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Article

The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke

by 1,2,†, 1,2,3,†, 1,2,3, 1,2,3, 1,2,3 and 1,2,3,*
1
Department of Physical Medicine and Rehabilitation, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung City 427, Taiwan
2
Department of Post-Acute Care Center, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung City 427, Taiwan
3
School of Medicine, Tzu Chi University, Hualien 970, Taiwan
*
Author to whom correspondence should be addressed.
Authors contributed equally to this article.
Academic Editor: Juan Pablo Romero
Received: 9 April 2021 / Revised: 26 May 2021 / Accepted: 26 May 2021 / Published: 31 May 2021
(This article belongs to the Special Issue Neurorehabilitation of Neurodegenerative Diseases and Brain Damage)
Background and Objectives: To regain the ability of community ambulation is a meaningful goal for stroke patients. Recent research recommended that the distance accomplished during the six-minute walk test (≥205 m in 6MWT) is the fittest for defining community ambulation. Until now, there are few studies that have used the updated definition to investigate the related predictors. The aim of this study was to investigate the association between the admission clinical parameters and community ambulation measured by the 6MWT at discharge. The other aim was to find the admission Berg Balance Scale (BBS) cut-off score to discriminate between household or community ambulators. Materials and Methods: This cohort study collected the data of patients who entered the post-acute Care Cerebrovascular Diseases program. Multivariate logistic regression was used to identify significant predictors measured at admission that are associated with community ambulation, and a receiver operating characteristic was adopted to calculate the cut-off value for admission status. There were 120 participants included in this study, and 25% (n = 30) of them regained the ability of community ambulation at discharge. The BBS on admission was identified as the only significant predictor for community ambulation (odds ratio 1.06). Results: The optimal cut-off score for the BBS at admission was 29, and the area under the curve for BBS scores on admission when discriminating between household and community ambulators at discharge was 0.74. Conclusions: The admission BBS scores could be used to predict household and community ambulators at discharge in stroke patients. The results of this study could help clinical physicians set appropriate discharge goals early. View Full-Text
Keywords: Berg Balance Scale; ambulation; stroke; post-acute care Berg Balance Scale; ambulation; stroke; post-acute care
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MDPI and ACS Style

Liao, W.-L.; Chang, C.-W.; Sung, P.-Y.; Hsu, W.-N.; Lai, M.-W.; Tsai, S.-W. The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke. Medicina 2021, 57, 556. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060556

AMA Style

Liao W-L, Chang C-W, Sung P-Y, Hsu W-N, Lai M-W, Tsai S-W. The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke. Medicina. 2021; 57(6):556. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060556

Chicago/Turabian Style

Liao, Wen-Ling, Chiung-Wen Chang, Pi-Yu Sung, Wei-Nung Hsu, Ming-Wei Lai, and Sen-Wei Tsai. 2021. "The Berg Balance Scale at Admission Can Predict Community Ambulation at Discharge in Patients with Stroke" Medicina 57, no. 6: 556. https://0-doi-org.brum.beds.ac.uk/10.3390/medicina57060556

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