Can stroke survivors with severe upper arm disability achieve a clinically important change in arm function during inpatient rehabilitation? A multicentre, prospective, observational study

Still not good enough. The goal is 100% recovery. GET THERE.  Quit being so fucking lazy about the dumbed down goals you are imposing on survivors.  
https://www.ncbi.nlm.nih.gov/pubmed/24990005

Hayward KS¹, Kuys SS², Barker RN³, Brauer SG¹.

Author information

Abstract

BACKGROUND:

Severe arm disability is considered to indicate poor potential to recover arm function.


OBJECTIVE:

Determine if stroke survivors with severe upper arm disability can achieve a clinically important change in arm function on discharge from inpatient rehabilitation.


METHODS:

618 stroke survivors from 16 inpatient rehabilitation units were assessed on admission and discharge using the Motor Assessment Scale Item 6 Upper Arm Function (MAS6). Admission scores defined participants with severe (MAS6 ≤2) and mild/moderate (MAS6 >2) upper arm disability. A clinically important change was evaluated according to: 1) statistical significance; 2) minimal clinical importance difference (MCID); and 3) shift in disability status i.e., severe to mild/moderate. Achievers of a MCID and shift were compared to non-achievers.


RESULTS:

Stroke survivors with severe upper arm disability (n = 226) demonstrated a significant improvement in arm function (p < 0.001) at discharge. A MCID was achieved by 68% (n = 155) and a shift from severe to mild/moderate upper arm disability on discharge by 45% (n = 102) of participants. Achievers had a significantly shorter interval from stroke onset to inpatient rehabilitation admission (p < 0.002).


CONCLUSION:

Stroke survivors with severe upper arm disability can achieve a clinically important change during inpatient rehabilitation.

KEYWORDS:

Stroke; functional recovery; inpatient rehabilitation; motor; severe

PMID:

24990005

DOI:

10.3233/NRE-141096

[Indexed for MEDLINE]

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