title: Propensity-matched analysis of the gap between capacity and actual performance of dressing in patients with stroke.
abstract: [Purpose] Dressing is an activity of daily living for which stroke patients often show discrepancies between capacity and actual performance. The aim of this study was to elucidate the physical function and unilateral spatial neglect in stroke patients that reduce their level of actual performance despite having the capacity for dressing independently. [Subjects and Methods] This retrospective study included 60 first-time stroke patients judged by occupational therapists as able to dress independently. The patients were divided into two groups according to their FIM(®) instrument scores for dressing the upper and lower body: an independent group with both scores ≥6 and an assistance group with one or both scores ≤5. After adjusting for confounding factors through propensity score matching, the groups were compared by using Stroke Impairment Assessment Set items, the Simple Test for Evaluating Hand Function of both upper limbs, and the Berg balance scale. [Results] The assistance group had a significantly lower score for the Berg balance scale than the independent dressing group (31.0 ± 12.3 vs. 47.8 ± 7.4). [Conclusion] The results of the present study suggested that the balance function has an effect on the discrepancy between dressing capacity and performance.
authors.affiliation: Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Japan; Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Fujita
authors.affiliation: Department of Physical Therapy, Yachiyo Rehabilitation College, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Sato
authors.affiliation: Department of Rehabilitation, Northern Fukushima Medical Center, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Rehabilitation, Northern Fukushima Medical Center, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Otsuki
authors.affiliation: Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Japan.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Iokawa
authors.affiliation: Department of Rehabilitation, Faculty of Health Sciences, Tohoku Fukushi University, Japan.
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Sone
authors.affiliation: Department of Rehabilitation, Aida Memorial Rehabilitation Hospital, Japan.
authors.forename: Manabu
authors.initials: M
authors.lastname: Midorikawa
authors.affiliation: Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Japan; Department of Rehabilitation, Japan Community Healthcare Organization Gunma Chuo Hospital, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Tsuchiya
authors.affiliation: Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Japan.
authors.forename: Lee
authors.initials: L
authors.lastname: Bumsuk
authors.affiliation: Department of Rehabilitation Sciences, Gunma University Graduate School of Health Sciences, Japan.
authors.forename: Fusae
authors.initials: F
authors.lastname: Tozato
keywords: Balance; Dressing; Stroke