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Predictors of gait in post-stroke patients: the potential of PASS and TCT as predictors of walking after stroke – A prospective longitudinal observational study

2024-12Master thesis Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.advisorFernandes, Beatriz
dc.contributor.authorFerreira, Mariana Barbas
dc.date.accessioned2025-02-14T09:44:10Z
dc.date.available2025-02-14T09:44:10Z
dc.date.issued2024-12
dc.descriptionMestrado em Fisioterapia - Área de especialização: Fisioterapia Neurológica
dc.description.abstractBackground and Purpose: Early prognosis and goal setting are important for stroke management. Independent gait is a key rehabilitation goal. This study evaluates whether the Postural Assessment Stroke Scale (PASS) and Trunk Control Test (TCT), measured 5 days post-stroke, can predict independent walking (Functional Ambulation Categories (FAC) at 3 months. It also aims to establish optimal cut-off values for predicting independent gait in a hospital stroke care context. Methods: This prospective longitudinal observational study included 42 post-stroke patients who completed a 3-month follow-up. Demographic and clinical data and postural control scores (PASS and TCT) were collected at 5 days post-stroke. Patients were classified as independent walkers (FAC ≥ 4) or dependent walkers (FAC < 4). Univariate and multivariate logistic regression analyses were performed to identify significant predictors. Receiver Operating Characteristics (ROC) curve analysis determined predictive accuracy and optimal cut-off scores. Results: Of the 42 patients, 64,3% (n=27) achieved independent gait at 3 months. The PASS on day five was the only significant predictor of independent walking (odds ratio = 0.903, 95% CI: 0.832–0.982). The area under the ROC (AUC) for PASS was 0.746 (95% CI: 0.587–0.904). The optimal PASS cut-off score for predicting independent gait was 13,50, with 81,5% sensitivity and 33,3% specificity. Conclusions: The PASS score on day 5 post-stroke significantly predicts independent walking at 3 months. A PASS score ≥ 13.5 indicates a high likelihood of achieving independent gait. Each additional PASS point increases the odds of independent walking by 9.7%, providing valuable insights for clinical decision-making and discharge planning.eng
dc.identifier.citationFerreira MB. Predictors of gait in post-stroke patients: the potential of PASS and TCT as predictors of walking after stroke – A prospective longitudinal observational study [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2024.
dc.identifier.tid203771710
dc.identifier.urihttp://hdl.handle.net/10400.21/21477
dc.language.isoeng
dc.peerreviewedyes
dc.publisherInstituto Politécnico de Lisboa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPhysiotherapy
dc.subjectRehabilitation
dc.subjectWalking
dc.subjectPostural control
dc.subjectPredictors
dc.subjectStroke
dc.subjectMFT
dc.titlePredictors of gait in post-stroke patients: the potential of PASS and TCT as predictors of walking after stroke – A prospective longitudinal observational studyeng
dc.title.alternativeFatores preditores da marcha em doentes após AVC: potencial da PASS e do TCT como preditores da marcha três meses após AVCpor
dc.typemaster thesis
dspace.entity.typePublication
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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