Evidence map›Paper›PMID 40135023›Full record

ArticleCureus2025

The Impact of Trunk Function and Lower Limb Paralysis on Independence in Activities of Daily Living Among Stroke Patients.

Takato Nishida, Shun Sawai, Shoya Fujikawa, Ryosuke Yamamoto, Yusuke Shizuka, Takayuki Maru, Kotaro Nakagawa, Hideki Nakano

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Takato NishidaDepartment of Physical Therapy, Faculty of Rehabilitation and Care, Seijoh University, Tokai, JPN.
Shun SawaiGraduate School of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.
Shoya FujikawaGraduate School of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.
Ryosuke YamamotoGraduate School of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.
Yusuke ShizukaGraduate School of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.
Takayuki MaruDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.
Kotaro NakagawaDepartment of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.
Hideki NakanoGraduate School of Health Sciences, Kyoto Tachibana University, Kyoto, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke is a major global health issue, and many patients experience motor paralysis and sensory impairments that affect their independence in the activities of daily living (ADLs). Trunk and lower limb functions are crucial in poststroke ADL independence. Although these two functions are closely related, a few studies have evaluated them in combination, and the importance of assessment methods that consider their mutual relationship has not been thoroughly examined. In this study, we aimed to clarify the degree to which trunk function and lower limb paralysis impact ADL independence when evaluated individually versus in combination, through a hierarchical regression analysis, and to verify the significance of the combined assessment of both functions.

methodsThis cross-sectional study included 51 patients with first-ever stroke and hemiplegia. Trunk function was assessed using the Trunk Impairment Scale, lower limb paralysis was evaluated using the Brunnstrom recovery stage for the lower extremities, and ADL independence was measured using the Functional Independence Measure. Hierarchical regression analysis was conducted to examine the impact of trunk and lower limb functions on ADL independence.

resultsAcross two regression models, the assessment of trunk and lower limb function in combination significantly improved the accuracy in reflecting ADL independence compared with the assessment of each function individually (p < 0.05).

conclusionsThe combined evaluation method, which assesses both trunk function and lower limb motor paralysis, more accurately reflected ADL independence, suggesting its usefulness as an assessment method in the rehabilitation of patients with stroke.

Indexed as

activities of daily livinghierarchical regression analysislower limb paralysisstroketrunk function

Identifiers

PMID40135023
PMCPMC11933720

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.