2016 Volume 44 Issue 1 Pages 1-10
Objective: The objective of this study was to investigate the factors, including the frequency of therapeutic intervention (physical therapy: PT, occupational therapy: OT and speech therapy: ST), that influence the recovery of activities of daily living (ADL) related motor functions in patients with stroke based on stratification by ADL severity at admission.
Method: In this study, we included patients with stroke of our hospital. Based on the severity of motor function limitation at admission, the patients were stratified into the following three groups: severe limitation, moderate limitation and mild limitation. Logistic regression analysis was used to determine factors predicting a positive motor ADL recovery (positive score gained for functional independence measure (FIM)-related motor: motor FIM gain). This analysis was performed for all three groups. Using an ROC curve, cut-off value for each significant predictor in the logistic regression analysis was determined. To calculate the cut-off values and diagnostic performance for each of the extraction factor.
Result: The number of subject in severe, moderate, and mild group was 297, 190, and 170 respectively. Extraction factor number were 5 in the mild group, 2 in the moderate and 3 in the severe group. The total frequency of PT and OT was a significant predictor of motor FIM gain in all groups; the cut-off values for this predictor in the severe, moderate and mild limitation groups were 747, 495 and 277, respectively. And positive likelihood ratio and negative likelihood ratio were 2.26・0.63, 1.5・0.67 and 1.86・ 0.45. The posterior values were 71.0%, 62.0% and 65.0%, respectively.
Conclusion: As the recovery is likely to predict a person of severe, but the high prediction is difficult accurate if not more variables.
