Association of Ability to Rise from Bed with Improvement of Functional Limitation and Activities of Daily Living in Hemiplegic Inpatients with Stroke: a Prospective Cohort Study

Abstract

[Purpose] The purpose of this study was to investigate the association of ability to rise from bed with improvement in functional limitations and activities of daily living (ADL) in hemiplegic inpatients with stroke. [Subjects] Participants were 38 hemiplegic inpatients with stroke in a convalescence rehabilitation unit. [Methods] On admission, a newly developed assessment, rising from bed independence score (RIS) and rise from bed time (RBT) were measured. On discharge, the Berg Balance Scale, Functional Movement Scale, and Functional Independence Measure were measured. We calculated correlation coefficients between ability to rise from bed on admission and these traditional measures on discharge. The proportion of subjects who regained independent gait was calculated among subjects whose RIS was 7 on admission. [Results] RIS and RBT were significantly correlated with most of the traditional measures on discharge. Only RIS was significantly correlated with relative gain. Of those with RIS=7 on admission, 76.9% regained independent gait. [Conclusion] We found that ability to rise from bed of inpatients with stroke was associated with improvement of functional limitation and ADL in a convalescence rehabilitation unit. Ability to rise from bed on admission was a useful predictor of independent gait on discharge.