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Published on: December 16, 2022
Pediatric stroke outcome measure: predictor of multiple impairments in childhood stroke
Warren Lo1, Anne L Gordon2, Christine Hajek3
1Division of Neurology, Department of Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, Ohio, USA warren.lo@nationwidechildrens.org.
Insights
The pediatric stroke outcome measure helps predict cognitive, behavioral, and adaptive deficits in children post-stroke. Higher scores on the measure indicate poorer functional outcomes, aiding early intervention planning.
Area of Science:
- Pediatric neurology
- Neurorehabilitation
- Child psychology
Background:
- Pediatric stroke can lead to significant neurological impairments.
- Early identification of deficits is crucial for effective intervention.
- The pediatric stroke outcome measure assesses neurological impairment but its relation to functional outcomes needs further research.
Purpose of the Study:
- To investigate the correlation between the pediatric stroke outcome measure and various functional outcomes in children.
- To determine if the measure can predict cognitive, behavioral, adaptive, and social participation deficits.
Main Methods:
- Thirty-six children with stroke were evaluated.
- The pediatric stroke outcome measure was administered.
- Participants underwent assessments for cognitive ability, problem behaviors, adaptive behaviors, and social participation.
Main Results:
- Higher total scores on the pediatric stroke outcome measure were significantly correlated with poorer outcomes across cognitive ability, problem behaviors, adaptive behaviors, and social participation.
- Specific subscale scores of the measure also showed correlations with deficits in multiple domains.
Conclusions:
- The pediatric stroke outcome measure is a valuable tool for anticipating a range of functional deficits in children following a stroke.
- These findings support the use of the measure in clinical settings to guide treatment and intervention strategies for pediatric stroke survivors.
Abstract:
The ability to anticipate deficits would help with implementation of interventions for children affected by stroke. The pediatric stroke outcome measure (measure) measures neurological impairment after stroke, but there has been little research examining the relationship between the measure and functional outcomes. We hypothesized the Measure correlates with cognitive and behavioral outcomes. Thirty-six children with stroke were assessed with the Measure, and tested for cognitive ability, problem behavior, adaptive behavior, and social participation. We examined the correlation between the total Measure and outcomes and determined how subscale scores associated with outcomes. Higher total Measure scores correlated with poorer outcomes in cognitive ability, problem behaviors, adaptive behaviors, and social participation. Specific subscale scores correlated with poorer outcomes in multiple domains. The total Measure can be used to anticipate poor outcomes in multiple domains after stroke and can help the clinician in the treatment of children as they recover.
