TY - JOUR
T1 - The relationship between upper limb function and activities of daily living without the effects of lower limb function
T2 - A cross-sectional study
AU - Yamamoto, Haruka
AU - Takeda, Kazuya
AU - Koyama, Soichiro
AU - Morishima, Keisuke
AU - Hirakawa, Yuichi
AU - Motoya, Ikuo
AU - Sakurai, Hiroaki
AU - Kanada, Yoshikiyo
AU - Kawamura, Nobutoshi
AU - Kawamura, Mami
AU - Tanabe, Shigeo
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2022/5
Y1 - 2022/5
N2 - Introduction: Upper limb motor function and activities of daily living (ADL) are related in chronic stroke patients. This study investigated this relationship after removal of the influence of motor function of the affected lower limb, which until now has remained unclear. Methods: This retrospective cross-sectional study included 53 patients with chronic stroke. Upper and lower limb motor function and ADL were assessed using the Fugl-Meyer assessment of the upper (FMA-UL) and lower limbs (FMA-LL) and functional independence measure motor score (FIM-M). To clarify the relationship between FMA-UL and total FIM-M before and after removal of the influence of FMA-LL, Spearman’s rank correlation coefficient and partial correlation analysis were used. The relationship between FMA-UL and each item of FIM-M after removal of the influence of FMA-LL was assessed using partial correlation analysis. Results: Before the influence of FMA-LL was removed, FMA-UL was moderately to well correlated with total FIM-M. This became weak after the influence was removed. Regarding each item of FIM-M, FMA-UL was correlated with dressing (upper body), toileting, and walking or wheelchair after removal of the influence. Conclusion: The relationship between upper limb motor function and ADL is strongly influenced by lower limb motor function.
AB - Introduction: Upper limb motor function and activities of daily living (ADL) are related in chronic stroke patients. This study investigated this relationship after removal of the influence of motor function of the affected lower limb, which until now has remained unclear. Methods: This retrospective cross-sectional study included 53 patients with chronic stroke. Upper and lower limb motor function and ADL were assessed using the Fugl-Meyer assessment of the upper (FMA-UL) and lower limbs (FMA-LL) and functional independence measure motor score (FIM-M). To clarify the relationship between FMA-UL and total FIM-M before and after removal of the influence of FMA-LL, Spearman’s rank correlation coefficient and partial correlation analysis were used. The relationship between FMA-UL and each item of FIM-M after removal of the influence of FMA-LL was assessed using partial correlation analysis. Results: Before the influence of FMA-LL was removed, FMA-UL was moderately to well correlated with total FIM-M. This became weak after the influence was removed. Regarding each item of FIM-M, FMA-UL was correlated with dressing (upper body), toileting, and walking or wheelchair after removal of the influence. Conclusion: The relationship between upper limb motor function and ADL is strongly influenced by lower limb motor function.
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U2 - 10.1177/03080226211030088
DO - 10.1177/03080226211030088
M3 - Article
AN - SCOPUS:85115776691
SN - 0308-0226
VL - 85
SP - 360
EP - 366
JO - British Journal of Occupational Therapy
JF - British Journal of Occupational Therapy
IS - 5
ER -