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Related Experiment Videos

Upper-limb function and recovery in the acute phase poststroke.

Johanne Higgins1, Nancy E Mayo, Johanne Desrosiers

  • 1School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Québec, Canada.

Journal of Rehabilitation Research and Development
|March 3, 2005
PubMed
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Stroke patients show improved upper-limb (UL) and lower-limb (LL) function within 5 weeks. Early activity limitations predict later UL function, and LL recovery is not faster than UL recovery.

Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Neurology

Background:

  • Stroke frequently causes upper-limb (UL) motor deficits, impacting patient recovery and quality of life.
  • Quantifying UL function recovery and identifying predictive factors are crucial for effective rehabilitation strategies.

Purpose of the Study:

  • To evaluate UL motor function recovery in stroke patients using impairment and activity limitation measures.
  • To identify predictors of UL function and recovery poststroke.
  • To compare UL function recovery with lower limb (LL) recovery.

Main Methods:

  • Utilized standardized measures of impairment and "activity limitation" for both UL and LL.
  • Tracked changes in function over the first 5 weeks poststroke.

Related Experiment Videos

  • Analyzed predictors of UL function at 5 weeks based on 1-week poststroke assessments.

    • Main Results:

    • Both UL and LL measures of impairment and "activity limitation" improved significantly within 5 weeks.
    • The Box and Block Test showed the greatest improvement (SRM = 1.34), followed by the 5-meter walk test (SRM = 0.97).
    • Early "activity limitation" measures at 1 week were the strongest predictors of UL function at 5 weeks.

    Conclusions:

    • Stroke patient UL and LL function show measurable improvement within the initial 5 weeks.
    • Early assessment of UL "activity limitation" is vital for predicting subsequent functional recovery.
    • The study refutes the notion that LL recovery is inherently faster than UL recovery poststroke.