Active range of motion predicts upper extremity function 3 months after stroke.
Active range of motion predicts upper extremity function 3 months after stroke.
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DOI：
10.1161/strokeaha.108.536763
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发表时间：
2009-05
期刊：
影响因子：
8.3
通讯作者：
Lang CE
中科院分区：
文献类型：
--
作者：
Beebe JA;Lang CE
中风后，80%的患者会出现上肢急性麻痹，只有约1/3的患者能完全恢复功能。预测这些患者的功能恢复对于提供有针对性的、具有成本效益的康复非常重要。我们的目的是检查上肢主动运动范围 (AROM) 的早期测量是否可以预测上肢功能的恢复，并描述上肢 AROM 随着时间的推移恢复的轨迹。 33 名受试者在中风后 1 个月和 3 个月接受了测试。上肢功能通过六项标准化临床测试进行测量，使用主成分分析将其合成为单一、敏感的上肢功能评分。使用 3D 电磁跟踪系统测量移动每个部分 (AROM) 的能力。逐步多元回归显示，1 个月时采集的肩部和中指节段的 AROM 可以预测 3 个月时上肢功能的 71% 的方差。上肢的所有节段恢复情况相似，并且没有证据表明随着时间的推移出现运动缺陷的近端到远端梯度。中风后 1 个月内进行的上肢简单 AROM 测量可用于预测 3 个月时的上肢功能。该信息对于确定上肢功能恢复的预后很重要。
After stroke, 80% of patients experience acute paresis of the upper extremity and only approximately 1/3 achieve full functional recovery. Predicting functional recovery for these patients is highly important in order to provide focused, cost effective rehabilitation. Our purpose was to examine if early measures of upper extremity active range of motion (AROM) could predict recovery of upper extremity function, and to describe the trajectory of upper extremity AROM recovery over time. 33 subjects were tested at 1 month and then at 3 months after stroke. Upper extremity function was measured with six standardized clinical tests which were synthesized into a single, sensitive score for upper extremity function using principal component analysis. The ability to move each segment (AROM) was measured using a 3D electromagnetic tracking system. Stepwise multiple regression revealed that AROM of the shoulder and middle finger segments taken at 1 month, could predict 71% of the variance in upper extremity function at 3 months. All segments of the upper extremity recover similarly and no evidence of a proximal to distal gradient in motor deficits appeared over time. Simple AROM measurements of the upper extremity taken within 1 month post stroke can be used to predict upper extremity function at 3 months. This information is important for determining the prognosis of upper extremity functional recovery.