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Propensity-matched analysis of the gap between capacity and actualperformance of dressing in patients with stroke

机译:倾向匹配分析能力与实际之间的差距脑卒中患者的敷料表现

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摘要

[Purpose] Dressing is an activity of daily living for which stroke patients often show discrepancies between capacity and actual performance. The aim of this study was to elucidate the physical function and unilateral spatial neglect in stroke patients that reduce their level of actual performance despite having the capacity for dressing independently. [Subjects and Methods] This retrospective study included 60 first-time stroke patients judged by occupational therapists as able to dress independently. The patients were divided into two groups according to their FIM® instrument scores for dressing the upper and lower body: an independent group with both scores ≥6 and an assistance group with one or both scores ≤5. After adjusting for confounding factors through propensity score matching, the groups were compared by using Stroke Impairment Assessment Set items, the Simple Test for Evaluating Hand Function of both upper limbs, and the Berg balance scale. [Results] The assistance group had a significantly lower score for the Berg balance scale than the independent dressing group (31.0 ± 12.3 vs. 47.8 ± 7.4). [Conclusion] The results of the present study suggested that the balance function has an effect on the discrepancy between dressing capacity and performance.
机译:[目的]穿衣是日常生活中的一项活动,中风患者通常会表现出能力与实际表现之间的差异。这项研究的目的是阐明卒中患者的身体机能和单方面的空间疏忽,尽管他们有独立的穿衣能力,但它们却降低了他们的实际表现水平。 [对象和方法]这项回顾性研究纳入了60位首次由职业治疗师判断为能够独立穿衣的中风患者。根据他们的FIM ®仪器得分,他们为上半身和下半身的穿戴分为两组:独立组的得分均≥6,辅助组的得分之一或均≤5。通过倾向得分匹配对混杂因素进行调整后,使用中风障碍评估集项,评估上肢手功能的简单测试和Berg平衡量表对两组进行比较。 [结果]与独立敷料组相比,援助组的Berg平衡量表得分明显较低(31.0±12.3对47.8±7.4)。 [结论]本研究的结果表明平衡功能对敷料能力和性能之间的差异有影响。

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