Sunday, January 17, 2016

Motor recovery of stroke patients after rehabilitation: 1-year follow-up study

This research is pretty useless with both the Brunnstrom and Barthel scales being subjective.
http://www.tandfonline.com/doi/abs/10.3109/00207454.2016.1138474
DOI:
10.3109/00207454.2016.1138474
Vilai Kuptniratsaikula*, Apichana Kovindhab, Sumalee Suethanapornkulc, Pornpimon Massakulpand, Wutichai Permsirivaniche & Patcharawimol Srisa-an Kuptniratsaikulf
  • Received: 5 Nov 2015
  • Accepted: 3 Jan 2016
  • Accepted author version posted online: 12 Jan 2016
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Abstract

Purpose: To investigate motor recovery of stroke patients at the 1-year after rehabilitation
Materials and Methods: A cross-sectional study of 192 stroke patients discharged from rehabilitation wards in nine tertiary hospitals were recruited. Motor recovery was assessed using the Brunnstrom motor recovery stages (BMRS), at 6 and 12 months after discharge. Factors related to the BMRS of the hand, arm, and leg were analyzed.
Results: The mean age of patients was 62.2 years (57.3% male). Significantly more patients presented improvement of at least 1 BMRS of the hand, arm, and leg compared with those with decreasing BMRS (p < 0.001). The percentage of patients with BMRS III-VI at 6 months was greater than that at discharge, but the recovery at 12 months was slightly higher than that at 6 months. It seems that motor recovery from stroke was near maximal at 6 months. Regarding the factors related to motor recovery, only lengths of stay (LOS) < 30 days during the first admission and Barthel Index at discharge ≥ 10 were related to the improvement of BMRS of the hand, arm, and leg on multivariate analysis. Additionally, no complication at discharge was associated with the improvement of BMRS of the leg.
Conclusions: Approximately half of our stroke patients had motor improvement of at least one stage of BMRS at 1-year. Motor recovery after stroke at the end of the first year was associated with shorter LOS during the first admission, higher discharge Barthel Index score, and absence of complications at discharge.
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