Motor evoked potentials of the lower extremity in predicting motor recovery and ambulation after stroke: a cohort study 11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

2003 ◽  
Vol 84 (9) ◽  
pp. 1373-1379 ◽  
Author(s):  
Henk T Hendricks ◽  
Jaco W Pasman ◽  
Jacques van Limbeek ◽  
Machiel J Zwarts
2008 ◽  
Vol 23 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Annette A. van Kuijk ◽  
Jaco W. Pasman ◽  
Henk T. Hendricks ◽  
Machiel J. Zwarts ◽  
Alexander C. H. Geurts

Objective. The primary aim of this study was to compare the predictive value of motor evoked potentials (MEPs) and early clinical assessment with regard to long-term hand motor recovery in patients with profound hemiplegia after stroke. Methods. The sample was an inception cohort of 39 stroke patients with an acute, ischemic, supratentorial stroke and an initial upper-extremity paralysis admitted to an academic hospital. Hand motor function recovery was defined at 26 weeks poststroke as a Fugl–Meyer Motor Assessment (FMA) hand score >3 points. The following prognostic factors were compared at week 1 and week 3 poststroke: motor functions as assessed by the FMA upper-extremity and lower-extremity subscores, and the presence of an MEP in the abductor digiti minimi and biceps brachii muscle. Results. Both the presence of an abductor digiti minimi–MEP and any motor recovery in the FMA upper-extremity subscore showed a positive predictive value of 1.00 at weeks 1 and 3. The FMA lower-extremity subscore showed the best negative predictive value (0.90; 95% CI 0.78-1.00 at week 1 and 0.95; 95% CI 0.87-1.00 at week 3). Conclusions. In stroke patients with an initial paralysis of the upper extremity the presence or absence of an MEP has similar predictive value compared with early clinical assessment with regard to long-term hand motor recovery.


2012 ◽  
Vol 123 (6) ◽  
pp. 1248-1254 ◽  
Author(s):  
Yuichi Maruta ◽  
Masami Fujii ◽  
Hirochika Imoto ◽  
Sadahiro Nomura ◽  
Fumiaki Oka ◽  
...  

1991 ◽  
Vol 48 (9) ◽  
pp. 944-948 ◽  
Author(s):  
S. M. Jones ◽  
L. J. Streletz ◽  
V. E. Raab ◽  
R. L. Knobler ◽  
F. D. Lublin

2009 ◽  
Vol 459 (2) ◽  
pp. 74-78
Author(s):  
Dorota Olex-Zarychta ◽  
Robert Koprowski ◽  
Grzegorz Sobota ◽  
Zygmunt Wróbel

2011 ◽  
Vol 74 (1) ◽  
pp. 37-39
Author(s):  
Chuen-Der Kao ◽  
Kon-Ping Lin ◽  
Jen-Tse Chen ◽  
Jiun-Bin Chang ◽  
Wan-Yuo Guo ◽  
...  

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