2001
DOI: 10.1177/154596830101500311
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Motor Impairment as a Predictor of Functional Recovery and Guide to Rehabilitation Treatment After Stroke

Abstract: Admission motor impairment scores (a) predict discharge impairment and activities of daily living mobility functional outcome; and (b) guide treatment toward improving motor impairment versus use of compensatory techniques and assistive devices. The use of compensatory techniques and assistive devices, without change in motor impairment, is associated with a 17 +/- 9 SD improvement in FIMSM score.

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Cited by 150 publications
(101 citation statements)
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“…1 Motor deficit after stroke is common and has a considerable influence on quality of life. 2 Several observational studies have demonstrated that the grade of initial motor deficit is the most important determinant of motor recovery. [1][2][3][4][5] Other valid predictors in regression models have included infarct site, volume of stroke, age, demographics, comorbidities, infarct side, and stroke subtype.…”
mentioning
confidence: 99%
See 1 more Smart Citation
“…1 Motor deficit after stroke is common and has a considerable influence on quality of life. 2 Several observational studies have demonstrated that the grade of initial motor deficit is the most important determinant of motor recovery. [1][2][3][4][5] Other valid predictors in regression models have included infarct site, volume of stroke, age, demographics, comorbidities, infarct side, and stroke subtype.…”
mentioning
confidence: 99%
“…2 Several observational studies have demonstrated that the grade of initial motor deficit is the most important determinant of motor recovery. [1][2][3][4][5] Other valid predictors in regression models have included infarct site, volume of stroke, age, demographics, comorbidities, infarct side, and stroke subtype. [1][2][3]6 The CST is the main pathway that mediates voluntary movements, and neurophysiological and structural imaging studies have evidenced that motor outcome is heavily dependent on the integrity of the motor fibers.…”
mentioning
confidence: 99%
“…Nevertheless, even given the small number of participants in the current study there was a significant correlation between the initial performance level on the FOS task (at Test 1) and a trend toward significant correlation of the total gains attained by the end of the study period and the FIM scores on entering the study. Thus, FIM measures should be considered as a possible predictor of performance and training outcome (Shelton et al, 2001). No general conclusions can be drawn from the negative correlation analyses concerning the Fugl-Meyer and one can only make the assertion that individuals with Fugl-Meyer scores ranging between 40 and 60 (mean 57) retain a potential for learning and retention of a novel skill.…”
Section: Discussionmentioning
confidence: 99%
“…We hypothesized that FOS performance and learning ability will correlate with the magnitude of the functional impairment (measured using Functional Independence Measure, FIM; Seel et al, 2007) but not with the upper limb motor assessment scores (FuglMeyer;Feys et al, 2000) and the Manual Function Test, MFT; Michimata et al, 2008) and the cognitive assessments (Behavioral Assessment the Dysexecutive Syndrome, BADS; Engel-Yeger et al, 2009), the Rivermead Behavioral Memory Test, RBMT; Wiseman et al, 2000) due to their low variability and some missing data in the current sample of patients. FIM measure was previously suggested as a possible predictor of performance and training outcome (Shelton et al, 2001) in post-stroke rehabilitation.…”
Section: The Current Studymentioning
confidence: 99%
“…10 Authors of a recent study of individuals admitted to inpatient rehabilitation after stroke found Fugl-Meyer motor impairment scores on admission to be a predictor of motor impairment at discharge as well as activities of daily living and mobility functional outcome. 28 Indeed, the upper-extremity FuglMeyer score was chosen as the primary outcome in the cor-…”
Section: Functional Outcomementioning
confidence: 99%