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Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials

Background: The objective of the study was to determine predictors for upper-limb functional recovery trajectory after occupational therapy in a population with chronic stroke. Methods: In this retrospective secondary analysis, Fugl–Meyer Assessment-Upper Extremity (FMA-UE) scores before and after i...

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Autores principales: Buyandelger, Batsaikhan, Chen, Yu-Wen, Li, Yi-Chun, Lin, Chia-Jung, Chen, Chia-Ling, Lin, Keh-Chung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778967/
https://www.ncbi.nlm.nih.gov/pubmed/36554396
http://dx.doi.org/10.3390/ijerph192416514
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author Buyandelger, Batsaikhan
Chen, Yu-Wen
Li, Yi-Chun
Lin, Chia-Jung
Chen, Chia-Ling
Lin, Keh-Chung
author_facet Buyandelger, Batsaikhan
Chen, Yu-Wen
Li, Yi-Chun
Lin, Chia-Jung
Chen, Chia-Ling
Lin, Keh-Chung
author_sort Buyandelger, Batsaikhan
collection PubMed
description Background: The objective of the study was to determine predictors for upper-limb functional recovery trajectory after occupational therapy in a population with chronic stroke. Methods: In this retrospective secondary analysis, Fugl–Meyer Assessment-Upper Extremity (FMA-UE) scores before and after intervention and at the 3-month follow-up were used to divide 105 participants with chronic stroke into three groups of recovery trajectories: fast (participants who reached an improvement of 7 after intervention), extended (those who reached an improvement of 7 at follow-up), and limited (those who did not reach an improvement of 7) recovery. Comparisons among the three groups were made in demographics, stroke characteristics, and baseline assessment scores. Logistic regression analyses were performed to determine predictors for group membership. Results: Time after onset of stroke and the baseline scores of FMA-UE, Stroke Impact Scale-Hand (SIS-Hand), Wolf Motor Function Test (WMFT)-Quality, WMFT-Time scores, Motor Activity Log-Amount of Use (MAL-AOU), and Motor Activity Log-Quality of Movement (MAL-QOM) scores were significantly different among the three groups. Univariate logistic regressions confirmed that SIS-Hand, WMFT-Quality, WMFT-Time, MAL-AOU, and MAL-QOM were significant predictors for both the fast versus limited recovery group membership and the extended versus limited group membership. Time after stroke onset and baseline FMA-UE were additional predictors for the fast versus limited recovery group membership. Conclusion: These findings may assist healthcare professionals in making optimal therapeutic decisions and in informing clients and caregivers about the outcomes of stroke recovery.
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spelling pubmed-97789672022-12-23 Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials Buyandelger, Batsaikhan Chen, Yu-Wen Li, Yi-Chun Lin, Chia-Jung Chen, Chia-Ling Lin, Keh-Chung Int J Environ Res Public Health Article Background: The objective of the study was to determine predictors for upper-limb functional recovery trajectory after occupational therapy in a population with chronic stroke. Methods: In this retrospective secondary analysis, Fugl–Meyer Assessment-Upper Extremity (FMA-UE) scores before and after intervention and at the 3-month follow-up were used to divide 105 participants with chronic stroke into three groups of recovery trajectories: fast (participants who reached an improvement of 7 after intervention), extended (those who reached an improvement of 7 at follow-up), and limited (those who did not reach an improvement of 7) recovery. Comparisons among the three groups were made in demographics, stroke characteristics, and baseline assessment scores. Logistic regression analyses were performed to determine predictors for group membership. Results: Time after onset of stroke and the baseline scores of FMA-UE, Stroke Impact Scale-Hand (SIS-Hand), Wolf Motor Function Test (WMFT)-Quality, WMFT-Time scores, Motor Activity Log-Amount of Use (MAL-AOU), and Motor Activity Log-Quality of Movement (MAL-QOM) scores were significantly different among the three groups. Univariate logistic regressions confirmed that SIS-Hand, WMFT-Quality, WMFT-Time, MAL-AOU, and MAL-QOM were significant predictors for both the fast versus limited recovery group membership and the extended versus limited group membership. Time after stroke onset and baseline FMA-UE were additional predictors for the fast versus limited recovery group membership. Conclusion: These findings may assist healthcare professionals in making optimal therapeutic decisions and in informing clients and caregivers about the outcomes of stroke recovery. MDPI 2022-12-08 /pmc/articles/PMC9778967/ /pubmed/36554396 http://dx.doi.org/10.3390/ijerph192416514 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Buyandelger, Batsaikhan
Chen, Yu-Wen
Li, Yi-Chun
Lin, Chia-Jung
Chen, Chia-Ling
Lin, Keh-Chung
Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
title Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
title_full Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
title_fullStr Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
title_full_unstemmed Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
title_short Predictors for Upper-Limb Functional Recovery Trajectory in Individuals Receiving Stroke Rehabilitation: A Secondary Analysis of Data from Randomized Controlled Trials
title_sort predictors for upper-limb functional recovery trajectory in individuals receiving stroke rehabilitation: a secondary analysis of data from randomized controlled trials
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778967/
https://www.ncbi.nlm.nih.gov/pubmed/36554396
http://dx.doi.org/10.3390/ijerph192416514
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