title: Simple Indicator to Judge the Independence Level Required in Dressing in a Hospital Ward for Patients with Stroke.
abstract: BACKGROUND
  This study aimed to create a simple and objective indicator for use by inexperienced nurses and family members of patients to judge the assistance level required for dressing in a hospital, while encouraging independence in activities of daily living among inpatients with stroke using the Berg balance scale.
  
  
  METHODS
  We retrospectively analyzed the data of 108 hospitalized patients with first stroke in a rehabilitation hospital ward. Receiver operating characteristic curves were used to identify the Berg balance scale item with the highest discriminatory power against independence level in dressing.
  
  
  RESULTS
  For comparisons between the independence and supervision or less level groups, the area under the curve of the sum score of "Retrieving object from floor" and "Standing with one foot in front" was .954, and the calculated cutoff value was 6/5 (sensitivity, 86%; specificity, 94%). For comparisons between the supervision or higher level and dependence groups, the area under the curve of the score of "Retrieving object from floor" was .930, and the calculated cutoff value was 2/1 (sensitivity, 93%; specificity, 81%).
  
  
  CONCLUSIONS
  Our results suggested that Berg balance scale items are individually and in combination simple and useful indicators to judge independence level in dressing in a hospital ward for patients with stroke. These indices appear to be appropriate for individuals who are unfamiliar with Berg balance scale, such as inexperienced nurses and family members of patients.
authors.affiliation: Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Sendai, Japan; Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Maebashi, Japan. Electronic address: t-fujita@tfu-mail.tfu.ac.jp.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Fujita
authors.affiliation: Department of Physical Therapy, Yachiyo Rehabilitation College, Yachiyo, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Sato
authors.affiliation: Department of Rehabilitation, Northern Fukushima Medical Center, Date, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Rehabilitation, Northern Fukushima Medical Center, Date, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yamane
authors.affiliation: Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Maebashi, Japan; Department of Rehabilitation, Japan Community Healthcare Organization, Gunma Chuo Hospital, Maebashi, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Tsuchiya
authors.affiliation: Department of Rehabilitation, Northern Fukushima Medical Center, Date, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Otsuki
authors.affiliation: Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Maebashi, Japan.
authors.forename: Fusae
authors.initials: F
authors.lastname: Tozato
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001458:Bandages; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D008875:Middle Aged; D004856:Postural Balance / Q000502:physiology*; D012372:ROC Curve; D012047:Rehabilitation Centers; D020521:Stroke / Q000503:physiopathology / Q000523:psychology*; D000071939:Stroke Rehabilitation / Q000379:methods
keywords: Stroke; balance function; cutoff values; dressing