STROKE-RECOVERY ASSESSMENT

SUMMARY

Recovery after a stroke is associated with cortical reorganisation (motor recovery associated with rehabilitation is driven more by adaptive or compensatory learning strategies):

1. Neurological or Spontaneous Recovery. Recovery of impairment or normal way of moving as measured by Fugl-Meyer score or 3D Kinematics (restoration of normal movement patterns).

2. Functional Recovery. Recovery of tasks or activities often through learned compensatory movements (new movement patterns) as measured by the ARAT, Barthel Index or FIM. This may occur in the absence of neurological recovery, or may contiunue for months after.

Reference(s)

Teasell, R., Hussein, N., Mirkowski, M., Vanderlaan, D., Saikaley, M., Longval, M. and Iruthayarajah, J., 2020. Brain Reorganization, Recovery and Organized Care. [online] Ebrsr.com. Available at: Handbook Chapter 4_Upper Extremity Post Stroke_ML.pdf Ebrsr.com [Accessed 11 November 2020].
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].