Document Detail


Early detection of non-ambulatory survivors six months after stroke.
MedLine Citation:
PMID:  20555154     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to evaluate prospectively early predictors for ambulation and motor outcome 6~months after stroke occurrence. Sixty-eight consecutive, first-ever, stroke survivors were prospectively studied from the second week to the sixth month post stroke. Sex, age, stroke type, urinary incontinence, National Institutes of Health Stroke Scale (NIHSS), and Trunk Control Test (TCT) scores were taken as independent variables. Gait ability and motor functional outcome at 6 months post-stroke were assessed. Age, sex, urinary incontinence, TCT and NIHSS were significantly related to final modified Rankin Scale (mRS), motor portion of the Functional Independence Measure (FIM) and Berg Balance Scale (BBS). Age and early TCT alone accounted for 61.1% of the variance in the motor FIM rating (at 6 months post-stroke). TCT<or= 50 on day 14 predicts non-independent walkers (Functional Ambulation Categories (FAC) < 4): sensitivity 83.3%, specificity 85.7%), OR: 30.0, 95% CI: 4.7-247.3. In conclusion, early administered TCT predicts independent walking ability and motor functional outcome at six months post-stroke.
Authors:
Esther Duarte; Ester Marco; Jose M Muniesa; Roser Belmonte; Juan Jacobo Aguilar; Ferran Escalada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  NeuroRehabilitation     Volume:  26     ISSN:  1878-6448     ISO Abbreviation:  NeuroRehabilitation     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-17     Completed Date:  2010-09-22     Revised Date:  2010-12-30    
Medline Journal Info:
Nlm Unique ID:  9113791     Medline TA:  NeuroRehabilitation     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  317-23     Citation Subset:  IM    
Affiliation:
Physical Medicine and Rehabilitation Department, Institut Municipal d'Assistència Sanitària (IMAS), Hospitals del Mar i de l'Esperança, Universitat Autónoma de Barcelona, Spain. eduarte@imas.imim.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Disability Evaluation
Female
Humans
Male
Middle Aged
Prospective Studies
ROC Curve
Recovery of Function / physiology*
Retrospective Studies
Sex Factors
Stroke / mortality*,  physiopathology*,  rehabilitation
Survivors*
Time Factors
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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