Naoko Nakashima, OTR, Hiroyuki Miyasaka, OTR, PhD, Izumi Kondo, MD, PhD,
Kasumi Iwata, OTR, Hitomi Uematsu, OTR, Chihiro Yamamura, OTR,
Shigeru Sonoda, MD, PhD
Jpn J Compr Rehabil Sci 8: 44-50, 2017
Objectives: The effects of proximal function of the
upper extremity on the paralyzed side on daily life
skills were examined in stroke patients.
Methods: One hundred and forty-seven stroke patients
were evaluated using the Functional Skills Measure
After Paralysis (FSMAP), the Finger-Function test
(FF), and the Knee-Mouth test (KM) of the Stroke
Impairment Assessment Set (SIAS). The FSMAP
score for each subgroup of the SIAS-KM level was
compared.
Results: The FSMAP score was significantly higher in
patients with a KM score of 2/3 compared to patients
with a KM score of 0/1 when SIAS-FF was 0/1A; in
patients with a KM score of 2/3 compared to patients
with a KM score of 0/1 and in patients with a KM
score of 4/5 compared to patients with a KM score of
2/3 when SIAS-FF was 1B, 1C, or 2; and in patients
with a KM score of 4/5 compared to patients with a
KM score of 2/3 when SIAS-FF was 3, 4, or 5.
Conclusion: The cross-sectional study indicated that
differences in the level of proximal function affect the
upper extremity skills when the level of distal function
is equivalent.
Key words: stroke, upper extremity function, activities of daily life, evaluation