STROKE-RECOVERY OF UPPER LIMBS

From NeuroRehab.wiki

Revision as of 03:41, 21 February 2023 by Dr Appukutty Manickam (talk | contribs) (Imported from text file)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

SUMMARY

1. Nakayama et al. (1994) reported that for stroke patients with severe arm paresis with little or no active movement at the time of hospital admission: 14% complete motor recovery, 30% partial recovery[1]

2. Active finger extension was found to be a strong predictor of short, medium and long term post-stroke recovery[2]

3. Shoulder shrug by 3 weeks showed good prognosis[3]

4. Even minimal shoulder abduction and motor control of the paretic limb upon admission to rehab had a reasonably good chance of regaining some hand capacity[4]

5. The EPOS study demonstrated that patients with shoulder abduction & finger extension on day 2 post-stroke onset had a 98% probability of achieving UL dexterity at 6 months

6. The PREP 2 algorithm predicts UL functional outcome at 3 months post-stroke using shoulder abduction & finger extension (Shoulder Abduction Finger Extension, SAFE) scores; patients who achieved SAFE scores of > 5 within 72 hours and < 80 years old had excellent prognosis[5]


Reference(s)

  1. Nakayma, H., Jørgensen, H.S., Raaschou, H.O. and Olsen, T.S., 1994. Compensation in recovery of upper extremity function after stroke: the Copenhagen Stroke Study. Archives of physical medicine and rehabilitation, 75(8), pp.852-857.
  2. Smania, N., Paolucci, S., Tinazzi, M., Borghero, A., Manganotti, P., Fiaschi, A., Moretto, G., Bovi, P. and Gambarin, M., 2007. Active finger extension: a simple movement predicting recovery of arm function in patients with acute stroke. Stroke, 38(3), pp.1088-1090.
  3. Katrak, P., Bowring, G., Conroy, P., Chilvers, M., Poulos, R. and McNeil, D., 1998. Predicting upper limb recovery after stroke: the place of early shoulder and hand movement. Archives of physical medicine and rehabilitation, 79(7), pp.758-761.
  4. Houwink, A., Nijland, R.H., Geurts, A.C. and Kwakkel, G., 2013. Functional recovery of the paretic upper limb after stroke: who regains hand capacity?. Archives of physical medicine and rehabilitation, 94(5), pp.839-844.
  5. Stinear, C.M., Barber, P.A., Petoe, M., Anwar, S. and Byblow, W.D., 2012. The PREP algorithm predicts potential for upper limb recovery after stroke. Brain, 135(8), pp.2527-2535.


Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].