The Ability for Basic Movement Scale II Can Predict Functional Outcome and Discharge Destination in Stroke Patients

De Gang Yang; Rui Gu; Shin Sato; Fei Zheng; Mitsuhiro Sano; Chiharu Yashima; Junichi Eguchi; Takeki Ishida; Masaki Kawaguchi; Jin Kubo; Wataru Kakuda

doi:10.1016/j.jstrokecerebrovasdis.2019.104484

The Ability for Basic Movement Scale II Can Predict Functional Outcome and Discharge Destination in Stroke Patients

J Stroke Cerebrovasc Dis. 2020 Jan;29(1):104484. doi: 10.1016/j.jstrokecerebrovasdis.2019.104484. Epub 2019 Nov 18.

Authors

Affiliations

¹ Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan; Department of Spinal and Neural Function Reconstruction, Beijing Bo Ai Hospital, China Rehabilitation Research Center, Faculty of Rehabilitation Medicine, Capital Medical University, Beijing, China.
² Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan; Orthopedic and Orthopedic Rehabilitation Department, Beijing Bo Ai Hospital, China Rehabilitation Research Center, Faculty of Rehabilitation Medicine, Capital Medical University, Beijing, China.
³ Department of Rehabilitation Medicine, International University of Health and Welfare Ichikawa Hospital, Japan.
⁴ Department of Neurology and Stroke Center, Southern Tohoku Research Institute for Neuroscience, Southern Tohoku General Hospital, Fukushima, Japan.
⁵ Department of Rehabilitation Medicine, School of Medicine, International University of Health and Welfare, Chiba, Japan. Electronic address: wkakuda@iuhw.ac.jp.

PMID: 31753717
DOI: 10.1016/j.jstrokecerebrovasdis.2019.104484

Abstract

Objectives: This study aims to identify whether the Ability for Basic Movement Scale II (ABMS II) at admission would predict the functional status and discharge destination in convalescent stroke patients.

Methods: Ninety-four stroke patients admitted to convalescent rehabilitation ward were investigated. Their functions were evaluated by the ABMS II and Functional Independence Measure (FIM) at admission, FIM and Functional Ambulation Category at discharge. Furthermore, the age, gender, diagnosis, lesion side, onset type, interval between onset and convalescent admission, length of stay (LOS) and discharge destination were recorded. Discharge destination was divided into home and facility.

Results: Multiple linear regression identified the ABMS II at admission as a significant predicator of discharge FIM in convalescent stroke patients (β = .747, P < .05). Binary logistic regression analysis showed the ABMS II significantly predicting basic walk ability (odds ratio 1.29) and home discharge (odds ratio 1.241) of these patients. Receiver operating characteristic analysis indicated that an optimal cutoff of 18 points of ABMS II predicted basic walk ability (area under the curve = .863, P < .05) and home discharge (area under the curve = .827, P < .05). Moreover, a significant negative correlation between the ABSM II at admission and LOS was found (Correlation coefficients -.680, P < .05).

Conclusions: Higher score of the ABMS II at admission predicted better functional recovery, shorter LOS and more possibility to home in convalescent stroke patients. This new, easy scale is expected to be widely used for stroke patients.

Keywords: Ability for Basic Movement Scale II; convalescent rehabilitation; discharge destination; functional outcome; stroke.

MeSH terms

Aged
Aged, 80 and over
Disability Evaluation*
Female
Humans
Length of Stay
Male
Mobility Limitation*
Motor Activity*
Patient Admission
Patient Discharge*
Predictive Value of Tests
Recovery of Function
Retrospective Studies
Stroke / diagnosis*
Stroke / physiopathology
Stroke / therapy
Stroke Rehabilitation
Time Factors
Treatment Outcome
Walking*