Article

OBJECTIVE: To compare the admission Berg Balance Scale (BBS) and Postural
Assessment Scale for Stroke (PASS) in predicting outcomes at discharge from an
inpatient rehabilitation unit (IRU). We hypothesized that discharge outcomes
would be better predicted by (1) the PASS compared with the BBS, and (2) by the
PASS changing position subscore compared with the PASS maintain posture subscore.
DESIGN: A retrospective study. SETTING: An IRU in an academic medical center.
PARTICIPANTS: Fifty-five subjects with stroke and mean (standard deviation [SD])
age of 71.5 +/- 13.8 years, admission functional independence measures (FIM) of
57.2 +/- 17.2 points, and IRU length of stay of 17.3 +/- 9.7 days. METHODOLOGY/MAIN OUTCOME MEASUREMENTS: Admission and discharge BBS and PASS
scores, gait velocity (GV) at discharge, and selected FIM items at discharge were
measured. GV was analyzed both as a continuous and categorical variable. RESULTS:
The Spearman rank correlation coefficient (r) was strong between admission BBS
and PASS (r = 0.90, P < .0001). Correlations between admission BBS and PASS and
discharge GV were 0.32 (P = .03) and 0.28 (P = .06), respectively. Analysis of
variance was significant for both balance measures when grouped by the discharge
gait speed category (P < .0001). Pairwise comparisons were significant between
GV-A and the other 2 categories but not between GV-B and GV-C. The magnitude of
the observed correlation with discharge GV was greater for PASS maintain posture
subscore (r = 0.35, P = .02) than for PASS changing position subscore (r = 0.23,
P = .13). Both subscores were significantly associated with both toileting and
transfers (r = 0.43-0.56, all at least P </= .001). CONCLUSIONS: Contrary to our
hypotheses, the BBS and PASS performed equally well in our study sample and were
best at predicting patients discharged in the slowest GV category. There were few
differences between the PASS subscores. Further research should compare how well
admission BBS and PASS predict gait velocity, falls, and other functional
parameters in the community after IRU discharge.
CI - Copyright (c) 2013 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS