| Trunk Impairment Scale for Evaluation of Functional Improvement in Acute Stroke Patients. |
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Park, Ji Young , Chun, Min Ho , Kim, Yong Mi , Kang, Si Hyun |
1Department of Physical Medicine & Rehabilitation, Asan Medical Center, University of Ulsan College of Medicine, Korea. mhchun@amc.seoul.kr
2Department of Physical Medicine & Rehabilitation, Chung-Ang University College of Medicine, Korea. |
| 급성기 뇌졸중 환자의 기능 향상 평가를 위한 몸통장애척도 |
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박지영, 전민호, 김용미, 강시현1 |
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울산대학교 의과대학 서울아산병원 재활의학교실, 1중앙대학교 의과대학 재활의학교실 |
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| Abstract |
Objective
To evaluate the change of balance of the trunk using the Trunk Impairment Scale (TIS) in acute stroke patients and to compare it with the improvement in activities in their daily living (ADL) and gait.
Method
The mean days from the onset of stroke were 11.3 (6∼17) days, and functional improvement of 24 hemiplegic patients was evaluated using the trunk impairment scale, Berg balance scale, timed up and go test, 6 minutes walk test, and the modified Barthel index every week for 4 weeks' conventional rehabilitation programs. Correlations between the trunk impairment scale and the other parameters were evaluated.
Results
The trunk impairment scale and the modified Barthel index, both which showed significant improvement after 4 weeks, had statistically significant correlation (p＜ 0.05). The Berg balance scale had not improved significantly in 4 weeks. The timed up and go test and the 6 minutes' walk test could not be evaluated in most of these patients within 4 weeks.
Conclusion
The trunk impairment scale could be a useful parameter for evaluating activities in their daily living (ADL) improvement in acute stroke patients who are unable to ambulate independently. And good trunk balance in acute stroke period is positive correlation with ambulation potential. (J Korean Acad Rehab Med 2010; 34: 278-284) |
| Key Words:
Stroke, Trunk, Balance, Gait, Activities of daily living |
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