%0 Journal Article
%T Interaction between Locomotion and Self-Care for Patients with Stroke in Severity Classification Based on the Motor Functional Independence Measure upon Admission to the Recovery Ward
%A Takashi Kimura
%J Open Journal of Therapy and Rehabilitation
%P 164-182
%@ 2332-1830
%D 2020
%I Scientific Research Publishing
%R 10.4236/ojtr.2020.84015
%X <strong><span style=\"font-family:Verdana;\">Background</span></strong><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">:</span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> A correlation between self-care and gait in stroke
patients has been shown. However, there are few reports suggesting an
interaction between self-care and gait. </span><b><span style=\"font-family:Verdana;\">Purpose</span></b></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">:</span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> To investigate the interaction between locomotion
and improvements in self-care. </span><b><span style=\"font-family:Verdana;\">Participants and Methods</span></b></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">:</span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> We retrospectively analyzed 3034 stroke patients
who were registered in the Japanese Rehabilitation Database. Using their data,
patients were classified into three groups (severe, moderate, slight) based on
the motor functional inde</span><span style=\"font-family:Verdana;\">pendence measure
upon admission, and data were modified as mean-centered </span><span style=\"font-family:Verdana;\">values. We
performed a correlation analysis to evaluate the relationship among all the
collected data. Subsequently, a hierarchical multiple regression analysis was
performed to evaluate interaction using the self-care motor score from the
Functional Independent Measure (FIM) as the dependent variable. Model 1 used
two independent variables (National Institutes of Health Stroke Scale and cognitive
FIM score), model 2 used two independent variables (locomotion gain and gain of
an item with the strongest correlation coefficient to the de-pendent variable),
and model 3 used a mean-centering value, which was added to model 2. The simple
slope was used for further analysis. </span><b><span style=\"font-family:Verdana;\">Results</span></b></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">:</span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> Locomotion showed an interaction with
%K Interaction
%K Stroke
%K Gait
%K Self-Care
%K Recovery Rehabilitation
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=103980