PMID- 34539552
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210921
IS  - 1664-2295 (Print)
IS  - 1664-2295 (Electronic)
IS  - 1664-2295 (Linking)
VI  - 12
DP  - 2021
TI  - Establishing the Minimal Clinically Important Differences for Sagittal Hip Range 
      of Motion in Chronic Stroke Patients.
PG  - 700190
LID - 10.3389/fneur.2021.700190 [doi]
LID - 700190
AB  - Many researchers have pointed out that decreased sagittal range of motion (ROM) 
      in the affected hip joint is a common consequence of stroke, and it adversely 
      affects walking performance and walking speed. Nevertheless, the minimal 
      clinically important differences (MCID) in hip-related kinematic gait parameters 
      post-stroke have not yet been determined. The present study aimed to define MCID 
      values for hip ROM in the sagittal plane i.e., flexion-extension (FE), for the 
      affected and unaffected sides at a chronic stage post-stroke. Fifty participants 
      with hemiparesis due to stroke were enrolled for the study. Four statistical 
      methods were used to calculate MCID. According to the anchor-based approach, the 
      mean change in hip FE ROM achieved by the MCID group on the affected/unaffected 
      side amounted to 5.81 degrees /2.86 degrees  (the first MCID estimate). The distribution-based 
      analyses established that the standard error of measurement in the no-change 
      group amounted to 1.56 degrees /1.04 degrees  (the second MCID estimate). Measurements based on 
      the third method established that a change of 4.09 degrees /0.61 degrees  in the hip ROM 
      corresponded to a 1.85-point change in the Barthel Index. The optimum cutoff 
      value, based on ROC curve analysis, corresponded to 2.9/2.6 degrees  of change in the hip 
      sagittal ROM for the affected/unaffected side (the fourth MCID estimate). To our 
      knowledge, this is the first study to use a comprehensive set of statistical 
      methods to determine the MCID for hip sagittal ROM for the affected and 
      unaffected sides at a chronic stage post-stroke. According to our findings, the 
      MCID of the hip FE ROM for the affected side amounts to 5.81 degrees  and for the 
      unaffected side to 2.86 degrees , in patients with chronic stroke. This indicator is 
      extremely important because it allows clinical practitioners to assess the 
      effects of interventions administered to patients, and to interpret the 
      significance of improvements in sagittal kinematic parameters of the hip; 
      ultimately, it may facilitate the process of designing effective gait reeducation 
      programs.
CI  - Copyright (c) 2021 Guzik, Druzbicki, Perenc, Wolan-Nieroda, Turolla and Kiper.
FAU - Guzik, Agnieszka
AU  - Guzik A
AD  - Department of Physiotherapy, Institute of Health Sciences, Medical College, 
      University of Rzeszow, Rzeszow, Poland.
FAU - Druzbicki, Mariusz
AU  - Druzbicki M
AD  - Department of Physiotherapy, Institute of Health Sciences, Medical College, 
      University of Rzeszow, Rzeszow, Poland.
FAU - Perenc, Lidia
AU  - Perenc L
AD  - Department of Physiotherapy, Institute of Health Sciences, Medical College, 
      University of Rzeszow, Rzeszow, Poland.
FAU - Wolan-Nieroda, Andzelina
AU  - Wolan-Nieroda A
AD  - Department of Physiotherapy, Institute of Health Sciences, Medical College, 
      University of Rzeszow, Rzeszow, Poland.
FAU - Turolla, Andrea
AU  - Turolla A
AD  - Laboratory of Kinematics and Robotics IRCCS San Camillo Hospital, Venice, Italy.
FAU - Kiper, Pawel
AU  - Kiper P
AD  - Azienda Unita Locale Socio Sanitaria 3 Serenissima Physical Medicine and 
      Rehabilitation Unit, Venice, Italy.
LA  - eng
PT  - Journal Article
DEP - 20210901
PL  - Switzerland
TA  - Front Neurol
JT  - Frontiers in neurology
JID - 101546899
PMC - PMC8443407
OTO - NOTNLM
OT  - chronic stroke
OT  - gait
OT  - hip
OT  - minimal clinically important difference
OT  - range of motion
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/09/21 06:00
MHDA- 2021/09/21 06:01
PMCR- 2021/09/01
CRDT- 2021/09/20 06:02
PHST- 2021/04/25 00:00 [received]
PHST- 2021/08/03 00:00 [accepted]
PHST- 2021/09/20 06:02 [entrez]
PHST- 2021/09/21 06:00 [pubmed]
PHST- 2021/09/21 06:01 [medline]
PHST- 2021/09/01 00:00 [pmc-release]
AID - 10.3389/fneur.2021.700190 [doi]
PST - epublish
SO  - Front Neurol. 2021 Sep 1;12:700190. doi: 10.3389/fneur.2021.700190. eCollection 
      2021.