Validity of functional assessment for control of trunk in patients with subacute stroke: a multicenter, cross-sectional study.
Yutaka Okuda, Go Owari, Shinichi Harada and 7 others
PMID 37405187WHAT IT FOUND
The FACT trunk assessment takes about 3.5 minutes to administer, significantly less time than the Trunk Impairment Scale.
It correlates strongly with trunk control and walking independence, offering a valid, feasible tool for physical therapists to assess subacute stroke patients.
Key findings
01FACT measurement time was significantly shorter than the Trunk Impairment Scale (TIS), averaging 212.6 seconds versus 372.4 seconds.
02FACT showed strong criterion validity, correlating highly with the TIS (r=0.896) and significantly with walking independence (FAC).
03A FACT score cutoff of 9 points helped distinguish patients with independent walking (FAC ≥3) from those who were not.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The cross-sectional design limits the ability to confirm responsiveness or predictive validity over time. The study was conducted in Japan, which may affect generalizability to other populations or healthcare settings. Participants were inpatients in recovery-phase rehabilitation, so findings may not apply to chronic stroke outpatients or those with severe cognitive or communication impairments excluded from the study.
Declared interests
The authors declare that they have no conflicts of interest.
The easy way to misread this
Do not use the FACT cutoff score of 9 as a definitive diagnostic threshold for all stroke patients. This value was derived from a specific subacute inpatient population and should be interpreted alongside clinical judgment and other assessments.