Document Detail


Patient-reported measures provide unique insights into motor function after stroke.
MedLine Citation:
PMID:  23422082     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Patient-reported outcome measures have been found useful in many disciplines but have received limited evaluation after stroke. The current study investigated the relationship that patient-reported measures have with standard impairment and disability scales after stroke.
METHODS: Patients with motor deficits after stroke were scored on standard assessments including the National Institutes of Health Stroke Scale, modified Rankin Scale, and Fugl-Meyer motor scale, and on 2 patient-reported measures, the hand function domain of the Stroke Impact Scale, which documents difficulty of hand motor usage, and the amount of use portion of the Motor Activity Log, which records amount of arm motor usage.
RESULTS: The 43 participants had mild disability (median modified Rankin Scale=2), moderate motor deficits (Fugl-Meyer motor scale=46 ± 22), and mild cognitive/language deficits. The 2 patient-reported outcome measures, Stroke Impact Scale and Motor Activity Log, were sensitive to the presence of arm motor deficits. Of 21 patients classified as having minimal or no impairment or disability by the National Institutes of Health Stroke Scale or modified Rankin Scale (score of 0-1), 15 (71%) reported difficulty with hand movements by the Stroke Impact Scale score or reduced arm use by the Motor Activity Log score. Furthermore, of 14 patients with a normal examination, 10 (71%) reported difficulty with hand movements or reduction in arm use.
CONCLUSIONS: Patient-reported measures were a unique source of insight into clinical status in the current population. Motor deficits were revealed in a majority of patients classified by standard scales as having minimal or no disability, and in a majority of patients classified as having no deficits.
Authors:
Jill Campbell Stewart; Steven C Cramer
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2013-02-19
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  44     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-26     Completed Date:  2013-06-21     Revised Date:  2014-04-02    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1111-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arm / physiopathology
Cohort Studies
Disabled Persons
Female
Hand / physiology
Humans
Male
Middle Aged
Motor Activity*
Patient Participation
Perception
Recovery of Function
Reproducibility of Results
Severity of Illness Index
Stroke / physiopathology*,  rehabilitation*
Upper Extremity / physiopathology
Grant Support
ID/Acronym/Agency:
5M011 RR-00827-29/RR/NCRR NIH HHS; NS059909/NS/NINDS NIH HHS; R01 NS059909/NS/NINDS NIH HHS; UL1 TR000153/TR/NCATS NIH HHS
Comments/Corrections
Comment In:
Stroke. 2013 Jul;44(7):e79   [PMID:  23735958 ]
Stroke. 2013 Jul;44(7):e80   [PMID:  23735954 ]

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


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