https://scholars.lib.ntu.edu.tw/handle/123456789/590440
標題: | Prediction of lower extremity motor recovery in persons with severe lower extremity paresis after stroke | 作者: | SHEAU-LING HUANG BANG-BIN CHEN I-PING HSUEH JIANN-SHING JENG Koh C.-L. CHING-LIN HSIEH |
公開日期: | 2018 | 卷: | 32 | 期: | 5 | 起(迄)頁: | 627-633 | 來源出版物: | Brain Injury | 摘要: | Objective: To investigate the extent of motor recovery and predict the prognosis of lower extremity (LE) recovery in patients with severe LE paresis after stroke Methods: 137 patients with severe LE paresis after stroke were recruited from a local medical centre. Voluntary LE movement was assessed with the LE subscale of the Stroke Rehabilitation Assessment of Movement (STREAM-LE). Univariate and stepwise regression analyses were used to investigate 25 clinical variables (including demographic, neuroimaging, and behavioural variables) for finding the predictors of LE recovery. Results: The STREAM-LE at discharge (DCSTREAM-LE) of the participants covered a very wide range (0–19). Specifically, 5.1% of the participants were nearly completely recovered, 11.7% were moderately recovered, 36.5% were slightly recovered, and 46.7% remained severely paralysed. ‘Score of STREAM-LE at admission (ADSTREAM-LE)’ and ‘volume of lesion and oedema’) were significant predictors of LE movement at discharge, explaining 25.1% of the variance of the DCSTREAM-LE (p?<?0.001). Conclusions: LE motor recovery varied widely in our participants, indicating that patients’ recovery might not follow simple rules. The low predictive power (about a quarter) indicates that LE motor recovery in patients with severe LE paresis after stroke was hardly predictive. ? 2018 Taylor & Francis Group, LLC. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041555785&doi=10.1080%2f02699052.2018.1432897&partnerID=40&md5=309e1dc0ff1bfef26e03d8c7b2a5df74 https://scholars.lib.ntu.edu.tw/handle/123456789/590440 |
ISSN: | 2699052 | DOI: | 10.1080/02699052.2018.1432897 | SDG/關鍵字: | adult; aged; Article; brain edema; brain hemorrhage; brain ischemia; cerebrovascular accident; disease severity; female; human; LE subscale of the Stroke Rehabilitation Assessment of Movement; lower limb; major clinical study; male; motor performance; National Institutes of Health Stroke Scale; paresis; Postural Assessment Scale for Stroke Patients; predictive value; prognosis; rating scale; scoring system; voluntary movement; analysis of variance; cerebrovascular accident; complication; convalescence; middle aged; movement (physiology); paresis; physiology; regression analysis; stroke rehabilitation; treatment outcome; very elderly; Adult; Aged; Aged, 80 and over; Analysis of Variance; Female; Humans; Male; Middle Aged; Movement; Paresis; Recovery of Function; Regression Analysis; Stroke; Stroke Rehabilitation; Treatment Outcome |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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