Quantifying lower extremity and trunk function for dressing in stroke patients: a retrospective observational study

Abstract

Background Dressing performance relates strongly with balance function, and it is mainly influenced by the motor functions of the affected and unaffected lower extremity and trunk function in stroke patients. For the remedial approach to be effective, ascertaining the degree of function needed in the affected and unaffected lower extremities and trunk to achieve balance function requisite for dressing is necessary.

Objectives This study aimed to elucidate standards of lower extremity and trunk function necessary for stroke patients to gain balance requisite for dressing.

Methods The study included 105 first-time stroke patients, who were classified by Berg Balance Score ≥44 or not and ≥32 or not which are previously reported standard indicators for independent and supervision level in dressing. Receiver operating characteristic curves were determined for the stroke impairment assessment item of sensory and motor function of affected lower extremity, abdominal muscle strength, and knee extension muscle strength.

Results Area under the curve was ≥0.7 for all variables. In BBS 44-point analyses, the calculated cut-off values were 4 points for SIAS hip flexion, 4 points for SIAS knee extension, 2 points for SIAS foot pat on the affected side, 3 points for SIAS tactile and position sensation of the affected lower extremity, 3 points for SIAS abdominal muscle strength, and 3 points for SIAS knee extension muscle strength on the unaffected side.

Conclusions These cut-off values can be used as targets for motor functions, when using the remedial approach for achieving dressing independence.

Keywords:

• Stroke
• receiver operating characteristic curves
• cut-off value
• balance
• motor function
• dressing
• activities of daily living