
Motor Function Cutoff Values for Independent Dressing in Stroke Patients
Takaaki Fujita; Atsushi Sato; Yuichi Yamamoto; Koji Otsuki; Kenji Tsuchiya; Fusae Tozato
Author Affiliations
  • Takaaki Fujita, MOT, OTR, is Research Associate, Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Sendai-city, Japan, and Graduate Student, Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Maebashi-city, Japan; t-fujita@tfu-mail.tfu.ac.jp
  • Atsushi Sato, Bachelor of PT, RPT, is Lecturer, Department of Physical Therapy, Yachiyo Rehabilitation College, Yachiyo-city, Japan
  • Yuichi Yamamoto, Diploma of PT, RPT, is Section Manager, Department of Rehabilitation, Northern Fukushima Medical Center, Date-city, Japan
  • Koji Otsuki, MD, PhD, is Chief, Department of Rehabilitation, Northern Fukushima Medical Center, Date-city, Japan
  • Kenji Tsuchiya, MHSci, OTR, is Subchief, Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi-city, Japan
  • Fusae Tozato, PhD, OTR, is Professor, Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Maebashi-city, Japan
Article Information
Neurologic Conditions / Stroke / Rehabilitation, Disability, and Participation
Research Article   |   April 2016
Motor Function Cutoff Values for Independent Dressing in Stroke Patients
American Journal of Occupational Therapy, April 2016, Vol. 70, 7003290010p1-7003290010p7. doi:10.5014/ajot.2016.018945
American Journal of Occupational Therapy, April 2016, Vol. 70, 7003290010p1-7003290010p7. doi:10.5014/ajot.2016.018945
Abstract

OBJECTIVE. This study established motor function cutoff values for dressing independence in inpatients with stroke.

METHODS. Ninety-eight first-time inpatients with stroke were divided into groups on the basis of independence level in dressing, and receiver operating characteristic curves were determined for balance, motor function of affected limbs, trunk function, motor function of unaffected upper limb, and cognitive function.

RESULTS. Area under the curve for the Berg Balance Scale (BBS) was highest for the different motor functions. In distinguishing independence group and supervision or less level group, the cutoff value for the BBS was 44 points (sensitivity = 85%, specificity = 93%). In distinguishing supervision or higher level group and dependence group, the cutoff value for the BBS was 32 points (sensitivity = 94%, specificity = 79%).

CONCLUSION. Balance was strongly correlated with the level of dressing independence, and cutoff values for the BBS were indicators of the balance required to reach independent and supervision levels of dressing.