Ann Rehabil Med.  2012 Feb;36(1):8-15. 10.5535/arm.2012.36.1.8.

An Objective Assessment Scale for "Come-to-Sit" Using a Specifically Designed Jacket in Stroke Patients

• Lee JH
• Jung HY
• Lee JW
• Joa KL
• Kim JH
• Kim MJ
• Hur DH
• Jang EJ
• Kim MO

• KMID: 2266775
• DOI: http://doi.org/10.5535/arm.2012.36.1.8

Abstract

OBJECTIVE
To compare an objective assessment scale for "come-to-sit" in stroke patients with the previously established subjective assessment scales of "performance-based assessment" and the "ability for basic movement scale". METHOD: A specifically designed jacket was used to determine the objective degree of assistance needed for patients to perform the task. While patients were sitting up, the investigator evaluated the amount of assistance needed in a fully dependent state (A) and with maximal effort (B). Using this measure, we obtained an objective scale, {(A-B)/A} x100. In addition, patients were tested in two starting positions: hemiplegic-side lying and sound-side lying. We then compared the objective scale with subjective scales and other parameters related to functional outcomes.
RESULTS
For both starting positions, the objective assessment scale showed high correlation with the previously established subjective scales (p<0.01). Only the hemiplegic-side lying-to-sit objective scale showed a significant correlation with the parameters used to assess functional outcomes (p<0.05). In terms of Brunnstrom stages, only the leg stage showed a significant correlation with the objective "come-to-sit" scale (p<0.01).
CONCLUSION
The objective scale was comparable to established subjective assessment scales when used by an expert. The hemiplegic-side lying-to-sit maneuver had a high correlation with patient's functional recovery. Specifically, balance and lower extremity function appear to be important factors in the "come-to-sit" activity.

Keyword

Come-to-sit; Objective assessment scale; Assistance jacket

MeSH Terms

Deception
Humans
Leg
Lower Extremity
Research Personnel
Stroke
Weights and Measures

Figure

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  Fig. 1 The specifically designed jacket was applied to pull the patient's trunk so as to measure the weight.

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  Fig. 2 Scale measuring the maximal value of pulling weight (Travelon®, Elk Grove Village, USA).

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  Fig. 3 (A) Total assisted sitting with full dependence. (B) Active assisted sitting with full effort.

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  Fig. 4 (A) The correlations between SSOS and PBA at the hemiplegic side. (B) The correlations between SSOS and ABMS at the hemiplegic side. SSOS: Side lying to sit objective scale, PBA: Performance-based assessment, ABMS: The ability for basic movement scale.

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  Fig. 5 (A) The correlations between SSOS and PBA at the sound side. (B) The correlations between SSOS and ABMS at the sound side. SSOS: Side lying to sit objective scale, PBA: Performance-based assessment, ABMS: The ability for basic movement scale.

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