Using a sit-and-forward reach test to predict the mobility outcomes of patients with acute stroke

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Using a sit-and-forward reach test to predict the mobility outcomes of patients with acute stroke

 

Author: Tsang, Yuk-lan Emily
Title: Using a sit-and-forward reach test to predict the mobility outcomes of patients with acute stroke
Degree: M.Sc.
Year: 2001
Subject: Cerebrovascular disease -- Patients -- Rehabilitation
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: x, 70 leaves : ill. (some col.) ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1569096
URI: http://theses.lib.polyu.edu.hk/handle/200/2744
Abstract: This study aimed at evaluating the use of a sit-and-forward reach test in predicting the mobility outcomes in patients with acute stroke. The second objective was to establish its test-retest reliability and convergent validity of the sit-and-forward reach test. Twenty-six subjects with stroke completed the data collection process. There were sixteen males and ten females with a mean age of 73.5 years (S.D. 7.3). The average length of stay was 25.5 days (S.D. 11.3). Subjects were required to receive an initial assessment and pre-discharge follow-up assessment. Each subject received the initial assessment, which included the sit-and-forward reach test, sitting balance from MAS, FIM transfer & locomotion scale and Timed Walk, within 7-10 days of the stroke onset. The pre-discharge follow-up assessment, which included FIM transfer & locomotion scale and Timed Walk, was performed at the day of discharge or within five days before discharge (mean=1.2 days, S.D. 1.3 days). Data were analyzed by using Intraclass Correlation Coefficient, Pearson product-moment correlation and linear regression. Results demonstrated that the reliability of the sit-and-forward reach test was good. Its intra-session and inter-session reliability were 0.98 and 0.79 respectively. Pearson product-moment correlation analysis showed that the sit-and-forward reach test was marginally correlated with sitting balance from MAS with r=0.387 (p=0.051). Judging from the result of the present study, there was no strong evidence that sit-and-forward reach was a measurement of sitting balance. However, the sit-and-forward reach test was moderately correlated with discharge FIM transfer & locomotion (r=0.572, p=0.002) and discharge Timed Walk (r=0.524, p=0.006). The sit-and-forward reach test accounted for 32.7% of the variance in discharge FIM transfer & locomotion score and 27.5% of the variance in discharge Timed Walk. Findings of the present study implied that the sit-and-forward reach test could significantly predict discharge mobility outcome of patients with stroke. The sit-and-forward reach test is therefore recommended to be used for quick screening of mobility in patients with acute stroke.

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