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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/111603


    Title: Prediction of lower extremity motor recovery in persons with severe lower extremity paresis after stroke
    Authors: 黃小玲;Huang, Sheau-Ling;Chen, Bang-B;Chen, Bang-Bin;Hsueh, I-Pin;Hsueh, I-Ping;Jeng, Jiann-;Jeng, Jiann-Shing;Koh, Chia-Li;Koh, Chia-Lin;*;謝清麟;Hsieh, Ching-Lin;*
    Contributors: 職能治療學系
    Keywords: Lower extremity;movement;prognosis;stroke
    Date: 2018-04
    Issue Date: 2018-10-22 11:48:41 (UTC+8)
    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.
    Relation: BRAIN INJURY
    Appears in Collections:[職能治療學系] 期刊論文

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