NDLI: Early clinical predictors of motor function in the upper extremity one month post-stroke.

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Year: 2017 Volume: 49

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Early clinical predictors of motor function in the upper extremity one month post-stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Snickars, Jenny Persson, Hanna C. Sunnerhagen, Katharina S.
Description	Country affiliation: Sweden Author Affiliation: Snickars J ( Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and PhysiologyUniversity of Gothenburg, 41346 Gothenburg, Sweden. jenny.snickars@akademiska.se.)
Abstract	OBJECTIVE: To investigate factors within 3 days post-stroke that could predict severe impairment in motor function in the upper extremity at one month post-stroke. METHODS: This cross-sectional study included 104 patients with first-ever stroke and impaired motor function in the upper extremity. Initial impairment in motor function, demographic data, type of stroke and stroke risk factors were chosen as possible predictors. Severe impairment in motor function was defined as ≤ 31p according to the Fugl-Meyer Assessment for Upper Extremity (FMA-UE). Logistic regression was used to predict severe impairment in motor function at one month post-stroke. RESULTS: Three possible prediction models were found, comprising stroke severity combined with grip strength and sex, finger extension or shoulder abduction. Models including grip strength or finger extension gave the most accurate predictions, with overall predictive ability 90.4% (95% confidence interval (95% CI) 0.847-0.961) and sensitivity 92.9% (95% CI 0.851-1.0) and 90.5% (95% CI 0.816-0.979), respectively. CONCLUSION: Within 3 days post-stroke, severe impairment in motor function in the upper extremity at one month can be predicted using assessment of stroke severity in combination with grip strength, finger extension or shoulder abduction. This may facilitate early planning of rehabilitation for patients with impaired upper extremity in the stroke unit.
File Format	HTM / HTML
ISSN	16501977
e-ISSN	16512081
Journal	Journal of Rehabilitation Medicine
Issue Number	3
Volume Number	49
Language	English
Publisher	Foundation of Rehabilitation Information
Publisher Date	2017-03-06
Publisher Place	Sweden
Access Restriction	Open
Subject Keyword	Discipline Physical and Rehabilitation Medicine
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation Sports Science

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