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Predicting recovery of dextrous hand function in acute stroke
Purpose. To determine the clinical characteristics during acute stroke that predicted dextrous function in the paretic hand at 6 months post-stroke. Method. Fifty-seven patients within 5 days post-stroke were recruited in stroke wards. Recovery of dextrous hand function, indicated by a score of ≥35...
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| Published in: | Disability and rehabilitation 2009-01, Vol.31 (5), p.394-401 |
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| container_title | Disability and rehabilitation |
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| creator | Au-Yeung, Stephanie S. Y. Hui-Chan, Christina W. Y. |
| description | Purpose. To determine the clinical characteristics during acute stroke that predicted dextrous function in the paretic hand at 6 months post-stroke.
Method. Fifty-seven patients within 5 days post-stroke were recruited in stroke wards. Recovery of dextrous hand function, indicated by a score of ≥35 of Action Research Arm Test, was assessed weekly in the first 4 weeks then monthly till 6 months post-stroke. The seven predictor candidates evaluated included side and site of brain infarct, stroke severity, cognition, spatial neglect, two-point discrimination (2-PD), muscle tone and muscle strength of the paretic upper extremity (UE).
Results. Site of infarct, stroke severity, 2-PD and UE muscle strength had independent association with dextrous hand function at 6 months post-stroke. Stepwise multiple logistic regressions showed that the best early predictor was 2-PD in week 1 to 3 (Odds ratio [OR] ranged from 0.51-0.83) and UE muscle strength during the first 2 months post-stroke (OR ≥ 1.04). The strongest predictor was muscle strength at week 4 post-stroke, followed by combined 2-PD and muscle strength at week 2 post-stroke.
Conclusions. Muscle strength and 2-PD in the paretic UE during the first month post-stroke were the best predictors of dextrous hand function recovery at 6 months. |
| doi_str_mv | 10.1080/09638280802061878 |
| format | article |
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Method. Fifty-seven patients within 5 days post-stroke were recruited in stroke wards. Recovery of dextrous hand function, indicated by a score of ≥35 of Action Research Arm Test, was assessed weekly in the first 4 weeks then monthly till 6 months post-stroke. The seven predictor candidates evaluated included side and site of brain infarct, stroke severity, cognition, spatial neglect, two-point discrimination (2-PD), muscle tone and muscle strength of the paretic upper extremity (UE).
Results. Site of infarct, stroke severity, 2-PD and UE muscle strength had independent association with dextrous hand function at 6 months post-stroke. Stepwise multiple logistic regressions showed that the best early predictor was 2-PD in week 1 to 3 (Odds ratio [OR] ranged from 0.51-0.83) and UE muscle strength during the first 2 months post-stroke (OR ≥ 1.04). The strongest predictor was muscle strength at week 4 post-stroke, followed by combined 2-PD and muscle strength at week 2 post-stroke.
Conclusions. Muscle strength and 2-PD in the paretic UE during the first month post-stroke were the best predictors of dextrous hand function recovery at 6 months.</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.1080/09638280802061878</identifier><identifier>PMID: 18608431</identifier><identifier>CODEN: DREHET</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Action research ; Aged ; Brain ; dextrous hand function ; Disability Evaluation ; Female ; Hand - physiopathology ; Hand Strength ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Motor Skills ; muscle strength ; Muscles ; Odds Ratio ; Paresis - rehabilitation ; Predictor ; Prospective Studies ; Recovery ; Recovery of Function ; ROC Curve ; Severity ; stroke ; Stroke - physiopathology ; Stroke Rehabilitation ; Strokes ; two-point discrimination</subject><ispartof>Disability and rehabilitation, 2009-01, Vol.31 (5), p.394-401</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-1966a67adeb2ef228780a07c6ec3f2088a7704b0d402b1c2ded7ef900740da8e3</citedby><cites>FETCH-LOGICAL-c532t-1966a67adeb2ef228780a07c6ec3f2088a7704b0d402b1c2ded7ef900740da8e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18608431$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Au-Yeung, Stephanie S. Y.</creatorcontrib><creatorcontrib>Hui-Chan, Christina W. Y.</creatorcontrib><title>Predicting recovery of dextrous hand function in acute stroke</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>Purpose. To determine the clinical characteristics during acute stroke that predicted dextrous function in the paretic hand at 6 months post-stroke.
Method. Fifty-seven patients within 5 days post-stroke were recruited in stroke wards. Recovery of dextrous hand function, indicated by a score of ≥35 of Action Research Arm Test, was assessed weekly in the first 4 weeks then monthly till 6 months post-stroke. The seven predictor candidates evaluated included side and site of brain infarct, stroke severity, cognition, spatial neglect, two-point discrimination (2-PD), muscle tone and muscle strength of the paretic upper extremity (UE).
Results. Site of infarct, stroke severity, 2-PD and UE muscle strength had independent association with dextrous hand function at 6 months post-stroke. Stepwise multiple logistic regressions showed that the best early predictor was 2-PD in week 1 to 3 (Odds ratio [OR] ranged from 0.51-0.83) and UE muscle strength during the first 2 months post-stroke (OR ≥ 1.04). The strongest predictor was muscle strength at week 4 post-stroke, followed by combined 2-PD and muscle strength at week 2 post-stroke.
