STROKE-RECOVERY OF UPPER LIMBS
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)
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
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