Prediction of lower extremity motor recovery in persons with severe lower extremity paresis after stroke
Journal
Brain Injury
Journal Volume
32
Journal Issue
5
Pages
627-633
Date Issued
2018
Author(s)
Abstract
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.
SDGs
Other Subjects
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
Type
journal article