Time-course for acquiring transfer independence in patients with subacute stroke: a prospective cohort study
DOI:
https://doi.org/10.2340/jrm.v56.40055Keywords:
activities of daily living, cerebrovascular disorders, cluster analysis, task performance, wheelchairAbstract
Objective: To clarify the time-course of longitudinal changes in the independence level of subtasks composing bed–wheelchair transfer among patients with stroke.
Design: Single-institution prospective cohort study.
Patients: A total of 137 consecutive post-stroke patients using wheelchair on admission to the subacute rehabilitation wards.
Methods: The independence degree in each of the 25 transfer-related subtasks was assessed using the Bed–Wheelchair Transfer Tasks Assessment Form on a three-level scale every two weeks, from admission to the endpoint (either discharge or when achieving independent transfer). Patients were classified based on admission and endpoint assessment form scores using two-step cluster analysis.
Results: Patients were classified into three clusters. The first cluster included 50 patients who exhibited a greater independence level in all subtasks on admission (52.0–100% of patients performed each subtask independently) and at the endpoint (64.0–100%). The second included 30 patients who showed less independence on admission (0–27.8%) but achieved greater independence levels at the endpoint (44.4–97.2%). The third included 51 patients whose independence level remained low in many subtasks from admission (0–5.8%) until the endpoint (0–29.4%).
Conclusion: The independence level and its changing process during transfer were categorized into three time-courses, each requiring different intervention strategies.
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Copyright (c) 2024 Shin Kitamura, Yohei Otaka, Shintaro Uehara, Yudai Murayama, Kazuki Ushizawa, Yuya Narita, Naho Nakatsukasa, Daisuke Matsuura, Rieko Osu, Kunitsugu Kondo, Sachiko Sakata
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