BACKGROUND AND PURPOSE: Early prognosis of arm recovery is a major clinical issue in stroke. The aim of this study was to assess the prognostic value of 4 simple bedside tests. METHODS: Forty-eight patients with arm paresis/plegia were evaluated on days 7, 14, 30, 90 and 180 after stroke. Assessment included 4 potential predictors of arm recovery (active finger extension, shoulder abduction, shoulder shrug and hand movement scales) and 3 outcome measures evaluating arm function (Nine Hole Peg Test, Fugl-Meyer arm subtest, Motricity Index arm subtest). RESULTS: The active finger extension scale was the most powerful prognostic factor. Patients with active finger extension scores >3 had a high probability of achieving good performance as assessed by the Motricity Index. CONCLUSIONS: Active finger extension is a reliable early predictor of recovery of arm function in stroke patients.

Active finger extension - A simple movement predicting recovery of arm function in patients with acute stroke

SMANIA, Nicola;TINAZZI, Michele;MANGANOTTI, Paolo;FIASCHI, Antonio;GAMBARIN, Mattia
2007

Abstract

BACKGROUND AND PURPOSE: Early prognosis of arm recovery is a major clinical issue in stroke. The aim of this study was to assess the prognostic value of 4 simple bedside tests. METHODS: Forty-eight patients with arm paresis/plegia were evaluated on days 7, 14, 30, 90 and 180 after stroke. Assessment included 4 potential predictors of arm recovery (active finger extension, shoulder abduction, shoulder shrug and hand movement scales) and 3 outcome measures evaluating arm function (Nine Hole Peg Test, Fugl-Meyer arm subtest, Motricity Index arm subtest). RESULTS: The active finger extension scale was the most powerful prognostic factor. Patients with active finger extension scores >3 had a high probability of achieving good performance as assessed by the Motricity Index. CONCLUSIONS: Active finger extension is a reliable early predictor of recovery of arm function in stroke patients.
prognosis; rehabilitation; stroke
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/311297
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