The rate of recovery from stroke - and its measurement

Andrews, Keith; Brocklehurst, J. C.; Richards, Ben; Laycock, P. J.

doi:10.3109/03790798109166795

Cited by 112 publications

(40 citation statements)

References 15 publications

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“…Wade et al 17 studied arm function in 92 patients over 2 years following their stroke; statistically significant improvement was seen only during the first 3 months. In 135 stroke patients studied by Andrews et al, 18 maximum improvement for walking was reached within 8 weeks after the stroke in 88% of the patients. These findings are in accord with my findings.…”

Section: Discussionmentioning

confidence: 99%

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Arm and leg paresis as outcome predictors in stroke rehabilitation.

Olsen

1990

Stroke

259

119

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I used leg and arm paresis to predict outcome measured as extremity function in a prospective study of 75 consecutive hemiplegic patients admitted to an inpatient stroke rehabilitation unit. In each patient, extremity paresis was quantified according to the five-point scoring system advised by the Medical Research Council, upper extremity function was quantified using the Barthel Index subscore for feeding and dressing the upper body, and lower extremity function was quantified according to a five-point scoring of the ability to walk. Improvement was recorded for upper extremity function in 52% of the patients and for lower extremity function in 89%. Best extremity function was reached a mean±SEM of 9±3 and 10±4 weeks after stroke for the upper and lower extremities, respectively. In patients experiencing complete recovery, this occurred a mean±SEM of 7±2 weeks (for both upper and lower extremities) after the stroke. Only 8-11% of the patients with paresis scores of ^2 regained independent extremity function after rehabilitation. Half of the patients with paresis scores of ^3 regained independent extremity function after rehabilitation, while the other half were able to perform extremity function with only minimal assistance. As predictors of extremity function, the Barthel Index subscore was slightly better (r=0.64) than paresis score (r=0.58). However, because evaluation of extremity paresis is easy, it appears to be useful as a preliminary predictor of outcome following stroke. (Stroke 1990;21:247-251)

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Section: Discussionmentioning

confidence: 99%

“…Andrews et al 18 showed that approximately one third of moderately or severely disabled stroke patients had improvement of their walking between 3 and 6 months after their stroke. In my study, the patients were discharged an average of 2 weeks after maximum improvement was achieved.…”

Section: Discussionmentioning

confidence: 99%

Arm and leg paresis as outcome predictors in stroke rehabilitation.

Olsen

1990

Stroke

259

119

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“…Spontaneous recovery of motor function would not affect walking ability much in these subjects, since almost all of them had suffered a stroke more than one year prior to the study (Table II). Spontaneous recovery occurs very slowly after a period of one year in stroke survivors 48 .…”

Section: Walking Speedmentioning

confidence: 99%

The effects of rehabilitation education for village health volunteers on walking speed and upper extremity function in stroke survivors in Thailand

Chinchai¹,

Khamwong²

2017

S. Afr. j. occup. ther

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INTRODUCTION: Stroke can cause long-term disabilities to survivors. Rehabilitation is an on-going process and should, ideally, be provided to these people in their homes. This study aimed to investigate the effect that rehabilitation education provided to village health volunteers (VHVs) would have on walking speed and upper extremity (UE) function in stroke survivors who stay at home in Thailand. METHODS: Participants were recruited by purposive sampling, which included 27 stroke survivors from four municipalities in Chiang Mai and Lamphun provinces. The measuring instruments used were the Ten-Meter Walk Test and the UE motor domain of the Fugl-Meyer Assessment. Researchers presented a 7-hour rehabilitation education programme to VHVs, who then made weekly1-hour visits to the homes of stroke survivors to implement the rehabilitation programme over eight weeks. Data were collected within seven days before and again after the 8-week programme. RESULTS: Descriptive statistics and the paired t-test were applied to analyse the data. Results showed that the participants used significantly less walking time from pre-test ( X =34.73 ±8.48) to post-test ( X =32.18±9.32) (p<0.05). However, the score of UE function at pre-test (X=36.81±9.59) was not significantly different from that at post-test (X =37.26±9.67). CONCLUSION: The findings suggest that trained VHVs can be part of the rehabilitation team and contribute to improved functional performance for disabled stroke survivors, particularly in developing countries. Key words: Hand function, gait speed, Home visit, motor function after stroke, community rehabilitation, home-based rehabilitation

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“…Several studies have shown that most of functional recovery including walking occurs within the first 3 months, and improvement thereafter, although observed, does not reach the level of statistical significance except for the language (Andrews et al 1981; Skilbeck et al 1983; Kelly-Hayes 1990). A recent study has revealed that the maximum walking speed for 10 m distance was a major determinant of activities for social life events among ambulatory post stroke patients (Sajiki et al 1991).…”

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confidence: 99%