Ability of three motor measures to predict functional outcomes reported by stroke patients after rehabilitation.

Abstract:

OBJECTIVE:This investigation examined the demographic characteristics along with 3 measures of motor function in determining outcomes in activities of daily living (ADL) after distributed constraint-induced therapy (dCIT). METHODS:The study recruited 69 stroke patients who received 3 weeks of dCIT for 2 hours daily, 5 days a week. The self-reported outcome measures for daily function were the Motor Activity Log (MAL) including the amount of use (AOU) and quality of movement (QOM), Nottingham Extended Activities of Daily Living Questionnaire (NEADL), and the Stroke Impact Scale (SIS). Age, sex, onset, side of stroke, Fugl-Meyer assessment (FMA), Wolf Motor Function Test (WMFT), and Action Research Arm Test (ARAT) were the potential predictors. RESULTS:The ARAT grasp-grip-pinch score was the most dominant predictor for MAL-AOU and NEADL (P< 0.05), and the ARAT total score for the subscore of the ADL/instrumental ADL section of the SIS (P< 0.05). The FMA wrist-hand score was a significant predictor for MAL-QOM (P< 0.05). Age was the only demographic factor that significantly predicted NEADL performance (P< 0.05). CONCLUSION:Among the 3 commonly used measures of motor function after stroke, ARAT was the strongest determinant in predicting MAL-AOU, MAL-QOM, and SIS-ADL/instrumental ADL after dCIT.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Li KY,Lin KC,Wang TN,Wu CY,Huang YH,Ouyang P

doi

10.3233/NRE-2012-0755

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

267-75

issue

4

eissn

1053-8135

issn

1878-6448

pii

21233472144Q1766

journal_volume

30

pub_type

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