Abstract
Introduction: Since independent gait is an important factor for home discharge, early prediction of independent gait after stroke is essential. The revised version of the Ability for Basic Movement Scale II (ABMS II) has been developed and validated for assessment of basic movements poststroke. Objective: The purpose of this study was to investigate the predictive value of the ABMS II score for independent gait in acute stroke patients with hemiplegia. Methods: We included 67 patients with first stroke and a unilateral lesion who were admitted to the stroke care unit. We evaluated the gait on the 14th and 90th days from admission. Results: The ABMS II score was significantly higher in patients with independent gait on both the 14th and 90th days from admission. On receiver operating characteristic curve analysis, a minimum score of 26 points was predictive of independent gait on the 14th day from admission. Similarly, a score of 15 points was predictive of independent gait on the 90th day from admission. Conclusions: The ABMS II score is a useful predictor of independent gait in acute stroke patients with hemiplegia.
References
1.
Beyaert
C
, Vasa
R
, Frykberg
GE
. Gait post-stroke: pathophysiology and rehabilitation strategies
. Neurophysiol Clin
. 2015 Nov
;45
(4–5
):335
–55
. 2.
Kwakkel
G
, Wagenaar
RC
, Kollen
BJ
, Lankhorst
GJ
. Predicting disability in stroke: a critical review of the literature
. Age Ageing
. 1996 Nov
;25
(6
):479
–89
. 3.
Wright
CJ
, Swinton
LC
, Green
TL
, Hill
MD
. Predicting final disposition after stroke using the Orpington Prognostic Score
. Can J Neurol Sci
. 2004 Nov
;31
(4
):494
–8
. 4.
Oh
HM
, Im
S
, Ko
YA
, Ko
SB
, Park
GY
. The sitting-unsupported balance score as an early predictor of functional prognosis in stroke patients: a pilot study
. Ann Rehabil Med
. 2013 Apr
;37
(2
):241
–6
. 5.
Kim
TJ
, Seo
KM
, Kim
DK
, Kang
SH
. The relationship between initial trunk performances and functional prognosis in patients with stroke
. Ann Rehabil Med
. 2015 Feb
;39
(1
):66
–73
. 6.
Masiero
S
, Avesani
R
, Armani
M
, Verena
P
, Ermani
M
. Predictive factors for ambulation in stroke patients in the rehabilitation setting: a multivariate analysis
. Clin Neurol Neurosurg
. 2007 Nov
;109
(9
):763
–9
. 7.
Tanaka
T
, Hashimoto
K
, Kobayashi
K
, Sugawara
H
, Abo
M
. Revised version of the ability for basic movement scale (ABMS II) as an early predictor of functioning related to activities of daily living in patients after stroke
. J Rehabil Med
. 2010 Feb
;42
(2
):179
–81
. 8.
Hashimoto
K
, Higuchi
K
, Nakayama
Y
, Abo
M
. Ability for basic movement as an early predictor of functioning related to activities of daily living in stroke patients
. Neurorehabil Neural Repair
. 2007 Jul-Aug
;21
(4
):353
–7
. 9.
Kinoshita
S
, Abo
M
, Okamoto
T
, Tanaka
N
. Utility of the revised version of the ability for basic movement scale in predicting ambulation during rehabilitation in poststroke patients
. J Stroke Cerebrovasc Dis
. 2017 Aug
;26
(8
):1663
–9
. 10.
Miyai
I
, Sonoda
S
, Nagai
S
, Takayama
Y
, Inoue
Y
, Kakehi
A
, et al. Results of new policies for inpatient rehabilitation coverage in Japan
. Neurorehabil Neural Repair
. 2011 Jul–Aug
;25
(6
):540
–7
. 11.
Schlegel
DJ
, Tanne
D
, Demchuk
AM
, Levine
SR
, Kasner
SE
. Prediction of hospital disposition after thrombolysis for acute ischemic stroke using the National Institutes of Health Stroke Scale
. Arch Neurol
. 2004 Jul
;61
(7
):1061
–4
. 12.
Adams
HP
Jr, Bendixen
BH
, Kappelle
LJ
, Biller
J
, Love
BB
, Gordon
DL
, et al. Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment
. Stroke
. 1993 Jan
;24
(1
):35
–41
. 13.
Brott
T
, Adams
HP
Jr, Olinger
CP
, Marler
JR
, Barsan
WG
, Biller
J
, et al. Measurements of acute cerebral infarction: a clinical examination scale
. Stroke
. 1989 Jul
;20
(7
):864
–70
. 14.
Mehrholz
J
, Wagner
K
, Rutte
K
, Meissner
D
, Pohl
M
. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke
. Arch Phys Med Rehabil
. 2007 Oct
;88
(10
):1314
–9
. 15.
Chen
IC
, Cheng
PT
, Chen
CL
, Chen
SC
, Chung
CY
, Yeh
TH
. Effects of balance training on hemiplegic stroke patients
. Chang Gung Med J
. 2002 Sep
;25
(9
):583
–90
.16.
Verheyden
G
, Vereeck
L
, Truijen
S
, Troch
M
, Herregodts
I
, Lafosse
C
, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability
. Clin Rehabil
. 2006 May
;20
(5
):451
–8
. 17.
Saeys
W
, Vereeck
L
, Truijen
S
, Lafosse
C
, Wuyts
FP
, Heyning
PV
. Randomized controlled trial of truncal exercises early after stroke to improve balance and mobility
. Neurorehabil Neural Repair
. 2012 Mar–Apr
;26
(3
):231
–8
. 18.
Kollen
B
, van de Port
I
, Lindeman
E
, Twisk
J
, Kwakkel
G
. Predicting improvement in gait after stroke: a longitudinal prospective study
. Stroke
. 2005 Dec
;36
(12
):2676
–80
. 19.
Collin
C
, Wade
D
. Assessing motor impairment after stroke: a pilot reliability study
. J Neurol Neurosurg Psychiatry
. 1990 Jul
;53
(7
):576
–9
.20.
Hiraoka
S
, Maeshima
S
, Okazaki
H
, Hori
H
, Tanaka
S
, Okamoto
S
, et al. Factors necessary for independent walking in patients with thalamic hemorrhage
. BMC Neurol
. 2017 Dec 8
;17
(1
):211
. 21.
Kollen
B
, van de Port
I
, Lindeman
E
, Twisk
J
, Kwakkel
G
. Predicting improvement in gait after stroke: a longitudinal prospective study
. Stroke
. 2005 Dec
;36
(12
):2676
–80
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2020
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