Motor outcomes of patients with a complete middle cerebral artery territory infarct

• Published in: Neural regeneration research 2013-07, Vol.8 (20), p.1892-1897
• Main Authors: Jang, Sung Ho, Chang, Min Cheol
• Format: Article
• Language: English
• Subjects: Brain; Care and treatment; Clinical Practice; Colonies & territories; Doppler effect; Health aspects; Infarction; Motor ability; Patient outcomes; Rehabilitation; Stroke; Stroke patients; Studies; Thrombolytic drugs; 动脉; 大脑; 康复治疗; 患者; 电刺激; 电机; 神经肌肉; 运动功能
• ISSN: 1673-5374; 1876-7958
• DOI: 10.3969/j.issn.1673-5374.2013.20.008

Detailed knowledge of motor outcomes enables to establish proper goals and rehabilitation strate-gies for stroke patients. Several previous studies have reported functional or motor outcomes in patients with a middle cerebral artery territory infarct. However, little is known about motor outcome in patients with a complete middle cerebral artery territory infarct. In this study, we investigated the motor outcomes in 23 patients with a complete middle cerebral artery territory infarct. All of these patients received comprehensive rehabilitative management, including movement therapy and neuromuscular electrical stimulation of the affected finger extensors and ankle dorsiflexors, for more than 3 months. Motor outcomes were measured at 6 months after stroke onset using the Medical Research Council, Motricity Index, the modified Brunnstrom Classification, and Functional Ambula-tion Category scores. The motor function of the lower extremities was found to be better than that of the upper extremities. After receiving rehabilitation treatments for 3–6 months, about 70% of these patients were able to walk independently （Functional Ambulation Category scores 3）, but no pa-tient achieved functional hand recovery.