2023 年 19 巻 1 号 p. 236-242
Introduction: Stroke rehabilitation that considers attention deficits and effectively improves activities of daily living (ADL) requires sufficient evaluation of attention functions. Attention function evaluations are generally performed using neuropsychological tests in patients with stroke. However, such tests become unviable for patients with acute stroke due to fatigue-related unstable general conditions and cannot determine how attention deficits affect ADL. Hence, developing an appropriate observational rating scale is crucial. Therefore, we investigated the factors related to independence in ADL in patients with acute stroke and the usefulness of the Moss Attention Rating Scale (MARS) score in predicting independence in ADL.
Methods: In this cross-sectional single-center study, we included 154 patients admitted to Acute Hospital, Japan for stroke treatment between April 2016 and April 2020 who consented to participate. The primary outcome was the motor functional independence measure (m-FIM) score. The secondary outcome measures were the Glasgow Coma Scale score, Brunnstrom recovery stage, grip strength, one-leg standing time (1LST), Mini-Mental State Examination-Japanese score, Visual Cancellation Task score, Symbol Digit Modalities Test score, and MARS score.
Results: The 1LST and MARS scores were associated with independence in ADL. The cutoff values were 2.99 seconds for 1LST (average), 89 points for MARS total score, and 58.87 points for MARS logit score.
Discussion: The MARS score and 1LST might be useful indices for predicting independence in ADL. Thus, behavioral assessments might be appropriately performed by implementing these indices to determine the degree of ADL independence in patients with stroke, and thereby establishing targeted rehabilitation strategies.
