Recovery after stroke--the first 3 months.

Wade, Derick T; Wood, V A; Hewer, R L

doi:10.1136/jnnp.48.1.7

Cited by 333 publications

(155 citation statements)

References 7 publications

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“…[1][2][3][4][5] The descending motor pathways are classified according to the corticospinal tract (CST, pyramidal tract) and non-CST (extrapyramidal tract). 6,7 A number of studies have reported on stroke patients who were unable to perform fine motor activities of the hands after complete injury of the lateral CST; [8][9][10][11][12] in contrast, recent studies have demonstrated that stroke patients were able to walk even after complete injury of the lateral CST, suggesting that walking is not as strongly associated with the lateral CST as hand function.…”

mentioning

confidence: 99%

Functional Role of the Corticoreticular Pathway in Chronic Stroke Patients

Jang

Chang²,

Lee³

et al. 2013

Stroke

161

150

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mentioning

confidence: 99%

Functional Role of the Corticoreticular Pathway in Chronic Stroke Patients

Jang

Chang²,

Lee³

et al. 2013

Stroke

161

150

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“…The postural performance of patients soon after a stroke has been found to be closely correlated with long-term functional improvement. [1][2][3] Because it may help in establishing the severity and prognosis of a stroke, the early assessment of balance in stroke survivors is an important part of the clinical examination.…”

mentioning

confidence: 99%

Validation of a Standardized Assessment of Postural Control in Stroke Patients

Benaïm

Pérennou

Villy

et al. 1999

Stroke

349

209

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Background and Purpose —Few clinical tools available for assessment of postural abilities are specifically designed for stroke patients. Most have major floor or ceiling effects, and their metrological properties are not always completely known. Methods —The Postural Assessment Scale for Stroke patients (PASS), adapted from the BL Motor Assessment, was elaborated in concordance with 3 main ideas: (1) the ability to maintain a given posture and to ensure equilibrium in changing position both must be assessed; (2) the scale should be applicable for all patients, even those with very poor postural performance; and (3) it should contain items with increasing difficulty. This new scale has been validated in 70 patients tested on the 30th and 90th days after stroke onset. Results —Normative data obtained in 30 age-matched healthy subjects are presented. The PASS meets the following requirements: (1) good construct validity: high correlation with concomitant Functional Independence Measure (FIM) scores ( r =0.73, P =10 −6 ), with lower-limb motricity scores ( r =0.78, P <10 −6 ), and with an instrumental measure of postural stabilization ( r =0.48, P <10 −2 ); (2) excellent predictive validity: high correlation between PASS scores on the 30th day and FIM scores on the 90th day ( r =0.75, P <10 −6 ); (3) high internal consistency (Cronbach α-coefficient=0.95); and (4) high interrater and test-retest reliabilities (average κ=0.88 and 0.72). Conclusions —Our results confirm that the PASS is one of the most valid and reliable clinical assessments of postural control in stroke patients during the first 3 months after stroke.

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“…In this study, the chronic stage was defined as 3 months after the onset of thalamic hemorrhage because, in general, the recovery of the affected UE in stroke patients will reach plateau within 3 months after stroke onset, in the aspects of both impairments 15) and disabilities 16) . The severities of the motor palsies of the affected UE and fingers were assessed using Brunnstrom's motor recovery stage (BS) 17) , which classified the severities into sequential six recovery stages from I (paralysis) to VI (almost normal).…”

Section: Assessments On the Affected Uementioning

confidence: 99%

Prediction on Affected Upper Extremity Function in Hemiplegic Patients after Thalamic Hemorrhage Using Somatosensory Evoked Magnetic Fields

Yoshida

Kondo

Nakasato

2006

J Jpn Phys Ther Assoc

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Abstract. The aim of the present study was to investigate the prognostic value of somatosensory evoked magnetic fields (SEFs) at an acute stage on recovery of an affected upper extremity (UE) function as practicality in hemiplegic patients after thalamic hemorrhage. Nine hemiplegic patients after thalamic hemorrhage were enrolled in this study. Median nerve SEFs, evoked by electrical stimulation at the wrist of the affected UE, were measured using a 204 channel whole-head magnetoencephalography system within 72 hours after the onset of thalamic hemorrhage (acute stage). Assessments on the affected UE, which included the motor palsies of the UE and fingers (Brunnstrom's motor recovery stage: BS), sensory disturbance (the thumb localizing test) and UE function (the UE ability test), were performed at both the acute stage and 3 months after the onset of thalamic hemorrhage (chronic stage). Almost all the patients showing any median nerve SEF components that originated from the somatosensory cortex in the affected hemisphere and occurred between about 20 ms and 100 ms post-stimulus at the acute stage demonstrated good outcomes in the motor palsies (BSV), sensory disturbance (normal) and affected UE function (practical hand) at the chronic stage. In contrast, majority of patients not showing them at all demonstrated poor outcomes in the motor palsies (BSIII or less), sensory disturbance (severely impaired) and affected UE function (disabled hand) at the chronic stage. These results suggest that the findings of the median nerve SEFs at the acute stage would contribute to the early outcome prediction on the affected UE function in hemiplegic patients after thalamic hemorrhage.

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Recovery after stroke--the first 3 months.

Cited by 333 publications

References 7 publications

Functional Role of the Corticoreticular Pathway in Chronic Stroke Patients

Functional Role of the Corticoreticular Pathway in Chronic Stroke Patients

Validation of a Standardized Assessment of Postural Control in Stroke Patients

Prediction on Affected Upper Extremity Function in Hemiplegic Patients after Thalamic Hemorrhage Using Somatosensory Evoked Magnetic Fields

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