Functions necessary for gait independence in patients with stroke: A study using decision tree.
Aged
Aged, 80 and over
Cross-Sectional Studies
Decision Trees
Disability Evaluation
Female
Gait
Gait Analysis
Humans
Independent Living
Knee
/ innervation
Male
Middle Aged
Multivariate Analysis
Muscle Strength
Muscle, Skeletal
/ innervation
Proprioception
Recovery of Function
Retrospective Studies
Stroke
/ diagnosis
Stroke Rehabilitation
Decision tree
Gait
Rehabilitation
Stroke
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
07
01
2020
revised:
18
04
2020
accepted:
23
05
2020
entrez:
22
7
2020
pubmed:
22
7
2020
medline:
24
10
2020
Statut:
ppublish
Résumé
Little is known about the existence and impact of interactions among multiple impairments to gait independence. The purpose of this study is to reveal the interaction of physical functions and its impact on gait independence in stroke patients. This retrospective study included 108 subacute stroke patients. We conducted a decision tree analysis to examine the existence of interactions in relation to gait independence among the gross motor function of lower limb, knee extension strength, sensory function, and trunk function. Further, we confirmed the existence and impact of interaction detected via the decision tree after adjusting for the effects of confounding factors using logistic regression. The knee extension strength and proprioception on the affected side were selected in the first and second level of the decision tree. In addition, the knee extension strength was selected in the third level. The interaction of the knee extension strength and proprioception on the affected side was significantly associated with gait independence, both before and after adjusting for age, visuospatial perception, and cognitive functions. Our results suggest that the interaction of the knee extension strength and proprioception on the affected side is strongly associated with gait independence in stroke patients.
Sections du résumé
BACKGROUND
BACKGROUND
Little is known about the existence and impact of interactions among multiple impairments to gait independence. The purpose of this study is to reveal the interaction of physical functions and its impact on gait independence in stroke patients.
METHODS
METHODS
This retrospective study included 108 subacute stroke patients. We conducted a decision tree analysis to examine the existence of interactions in relation to gait independence among the gross motor function of lower limb, knee extension strength, sensory function, and trunk function. Further, we confirmed the existence and impact of interaction detected via the decision tree after adjusting for the effects of confounding factors using logistic regression.
RESULTS
RESULTS
The knee extension strength and proprioception on the affected side were selected in the first and second level of the decision tree. In addition, the knee extension strength was selected in the third level. The interaction of the knee extension strength and proprioception on the affected side was significantly associated with gait independence, both before and after adjusting for age, visuospatial perception, and cognitive functions.
CONCLUSIONS
CONCLUSIONS
Our results suggest that the interaction of the knee extension strength and proprioception on the affected side is strongly associated with gait independence in stroke patients.
Identifiants
pubmed: 32689598
pii: S1052-3057(20)30416-X
doi: 10.1016/j.jstrokecerebrovasdis.2020.104998
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
104998Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.