The Potential Predictors of Motor Performance Outcomes after Rehabilitation for Patients with Stroke

2013 ◽  
Vol 284-287 ◽  
pp. 1656-1660
Author(s):  
Jiann Der Lee ◽  
Tzyh Chyang Chang ◽  
Shih Ting Yang ◽  
Chung Hsien Huang ◽  
Ching Yi Wu
Keyword(s):  
Motor Performance ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Outcomes ◽  
Motor Ability ◽  
Stroke Patients ◽  
Performance Outcome ◽  
Rehabilitation Outcomes ◽  
Movement Performance ◽  
Motor Outcome

The identification of potential predictors for motor outcome after rehabilitation helps underscore the factors that may affect treatment outcomes and target individuals who benefit the most from the therapy. In this study, we addressed and utilized a classifier to identify the potential predictors for motor performance outcome for patients with stroke after rehabilitation. The potential predictors selected and used by different assessments in this study were age, sex, time since stroke, education, neurologic status, and the movement performance of the upper extremity. This study aimed to identify predictors of motor performance outcomes after rehabilitation for stroke patients. The PSO-SVM was chosen in this study to find the predictor of motor function for clients with stroke. The potential predictors for motor outcome after rehabilitation were motor ability assessment of the Fugl-Meyer Assessment (FMA) and the Functional Independence Measure (FIM). This study is to investigate the potential demographic and clinical characteristics of stroke that can serve to predict rehabilitation outcomes in motor performance.

Adipokines as Potential Biomarkers in the Neurorehabilitation of Obese Stroke Patients

2020 ◽  
Vol 17 (4) ◽  
pp. 437-445
Author(s):  
Irene Ciancarelli ◽  
Giovanni Morone ◽  
Marco Iosa ◽  
Stefano Paolucci ◽  
Loris Pignolo ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Functional Recovery ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Enzyme Linked Immunosorbent Assay ◽  
Stroke Patients ◽  
Rehabilitation Outcomes ◽  
Before And After ◽  
Forward Stepwise ◽  
Clinical Measures

Background: Limited studies concern the influence of obesity-induced dysregulation of adipokines in functional recovery after stroke neurorehabilitation. Objective: To investigate the relationship between serum leptin, resistin, and adiponectin and functional recovery before and after neurorehabilitation of obese stroke patients. The adipokine potential significance as prognostic markers of rehabilitation outcomes was also verified. Methods: Twenty obese post-acute stroke patients before and after neurorehabilitation and thirteen obese volunteers without-stroke, as controls, were examined. Adipokines were determined by commercially available enzyme-linked immunosorbent assay (ELISA) kits. Functional deficits were assessed before and after neurorehabilitation with the Barthel Index (BI), modified Rankin Scale (mRS), and Functional Independence Measure (FIM). Results: Compared to controls, higher leptin and resistin values and lower adiponectin values were observed in stroke patients before neurorehabilitation and no correlations were found between adipokines and clinical outcome measures. Neurorehabilitation was associated with improved scores of BI, mRS, and FIM. After neurorehabilitation, decreased values of Body Mass Index (BMI) and resistin together increased adiponectin were detected in stroke patients, while leptin decreased but not statistically. Comparing adipokine values assessed before neurorehabilitation with the outcome measures after neurorehabilitation, correlations were observed for leptin with BI-score, mRS-score, and FIM-score. No other adipokine levels nor BMI assessed before neurorehabilitation correlated with the clinical measures after neurorehabilitation. The forward stepwise regression analysis identified leptin as prognostic factor for BI, mRS, and FIM. Conclusions: Our data show the effectiveness of neurorehabilitation in modulating adipokines levels and suggest that leptin could assume the significance of biomarker of functional recovery.

scholarly journals Potential Predictors of Motor and Functional Outcomes After Distributed Constraint-Induced Therapy for Patients With Stroke

2008 ◽  
Vol 23 (4) ◽  
pp. 336-342 ◽  
Author(s):  
Keh-chung Lin ◽  
Yan-hua Huang ◽  
Yu-wei Hsieh ◽  
Ching-yi Wu
Keyword(s):  
Upper Extremity ◽  
Distal Part ◽  
Functional Performance ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Motor Ability ◽  
Motor Pathways ◽  
Movement Performance ◽  
Quality Of Movement ◽  
Motor Outcomes

