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Patient-reported measures provide unique insights into motor function after stroke.
Jill Campbell Stewart1, Steven C Cramer
1Departments of Neurology and Anatomy & Neurobiology, University of California, Irvine, CA, USA.
Stroke
|February 21, 2013
Summary
Patient-reported outcome measures reveal subtle motor deficits in stroke survivors, even those with minimal impairment on standard scales. These patient perspectives offer unique insights into functional limitations after stroke.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Clinical Outcomes
Background:
- Patient-reported outcome measures (PROMs) are valuable across disciplines but under-evaluated post-stroke.
- Standard impairment and disability scales may not capture all functional limitations.
Purpose of the Study:
- To investigate the relationship between patient-reported measures and standard clinical assessments after stroke.
- To determine if PROMs can identify deficits missed by conventional scales.
Main Methods:
- Stroke patients with motor deficits were assessed using the National Institutes of Health Stroke Scale, modified Rankin Scale, and Fugl-Meyer motor scale.
- Patient-reported outcomes were captured using the Stroke Impact Scale (hand function) and the Motor Activity Log (arm use).
Main Results:
- PROMs, including the Stroke Impact Scale and Motor Activity Log, effectively identified arm motor deficits.
- 71% of patients with minimal/no disability (NIHSS/mRS 0-1) reported hand function difficulty or reduced arm use.
- 10 of 14 patients (71%) with normal clinical examinations reported functional limitations via PROMs.
Conclusions:
- Patient-reported measures provide unique insights into the clinical status of stroke survivors.
- PROMs revealed motor deficits in a majority of patients classified as having minimal or no disability by standard scales.
