PMID- 38029060 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231201 IS - 2753-6351 (Electronic) IS - 2753-6351 (Linking) VI - 12 DP - 2023 Jan-Dec TI - Study of the Responsiveness and Minimal Clinically Important Difference of the Trunk Impairment Scale in Patients With Acute Stroke. PG - 27536351231211718 LID - 10.1177/27536351231211718 [doi] LID - 27536351231211718 AB - BACKGROUND: Trunk function is a prerequisite for functional activity; thus, it is crucial to carry out proper assessments and interventions. However, there is no clear indicator for trunk function evaluation in patients with stroke. To understand the effects of interventions over time, it is important to adopt responsive clinical indicators. PURPOSE: To examine the Trunk Impairment Scale (TIS) (Fujiwara version) in terms of responsiveness and the minimal clinically important difference (MCID). METHODS: In total, 55 patients who experienced an acute stroke were evaluated on the seventh day of hospitalization and the day before discharge. The responsiveness of the TIS was assessed by the effect size and standardized response mean (SRM). Additionally, an MCID study was conducted to examine the amount of change in TIS scores required to indicate a clinically meaningful change, which was determined by the presence or absence of improvement in the activities of daily living. RESULTS: The SRM of the TIS was 1.42. Additionally, the MCID was determined to be 3 points. CONCLUSION: The TIS score improved over time and a 3-point improvement in the TIS score was associated with improvement in the activities of daily living. Thus, this scale's clinical sensitivity and MCID have been established in patients with stroke. CI - (c) The Author(s) 2023. FAU - Ishiwatari, Masahiro AU - Ishiwatari M AD - Department of Rehabilitation, Kiminomori Rehabilitation Hospital, Chiba, Japan. AD - Graduate Course of Health and Social Services, Saitama Prefectural University, Saitama, Japan. FAU - Takahara, Tsuyoshi AU - Takahara T AD - Department of Rehabilitation, Kiminomori Rehabilitation Hospital, Chiba, Japan. FAU - Hayakawa, Masato AU - Hayakawa M AD - Department of Rehabilitation, Shioda Hospital, Chiba, Japan. FAU - Ogawa, Akihiro AU - Ogawa A AD - Graduate Course of Health and Social Services, Saitama Prefectural University, Saitama, Japan. AD - Department of Rehabilitation, Sakura Medical Center, Toho University Hospital, Chiba, Japan. FAU - Kido, Satoshi AU - Kido S AD - Graduate Course of Health and Social Services, Saitama Prefectural University, Saitama, Japan. LA - eng PT - Journal Article DEP - 20231120 PL - England TA - Adv Rehabil Sci Pract JT - Advances in rehabilitation science and practice JID - 9918540788406676 PMC - PMC10664440 OTO - NOTNLM OT - Acute stroke OT - MCID OT - TIS OT - rehabilitation OT - responsiveness OT - trunk function COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/11/29 18:43 MHDA- 2023/11/29 18:44 PMCR- 2023/11/20 CRDT- 2023/11/29 17:21 PHST- 2023/06/26 00:00 [received] PHST- 2023/10/15 00:00 [accepted] PHST- 2023/11/29 18:44 [medline] PHST- 2023/11/29 18:43 [pubmed] PHST- 2023/11/29 17:21 [entrez] PHST- 2023/11/20 00:00 [pmc-release] AID - 10.1177_27536351231211718 [pii] AID - 10.1177/27536351231211718 [doi] PST - epublish SO - Adv Rehabil Sci Pract. 2023 Nov 20;12:27536351231211718. doi: 10.1177/27536351231211718. eCollection 2023 Jan-Dec.