Predictors of Functional Outcome Following Stroke
Predictors of Functional Outcome Following Stroke
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DOI：
10.1016/j.pmr.2015.07.002
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发表时间：
2015-11-01
影响因子：
1.7
通讯作者：
Harvey, Richard L.
中科院分区：
文献类型：
--
作者：
Harvey, Richard L.
对大多数临床医生来说，预测中风的功能结局是一个挑战，部分原因是由于病情的复杂性，也因为缺乏有效的预后模型。功能结局的最强预测因子是卒中发作时的年龄和运动功能。有越来越多的文献预测中风后上肢的恢复，但是，语言恢复的预测文献仍然稀少。本文综述了目前预测卒中后功能结局的现状，重点是日常生活活动、截肢、上肢使用和失语的恢复。使用的临床因素，影像学和神经生理学措施进行了讨论。
Predicting functional outcome in stroke is challenging to most clinicians, partly because of the complexity of the condition and also because of the lack of validated prognostic models. The strongest predictors of functional outcome are age and motor function at stroke onset. There is a growing literature on predicting recovery of upper limb after stroke; however, literature on prediction of language recovery remains sparse. This review covers the current status of predicting functional outcome after stroke focusing on recovery of activities of daily living, ambulation, upper limb use, and aphasia. Use of clinical factors, imaging, and neurophysiological measures are discussed.