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Titre : | Hip abduction with ankle dorsiflexion (HAAD) score and trunk seating control within 72 h after stroke predicts long-term disability : a cohort study (2021) |
Auteurs : | Tarcísio Silva Coelho ; Tarcísio Silva Coelho ; Ana Carolina Silva Bitencourt ; Rodrigo Bazan ; Luciana Aparecida Pascucci Sande de Souza ; Gustavo José Luvizutto |
Type de document : | Article |
Dans : | Journal of Bodywork and Movement Therapies (Vol. 27, July 2021) |
Article en page(s) : | p. 710-716 |
Note générale : | https://doi.org/10.1016/j.jbmt.2021.05.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Études de cohortes ; Etudes prospectives ; Évaluation de l'invalidité ; Genou ; Humains ; Indice de gravité de la maladie ; Résultat thérapeutique |
Mots-clés: | Stroke ; Predictor ; Trunk control ; Lower limbs ; Disability |
Résumé : | Background The aim of this study was to determine whether muscle strength of the lower limb and trunk during the acute phase after stroke are predictors of motor function and disability 90 days after hospital discharge. Methods This prospective study used a nonconcurrent design to evaluate stroke patients at two time points: a) first 72 h: hip abduction and ankle dorsiflexion (HAAD) score, trunk sitting control, clinical evaluation, demographic profile, and stroke severity using the National Institutes of Health Stroke Scale (NIHSS); b) 90 days after hospital discharge: modified Rankin scale (mRS). The participants were divided into two groups: good outcome (mRS 0?2) and worse outcome (mRS>2), and the differences between them were assessed statistically. Clinical and demographic variables were included in the multiple logistic regression analysis. The ROC curve was used to illustrate the clinical sensitivity and specificity of the HAAD score cutoff for the outcomes. Results Thirty-seven patients were included: 16 with mRS?2 and 21 with mRS>2. Patients in the worse outcome group were older (p = 0.02) and presented with higher NIHSS scores (p = 0.002), lower HAAD scores (p |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1360859221001194 |