Stroke Impairment Assessment Set(SIAS). (1). The Concept and Clinical Application.

  • SONODA Shigeru
    Department of Rehabilitation Medicine, Keio University School of Medicine
  • SAITOH Eiichi
    Department of Rehabilitation Medicine, Keio University School of Medicine
  • DOMEN Kazuhisa
    Department of Rehabilitation Medicine, Keio University School of Medicine
  • CHINO Naoichi
    Department of Rehabilitation Medicine, Keio University School of Medicine
  • KIMURA Akio
    Department of Rehabilitation Medicine, Keio University School of Medicine

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Other Title
  • 脳卒中機能障害評価セットStroke Impairment Assessment Set(SIAS) (1) その概要および臨床応用
  • ノウソッチュウ キノウ ショウガイ ヒョウカ セット Stroke Impai
  • (1) The Concept and Clinical Application
  • (1)その概要および臨床応用

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Abstract

Impairment assessment is indispensable for stroke rehabilitation, but the previously published methods have left some inadequate points. The authors have developed the Stroke Impairment Assessment Set (SIAS) based on the recommendations of the Buffalo symposium. SIAS includes items of motor, deep tendon reflexes, muscle tone, sensory, ROM, pain, trunk, higher cortical function, and sound side functions. The authors measured 66 stroke patients within four weeks of stroke onset, classifying them into 4 groups using cluster analysis. Groups were characterized as “generally low, ” “generally good, ” “medium, ” and “good sound side.” Sound side functions are generally known as the prognostic factors for stroke patients, but have not been used effectively as the parameters. The score pattern of the SIAS was adequately disseminated. The authors concluded that SIAS is a simple and valuable assessment tool for characterizing impairement.

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