Takaaki Fujita, Atsushi Sato, Yuichi Yamamoto, Koji Otsuki, Kenji Tsuchiya, Fusae Tozato; Motor Function Cutoff Values for Independent Dressing in Stroke Patients. Am J Occup Ther 2016;70(3):7003290010. https://doi.org/10.5014/ajot.2016.018945
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© 2021 American Occupational Therapy Association
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.
Balance function is strongly associated with level of dressing independence, suggesting that balance training will be effective in improving independence level in dressing.
BBS scores of 44 and 32 points are the criterion cutoff values of balance required to reach independent and supervision levels of dressing, respectively. These values should enable practitioners to target goals for balance training aimed at improving dressing and provide criteria for determining the level of assistance required for dressing rehabilitation hospital inpatients with stroke. However, these cutoff values should be adapted for patients with a high level of trunk function, unaffected upper-limb function, and no deterioration in cognition.
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