Prediction of lower extremity motor recovery in persons with severe lower extremity paresis after stroke. (16th April 2018)

• Record Type: Journal Article
• Authors: Huang, Sheau-Ling; Chen, Bang-Bin; Hsueh, I-Ping; Jeng, Jiann-Shing; Koh, Chia-Lin; Hsieh, Ching-Lin
• Is Part Of: Brain injury. Volume 32:Number 5(2018)
• Page Start: 627
• Page End: 633
• Publication Date: 2018-04-16
• Subjects: Lower extremity -- movement -- prognosis -- stroke; Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.1080/02699052.2018.1432897
• Languages: English
• ISSNs: 0269-9052

Abstract

ABSTRACT: Objective : To investigate the extent of motor recovery and predict the prognosis of lower extremity (LE) recovery in patients with severe LE paresis after stroke Methods : 137 patients with severe LE paresis after stroke were recruited from a local medical centre. Voluntary LE movement was assessed with the LE subscale of the Stroke Rehabilitation Assessment of Movement (STREAM-LE). Univariate and stepwise regression analyses were used to investigate 25 clinical variables (including demographic, neuroimaging, and behavioural variables) for finding the predictors of LE recovery. Results : The STREAM-LE at discharge (DCSTREAM-LE ) of the participants covered a very wide range (0–19). Specifically, 5.1% of the participants were nearly completely recovered, 11.7% were moderately recovered, 36.5% were slightly recovered, and 46.7% remained severely paralysed. 'Score of STREAM-LE at admission (ADSTREAM-LE )' and 'volume of lesion and oedema') were significant predictors of LE movement at discharge, explaining 25.1% of the variance of the DCSTREAM-LE ( p < 0.001). Conclusions : LE motor recovery varied widely in our participants, indicating that patients' recovery might not follow simple rules. The low predictive power (about a quarter) indicates that LE motor recovery in patients with severe LE paresis after stroke was hardly predictive.