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Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study

After stroke, recovery of upper limb (UL) motor function is enhanced by a high dose of rehabilitation and is supposed to be supported by attentive functions. However, their mutual influence during rehabilitation is not well known yet. The aim of this retrospective observational cohort study was to i...

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Autores principales: Salvalaggio, Silvia, Cacciante, Luisa, Maistrello, Lorenza, Turolla, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913979/
https://www.ncbi.nlm.nih.gov/pubmed/36766910
http://dx.doi.org/10.3390/healthcare11030335
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author Salvalaggio, Silvia
Cacciante, Luisa
Maistrello, Lorenza
Turolla, Andrea
author_facet Salvalaggio, Silvia
Cacciante, Luisa
Maistrello, Lorenza
Turolla, Andrea
author_sort Salvalaggio, Silvia
collection PubMed
description After stroke, recovery of upper limb (UL) motor function is enhanced by a high dose of rehabilitation and is supposed to be supported by attentive functions. However, their mutual influence during rehabilitation is not well known yet. The aim of this retrospective observational cohort study was to investigate the association between rehabilitation dose and motor and cognitive functions, during UL motor recovery. Inpatients with first unilateral stroke, without time restrictions from onset, and undergoing at least 15 h of rehabilitation were enrolled. Data on dose and modalities of rehabilitation received, together with motor and cognitive outcomes before and after therapy, were collected. Fugl–Meyer values for the Upper Extremity were the primary outcome measure. Logistic regression models were used to detect any associations between UL motor improvement and motor and cognitive-linguistic features at acceptance, regarding dose of rehabilitation received. Thirty-five patients were enrolled and received 80.57 ± 30.1 h of rehabilitation on average. Manual dexterity, level of independence and UL motor function improved after rehabilitation, with no influence of attentive functions on motor recovery. The total amount of rehabilitation delivered was the strongest factor (p = 0.031) influencing the recovery of UL motor function after stroke, whereas cognitive-linguistic characteristics were not found to influence UL motor gains.
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spelling pubmed-99139792023-02-11 Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study Salvalaggio, Silvia Cacciante, Luisa Maistrello, Lorenza Turolla, Andrea Healthcare (Basel) Article After stroke, recovery of upper limb (UL) motor function is enhanced by a high dose of rehabilitation and is supposed to be supported by attentive functions. However, their mutual influence during rehabilitation is not well known yet. The aim of this retrospective observational cohort study was to investigate the association between rehabilitation dose and motor and cognitive functions, during UL motor recovery. Inpatients with first unilateral stroke, without time restrictions from onset, and undergoing at least 15 h of rehabilitation were enrolled. Data on dose and modalities of rehabilitation received, together with motor and cognitive outcomes before and after therapy, were collected. Fugl–Meyer values for the Upper Extremity were the primary outcome measure. Logistic regression models were used to detect any associations between UL motor improvement and motor and cognitive-linguistic features at acceptance, regarding dose of rehabilitation received. Thirty-five patients were enrolled and received 80.57 ± 30.1 h of rehabilitation on average. Manual dexterity, level of independence and UL motor function improved after rehabilitation, with no influence of attentive functions on motor recovery. The total amount of rehabilitation delivered was the strongest factor (p = 0.031) influencing the recovery of UL motor function after stroke, whereas cognitive-linguistic characteristics were not found to influence UL motor gains. MDPI 2023-01-23 /pmc/articles/PMC9913979/ /pubmed/36766910 http://dx.doi.org/10.3390/healthcare11030335 Text en © 2023 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
Salvalaggio, Silvia
Cacciante, Luisa
Maistrello, Lorenza
Turolla, Andrea
Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study
title Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study
title_full Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study
title_fullStr Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study
title_full_unstemmed Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study
title_short Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study
title_sort clinical predictors for upper limb recovery after stroke rehabilitation: retrospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913979/
https://www.ncbi.nlm.nih.gov/pubmed/36766910
http://dx.doi.org/10.3390/healthcare11030335
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