Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Chiou HY
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------>journal_name=2008, The 6th World Stroke Congress. Vienna, Austria.
------>paper_name=Stroke registry in Taiwan.
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------>fullAbstract=BACKGROUND AND PURPOSE: The trunk control items of the Postural Assessment Scale for Stroke Patients (PASS-TC) have been proposed for use in examining patients with stroke. The purpose of this study was to examine the discriminative and predictive validities and the evaluative properties of the PASS-TC at 14, 30, 90, and 180 days after stroke onset. SUBJECTS AND METHODS: A total of 269 patients with stroke participated in this prospective study. The PASS-TC was administered at the 4 time points after stroke onset. The distributions of the PASS-TC scores were used to determine the discriminative ability to distinguish between individuals at the 4 time points. A comprehensive activities of daily living (CADL) measure was administered 1 year after stroke onset as an external criterion for examining the predictive ability of the PASS-TC. Changes in PASS-TC scores between the intervals of 14 to 30, 30 to 90, and 90 to 180 days after stroke onset were used to examine the evaluative properties of the measure. RESULTS: The PASS-TC scores exhibited differences between the patients with disability and the patients without disability at the 4 time points. The scale, however, showed a notable ceiling effect at the 4 time points (>30% of the subjects), indicating a limited discriminative ability between individuals. The scores of the PASS-TC at the 4 time points were moderately correlated with the CADL scores at 1 year after stroke onset (Spearman rhof.5), evidence of its predictive validity. The responsiveness of the PASS-TC was moderate at 14 to 30 days after stroke (standardized response mean [SRM]=.65) and limited at 30 to 90 and 90 to 180 days after stroke (SRM=.42 and .02, respectively). DISCUSSION AND CONCLUSION: The results provide evidence that the PASS-TC can predict CADL function at 1 year after a stroke, but the discriminative and evaluative abilities are limited over the first 6 months after a stroke. To promote the utility of the PASS-TC in stroke research, it will be necessary to reduce its ceiling effect and improve its evaluative ability.
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------>authors2=Hsieh FI
------>authors3=Lien LM
------>authors4=Bai CH
------>authors5=Chen ST
------>authors6=Hsu CY
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------>authors=Chiou HY
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------>updateTitle=Discriminative, predictive, and evaluative properties of a trunk control measure in patients with stroke.
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------>publish_year=2008
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------>publish_month=9
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z