Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A prediction model for functional recovery in stroke

M G Stineman1, G Maislin, R C Fiedler

  • 1Department of Rehabilitation Medicine, University of Pennsylvania, Philadelphia, USA.

Stroke
|March 1, 1997
PubMed
Summary

A new prognostic index helps predict functional recovery in stroke patients undergoing rehabilitation. Achieving independence in daily activities significantly increases the likelihood of discharge home.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Circannual and latitudinal variation in the incidence of subarachnoid hemorrhage.

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association·2015
Same author

Adhesion molecule increases in sleep apnea: beneficial effect of positive airway pressure and moderation by obesity.

International journal of obesity (2005)·2014
Same author

The role of obesity, different fat compartments and sleep apnea severity in circulating leptin levels: the Icelandic Sleep Apnea Cohort study.

International journal of obesity (2005)·2012
Same author

Identification of craniofacial risk factors for obstructive sleep apnoea using three-dimensional MRI.

The European respiratory journal·2011
Same author

Untangling function: measuring the severity, type and meaning of disabilities.

Europa medicophysica·2007
Same author

Functional assessment in rehabilitative medicine.

Europa medicophysica·2007

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biostatistics

Background:

  • Stroke-related physical disability significantly impacts daily living, family care burden, and long-term institutionalization needs.
  • Developing accurate prognostic tools is crucial for optimizing stroke rehabilitation and patient outcomes.

Purpose of the Study:

  • To develop a prognostic index for predicting functional recovery in stroke patients.
  • To establish the likelihood of achieving a specific stage of functional recovery post-stroke rehabilitation.

Main Methods:

  • Logistic regression analysis was employed using data from 3760 stroke patients across 96 rehabilitation facilities.
  • The Functional Independence Measure (FIM) was used to define the target stage of functional recovery.
  • Key predictors included disability onset duration, Activities of Daily Living (ADL) scores, and pre-stroke living/employment status.

Related Experiment Videos

Main Results:

  • 26.1% of patients achieved the defined functional recovery stage.
  • Early disability onset (<60 days) more than tripled the odds of achieving the stage (aOR 3.5).
  • Each 8-point increase in ADL score boosted odds 2.5-fold; living alone and prior employment increased odds by 1.3 and 2.2, respectively.

Conclusions:

  • The developed index accurately predicts individual stroke patient prognoses for achieving functional independence at rehabilitation admission.
  • Achieving this functional stage is strongly associated with a high probability of discharge to home (95.3%).