Background. Selection of patients who are most and least likely to benefit from constraint-induced therapy (CIT) for the upper extremity is uncertain. Objective. This study investigated demographic and clinical characteristics that may predict outcomes for a distributed form of CIT. Methods. A group of 57 patients were treated with distributed CIT, and 7 potential predictors were identified, including age, sex, side of stroke, time since stroke, spasticity, neurologic status, and movement performance of the distal part of the upper extremity. Treatment outcome was assessed in terms of motor performance, perceived functional ability of the affected hand, and functional performance of daily activities, measured by Fugl-Meyer Assessment (FMA), Motor Activity Log (MAL), and Functional Independence Measure (FIM), respectively. Results. Motor ability of the distal part of the upper extremity and time since stroke were significantly predictive of outcomes on the FMA (adjusted R2 = 0.18, P = .002) and the MAL subtest quality of movement (adjusted R 2 = 0.43, P < .0001). Motor ability and age were significant predictors of amount of use measured by the MAL (adjusted R2 = 0.20, P = .001). None of the variables exhibited a predictive relationship with the FIM. Conclusions. The best predictor for motor outcomes after distributed CIT was greater motor ability of the distal part of the upper extremity, which is consistent with the presence of residual motor pathways that may respond to training. The FMA may be of value in stratifying patients for their likelihood to benefit from distributed CIT protocols.

scholarly journals Postural Assessment Scale for Stroke Patients in Acute, Subacute and Chronic Stage: A Construct Validity Study

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 365
Author(s):  
Cecilia Estrada-Barranco ◽  
Roberto Cano-de-la-Cuerda ◽  
Vanesa Abuín-Porras ◽  
Francisco Molina-Rueda
Keyword(s):  
Construct Validity ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Assessment Scale ◽  
Validity Study ◽  
Stroke Patients ◽  
Chronic Stage ◽  
Post Stroke ◽  
Valid Instrument ◽  
Postural Assessment

(1) Background: Observational scales are the most common methodology used to assess postural control and balance in people with stroke. The aim of this paper was to analyse the construct validity of the Postural Assessment Scale for Stroke Patients (PASS) scale in post-stroke patients in the acute, subacute, and chronic stroke phases. (2) Methods: Sixty-one post-stroke participants were enrolled. To analyze the construct validity of the PASS, the following scales were used: the Functional Ambulatory Category (FAC), the Wisconsin Gait Scale (WGS), the Barthel Index (BI) and the Functional Independence Measure (FIM). (3) Results: The construct validity of the PASS scale in patients with stroke at acute phase was moderate with the FAC (r = −0.791), WGS (r = −0.646) and FIM (r = −0.678) and excellent with the BI (r = 0.801). At subacute stage, the construct validity of the PASS scale was excellent with the FAC (r = 0.897), WGS (r = −0.847), FIM (r = −0.810) and BI (r = −0.888). At 6 and 12 months, the construct validity of the PASS with the FAC, WGS, FIM and BI was also excellent. (4) Conclusions: The PASS scale is a valid instrument to assess balance in post-stroke individuals especially, in the subacute and chronic phases (at 6 and 12 months).

ADL STRUCTURE FOR STROKE PATIENTS IN JAPAN BASED ON THE FUNCTIONAL INDEPENDENCE MEASURE

1995 ◽  
Vol 74 (6) ◽  
pp. 432-438 ◽  
Author(s):  
Tetsuya Tsuji ◽  
Shigeru Sonoda ◽  
Kazuhisa Domen ◽  
Eiichi Saitoh ◽  
Meigen Liu ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Patients

The construct validity of the Functional Independence Measure as applied to stroke patients

1996 ◽  
Vol 12 (3) ◽  
pp. 161-171 ◽  
Author(s):  
Lucie Brosseau ◽  
Louise Potvin ◽  
Pierre Philippe ◽  
Yves-Louis Boulanger ◽  
Elisabeth Dutil
Keyword(s):  
Construct Validity ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Stroke Patients

Validité de la Mesure de l'Indépendance Fonctionnelle (MIF) pour les personnes âgées suivies en réadapation

1997 ◽  
Vol 16 (4) ◽  
pp. 626-646
Author(s):  
Louise Demers ◽  
Francine Giroux
Keyword(s):  
Internal Consistency ◽  
Cognitive Skills ◽  
Functional Independence Measure ◽  
The Elderly ◽  
Functional Independence ◽  
Factorial Structure ◽  
Burden Of Care ◽  
Discharge Data ◽  
Rehabilitation Outcomes ◽  
Components Analysis

