Duke Activity Status Index cut-off scores for assessing functional capacity after stroke

被引:9
作者
Polese, Janaine [1 ]
da Silva, Silvia [2 ]
Faria-Fortini, Iza [3 ]
Faria, Christina [4 ]
Teixeira-Salmela, Luci [4 ]
机构
[1] Fac Ciencias Med Minas Gerais, Dept Phys Therapy, Belo Horizonte, MG, Brazil
[2] Univ Jose do Rosario Vellano, Dept Phys Therapy, Alfenas, Brazil
[3] Univ Fed Minas Gerais, Dept Occupat Therapy, Belo Horizonte, MG, Brazil
[4] Univ Fed Minas Gerais, Dept Phys Therapy, Belo Horizonte, MG, Brazil
关键词
Stroke; cut-off value; functional capacity; gait; community walkers; COMMUNITY AMBULATION; GAIT SPEED; REHABILITATION; INDIVIDUALS; PERFORMANCE; ASSOCIATION; VALIDATION; ISCHEMIA; EXERCISE;
D O I
10.1080/09638288.2019.1632942
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: To determine the Duke Activity Status Index (DASI) cut-off scores and verify if they would be able to discriminate between chronic stroke individuals, who had poor, from those who had good functional capacity (FC). Materials and methods: Cross-sectional study, where 92 individuals with chronic stroke had their FC measured by DASI scores and were classified into community and non-community walkers. Both the receiver operating characteristic and the area under the curve were used to determine the best DASI cut-off values that could discriminate between individuals, who had poor, from those who had good FC. Binary logistic regression analysis is used to investigate the ability of DASI scores in predicting community walkers. Results: DASI cut-off value of 31.95 showed to be sensitive and specific to differentiate between individuals, who had poor from good FC. The regression analysis revealed that the chance of individuals, who had better FC (>= 31.95) be community walkers was 10.69 (95%CI:4-32.75) times higher than that of those who had poor FC (< 31.95). The model demonstrated good predictive ability. Conclusions: The DASI cut-off value of 31.95 showed to be sensitive and specific to distinguish between chronic stroke individuals, who had poor, from those who had good FC.
引用
收藏
页码:713 / 717
页数:5
相关论文
共 35 条
[1]   Improving community ambulation after stroke: the AMBULATE trial [J].
Ada, Louise ;
Dean, Catherine M. ;
Lindley, Richard ;
Lloyd, Gemma .
BMC NEUROLOGY, 2009, 9
[2]   Assessment of functional capacity in clinical and research settings - A scientific statement from the American heart association committee on exercise, rehabilitation, and prevention of the council on clinical cardiology and the council on cardiovascular nursing [J].
Arena, Ross ;
Myers, Jonathan ;
Williams, Mark A. ;
Gulati, Martha ;
Kligfield, Paul ;
Balady, Gary J. ;
Collins, Eileen ;
Fletcher, Gerald .
CIRCULATION, 2007, 116 (03) :329-343
[3]  
Benjamin EJ, 2017, CIRCULATION, V135, pE146, DOI [10.1161/CIR.0000000000000485, 10.1161/CIR.0000000000000558, 10.1161/CIR.0000000000000530]
[4]   THE MINI-MENTAL-STATE-EXAMINATION IN AN OUTPATIENT POPULATION - INFLUENCE OF LITERACY [J].
BERTOLUCCI, PHF ;
BRUCKI, SMD ;
CAMPACCI, SR ;
JULIANO, Y .
ARQUIVOS DE NEURO-PSIQUIATRIA, 1994, 52 (01) :1-7
[5]   REHABILITATION GOALS OF PATIENTS WITH HEMIPLEGIA [J].
BOHANNON, RW ;
ANDREWS, AW ;
SMITH, MB .
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 1988, 11 (02) :181-183
[6]   Validation of a Speed-Based Classification System Using Quantitative Measures of Walking Performance Poststroke [J].
Bowden, Mark G. ;
Balasubramanian, Chitralakshmi K. ;
Behrman, Andrea L. ;
Kautz, Steven A. .
NEUROREHABILITATION AND NEURAL REPAIR, 2008, 22 (06) :672-675
[7]  
Carter Rick, 2002, J Cardiopulm Rehabil, V22, P298, DOI 10.1097/00008483-200207000-00014
[8]  
Coutinho-Myrrha MA, 2014, ARQ BRAS CARDIOL, V102, P383
[9]   Psychometric testing of the Duke Activity Status Index in patients with heart failure [J].
Fan, Xiuzhen ;
Lee, Kyoung Suk ;
Frazier, Susan K. ;
Lennie, Terry A. ;
Moser, Debra K. .
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2015, 14 (03) :214-221
[10]  
Faria-Fortini I., 2017, REV TERAPIA OCUPACIO, V28, P71, DOI [10.11606/issn.2238-6149.v28i1p71-78, DOI 10.11606/ISSN.2238-6149.V28I1P71-78]