Relationship among trunk control, activities of daily living, and upper extremity function during the first week after stroke in patients with acute cerebral infarction.
Fumiko Iso, Wataru Mitsunaga, Ryota Yamaguchi and 8 others
PMID 35400839WHAT IT FOUND
Trunk control strongly correlated with daily living ability and arm function within 7 days of stroke.
Trunk control and age predicted daily living ability, with trunk control being the stronger factor. Early trunk assessment is critical for planning acute stroke rehabilitation.
Key findings
01Trunk control scores were significantly correlated with motor daily living ability scores.
02Trunk control and age were the factors that significantly predicted motor daily living ability in the acute phase.
03Trunk control had a stronger effect on daily living ability than age did.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study was cross-sectional, so it cannot determine if improving trunk control causes better daily living ability or predicts future recovery. 19 of the 108 eligible patients were excluded from assessment due to medical instability, communication barriers, or other reasons, which may limit generalizability. The study focused on the motor subscale of daily living measures and did not assess cognitive aspects of independence.
Declared interests
The authors declare no conflict of interest, and the research did not receive specific funding.
The easy way to misread this
Do not assume that improving trunk control will directly improve arm function or daily living ability. This study shows a correlation at a single time point in the acute phase, not a causal relationship or long-term outcome.