title: Relationship between the ability to change from a supine to a sitting position at admission and mobility outcomes after stroke rehabilitation.
abstract: BACKGROUND
  Regarding observations, stroke patients able to change their basic body position from supine to sitting at admission usually could walk by the end of rehabilitation. However, there was not yet supported by any research evidence.
  
  
  OBJECTIVE
  To study the relationship between the patient's ability at admission to change basic body position from a supine to a sitting position and the mobility outcome after stroke rehabilitation.
  
  
  METHODS
  Data were gathered and analyzed from the case record forms (including the Barthel ADL Index assessment sheets) of 327 stroke patients in nine tertiary in-patient rehabilitation settings in Thailand between March and December 2006.
  
  
  RESULTS
  On admission, 58.7% of the patients were able to change their basic position from supine to sitting. At the end of rehabilitation, the group which was able to sit had a higher mobility sub-score (OR = 6.15; 95% CI 3.24 -11.67) and total Barthel ADL index score (OR = 9.64; 95% CI 5.74-16.18) than the group which was unable to sit.
  
  
  CONCLUSIONS
  The ability at admission to change from a supine to a sitting position was significantly related to a better mobility outcome after stroke rehabilitation.
authors.affiliation: Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. wpattr@kku.ac.th
authors.forename: Pattra
authors.initials: P
authors.lastname: Wattanapan
authors.forename: Apichana
authors.initials: A
authors.lastname: Kovindha
authors.forename: Krisna
authors.initials: K
authors.lastname: Piravej
authors.forename: Vilai
authors.initials: V
authors.lastname: Kuptniratsaikul
mesh_terms: D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D009068:Movement / Q000502:physiology*; D010343:Patient Admission; D004856:Postural Balance; D011187:Posture; D011237:Predictive Value of Tests; D012047:Rehabilitation Centers; D000071939:Stroke Rehabilitation; D013785:Thailand; D016896:Treatment Outcome