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Related Concept Videos

Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.

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Kinematic Analysis Using 3D Motion Capture of Drinking Task in People With and Without Upper-extremity Impairments
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Tracking bimanual recovery after stroke: Grasp function and stroke severity predict 1-year performance.

Annick Van Gils1,2, Yue Zou1, Sarah Meyer1,3

  • 1Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.

Clinical Rehabilitation
|October 31, 2025
PubMed
Summary

Bimanual performance significantly improves in the first six months after stroke. Early grasp function and stroke severity are key predictors of long-term bimanual outcomes for stroke survivors.

Keywords:
Strokebimanual performancelongitudinal studypredictionthe adult assisting hand assessment stroke

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Clinical Neuroscience

Background:

  • Stroke survivors often experience impaired bimanual performance, affecting daily activities.
  • Understanding the recovery trajectory and early predictors is crucial for effective rehabilitation.

Purpose of the Study:

  • To characterize the recovery pattern of bimanual performance post-stroke.
  • To identify early predictors of bimanual function at 6 and 12 months after stroke.

Main Methods:

  • A prospective longitudinal study design was employed.
  • Bimanual performance was assessed using the Adult Assisting Hand Assessment Stroke.
  • Multivariate linear regression and Chi-square Automatic Interaction Detection analysis were used to identify predictors.

Main Results:

  • Bimanual performance showed significant improvement over time, particularly within the first 6 months.
  • At 6 months, admission grasp function and stroke severity explained 73% of the variance in bimanual scores.
  • At 12 months, stroke severity, grasp function, and Barthel Index explained 78% of the variance.

Conclusions:

  • Bimanual function recovery is most substantial in the initial 6 months post-stroke.
  • Admission grasp function and stroke severity are strong predictors of long-term bimanual outcomes.
  • A derived decision tree may aid in stratified rehabilitation and goal setting for stroke patients.