Conclusions. Muscle strength and 2-PD in the paretic UE during the first month post-stroke were the best predictors of dextrous hand function recovery at 6 months.</description><subject>Action research</subject><subject>Aged</subject><subject>Brain</subject><subject>dextrous hand function</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Hand - physiopathology</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motor Skills</subject><subject>muscle strength</subject><subject>Muscles</subject><subject>Odds Ratio</subject><subject>Paresis - rehabilitation</subject><subject>Predictor</subject><subject>Prospective Studies</subject><subject>Recovery</subject><subject>Recovery of Function</subject><subject>ROC Curve</subject><subject>Severity</subject><subject>stroke</subject><subject>Stroke - physiopathology</subject><subject>Stroke Rehabilitation</subject><subject>Strokes</subject><subject>two-point discrimination</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkU9rGzEQxUVpSBw3HyCXsqfeNhlpdyUtbQ_B9E_AkBzSs5ClUb3pWnKl3ST-9pGxIYSAc5qB-b3HYx4h5xQuKEi4hJZXksm8MuBUCvmBTGjN67KhvPlIJtt7mQF5Qk5TugcAWon6mJxQyUHWFZ2Q77cRbWeGzv8tIprwgHFTBFdYfBpiGFOx1N4WbvQZCb7ofKHNOGCR8vUffiJHTvcJz_ZzSv78_HE3-13Ob35dz67mpWkqNpS05VxzoS0uGDrGclLQIAxHUzkGUmohoF6ArYEtqGEWrUDXAogarJZYTcmXne86hv8jpkGtumSw77XHHFJxAaxi0LwLNoK1kgv6LsiAAm3brSPdgSaGlCI6tY7dSseNoqC2Lag3LWTN5735uFihfVHs356Bbzug8y7ElX4Msbdq0Js-RBe1N11S1SH_r6_kS9T9sDQ6oroPY_S5igPpngH8aqab</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Au-Yeung, Stephanie S. Y.</creator><creator>Hui-Chan, Christina W. Y.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7QJ</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20090101</creationdate><title>Predicting recovery of dextrous hand function in acute stroke</title><author>Au-Yeung, Stephanie S. Y. ; Hui-Chan, Christina W. Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-1966a67adeb2ef228780a07c6ec3f2088a7704b0d402b1c2ded7ef900740da8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Action research</topic><topic>Aged</topic><topic>Brain</topic><topic>dextrous hand function</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Hand - physiopathology</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motor Skills</topic><topic>muscle strength</topic><topic>Muscles</topic><topic>Odds Ratio</topic><topic>Paresis - rehabilitation</topic><topic>Predictor</topic><topic>Prospective Studies</topic><topic>Recovery</topic><topic>Recovery of Function</topic><topic>ROC Curve</topic><topic>Severity</topic><topic>stroke</topic><topic>Stroke - physiopathology</topic><topic>Stroke Rehabilitation</topic><topic>Strokes</topic><topic>two-point discrimination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Au-Yeung, Stephanie S. Y.</creatorcontrib><creatorcontrib>Hui-Chan, Christina W. Y.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Au-Yeung, Stephanie S. Y.</au><au>Hui-Chan, Christina W. Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting recovery of dextrous hand function in acute stroke</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>31</volume><issue>5</issue><spage>394</spage><epage>401</epage><pages>394-401</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><coden>DREHET</coden><abstract>Purpose. To determine the clinical characteristics during acute stroke that predicted dextrous function in the paretic hand at 6 months post-stroke.
Method. Fifty-seven patients within 5 days post-stroke were recruited in stroke wards. Recovery of dextrous hand function, indicated by a score of ≥35 of Action Research Arm Test, was assessed weekly in the first 4 weeks then monthly till 6 months post-stroke. The seven predictor candidates evaluated included side and site of brain infarct, stroke severity, cognition, spatial neglect, two-point discrimination (2-PD), muscle tone and muscle strength of the paretic upper extremity (UE).
Results. Site of infarct, stroke severity, 2-PD and UE muscle strength had independent association with dextrous hand function at 6 months post-stroke. Stepwise multiple logistic regressions showed that the best early predictor was 2-PD in week 1 to 3 (Odds ratio [OR] ranged from 0.51-0.83) and UE muscle strength during the first 2 months post-stroke (OR ≥ 1.04). The strongest predictor was muscle strength at week 4 post-stroke, followed by combined 2-PD and muscle strength at week 2 post-stroke.
Conclusions. Muscle strength and 2-PD in the paretic UE during the first month post-stroke were the best predictors of dextrous hand function recovery at 6 months.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>18608431</pmid><doi>10.1080/09638280802061878</doi><tpages>8</tpages></addata></record> |
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| ispartof | Disability and rehabilitation, 2009-01, Vol.31 (5), p.394-401 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | Action research Aged Brain dextrous hand function Disability Evaluation Female Hand - physiopathology Hand Strength Humans Longitudinal Studies Male Middle Aged Motor Skills muscle strength Muscles Odds Ratio Paresis - rehabilitation Predictor Prospective Studies Recovery Recovery of Function ROC Curve Severity stroke Stroke - physiopathology Stroke Rehabilitation Strokes two-point discrimination |
| title | Predicting recovery of dextrous hand function in acute stroke |
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