ABSTRACTThe Functional Independence Measure (FIM) was developed to assess the burden of care of persons receiving rehabilitation services in regard to self-care activities and social and cognitive skills. Until now, no study has evaluated the validity of the FIM with the elderly without distinction of diagnosis. The purpose of this study was to examine the MIF's factorial structure using a principal components analysis. As a secondary goal, the predictive validity and the internal consistency of the instrument were also examined. Data collected from 120 subjects generated a solution consisting of three factors accounting for 67.6 per cent of the total variance. The first factor (46.6%) represents the handicap concept, the second factor (14.7%) measures disability and the third factor (6.3%) represents disability with a major component of physical involvement of lower extremities. The results of this analysis confirm the multidimensional structure of the FIM and reveal the possibility of a third factor for the elderly. With this population, internal consistency of the instrument, obtained from admission and discharge data, is estimated at 0.92 and 0.96 with Cronbach's alpha. Total FIM score at discharge as well as items related to the handicap factor as measured on admission allow us to correctly predict place of discharge in a proportion of 72.9 per cent of the cases. These results indicate that the FIM bears an interesting potential for measuring rehabilitation outcomes for the elderly.

Retraining selective trunk muscle activity: A key to more successful rehabilitation outcomes for hemiparetic stroke patients

2021 ◽  
pp. 1-8
Author(s):  
Matteo Bigoni ◽  
Veronica Cimolin ◽  
Luca Vismara ◽  
Andrea G. Tarantino ◽  
Silvia Baudo ◽  
...  
Keyword(s):  
Treatment Cycle ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Rehabilitation Program ◽  
Trunk Muscles ◽  
Single Subject ◽  
Rehabilitation Outcomes ◽  
Additional Improvement ◽  
Hemiparetic Stroke

BACKGROUND: Hemiparetic patients lose the ability to move their trunk selectively, abdominals are affected and neither voluntary nor reflex activity is present. OBJECTIVE: To investigate if the inclusion of specific exercises for the trunk muscles in a rehabilitation program for chronic hemiparetic patients could lead to an additional improvement. METHODS: A multiple-participant single-subject design was replicated in patients with hemiplegia. The study was conducted in two cycles: for the first cycle (A), patients received conventional rehabilitation program, then for the second cycle (B), six months later, the same subjects received conventional rehabilitation therapy plus an additional specific selective trunk muscles training. Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), 10 meters distance walk test (10 MWT), Functional Independence Measure (FIM) and instrumental gait analysis were performed before and after both treatment cycles. RESULTS: Significant changes were observed in TIS and 10 MWT after the two treatment cycles. However, after treatment cycle B, BBS and FIM score showed an additional improvement. Whereas, after treatment cycle A gate analysis did not relevantly changed, but after cycle B a significant improvement was registered in velocity, cadence and percentage of stance in the gait cycle. CONCLUSIONS: In our patients, the training for selective activation of the trunk muscles had led to a consistent improvement of gate analysis parameters, and hemiparesis-related disability in stance and activities of daily living.

The Current State of Stroke Rehabilitation in Japan

1999 ◽  
Vol 13 (4) ◽  
pp. 219-223
Author(s):  
Yoshihisa Masakado ◽  
Naoichi Chino
Keyword(s):  
Regression Analysis ◽  
Chronic Conditions ◽  
Stroke Rehabilitation ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Rehabilitation Program ◽  
Stroke Outcome ◽  
Stroke Patients ◽  
Current State ◽  
Rehabilitation System

This paper presents the current state of stroke rehabilitation in Japan. The Japanese rehabilitation system is much different from those in other countries, mainly because of the Japanese insurance system, which covers from acute to chronic conditions. In this situation, a Japanese inpatient stroke rehabilitation program treats patients until they reach a plateau in impairment and disability. Thus we can evaluate the true func tional prognosis because of longer periods of observation for assessing the recovery pat tern of impairment and disability. As a result, we can predict stroke outcome much more precisely. We recently developed a new evaluation methods for stroke patients called the Stroke Impairment Assessment Set (SIAS) based on work from the Sym posium on Methodologic Issues in Stroke Outcome Research in 1989. Using the SIAS and the Functional Independence Measure, we have successfully predicted stroke out come using regression analysis.

Sign in / Sign up

Export Citation Format

Share Document