The Prognostic Factors and Required Degree Influencing the Activities of Daily Living and Gait in Brain Impairment Patients with Hemiplegia

Abstract

To improve the independence of brain impairment patients in ADL, we sought to identify influential parameters from information commonly collected in hospitals, prioritize the factors, and specify the degree to which those factors are necessary. In total, 64 patients with hemiplegia, who had been admitted to the one of the authors, were examined using various evaluation tools. Afterwards, we checked the difference between the capable group and the incapable group with an independent t-test or chi-squared test to determine the significant factors, and we prioritized the significant factors with Spearman’s rho test. The degree of their necessity was determined with the ROC curve. Standing balancing ability and hip joint and knee extensor strength are necessary in most ADL except for eating. In order to independently perform most ADL except eating and one gait cycle, the strength of the knee extensor and hip flexor was required to exceed grade 3 on the MRC scale. However, one gait cycle was possible even if the strength of the hip joint and knee extensors rated lower than 3 on the MRC scale. Additionally, upper limb motor recovery was required up to the distal parts in the order of bathing, dressing, and grooming.