Abstract:
OBJECTIVE:To determine the prognostic value of clinical assessment and motor evoked potentials for upper limb strength and functional recovery after acute stroke, and to establish the possible use of motor evoked potentials in rehabilitation. DESIGN:A prospective study. SUBJECTS:Fifty-two patients with hemiparesis were enrolled one month post-stroke; 38 patients concluded the study at 12 months. METHODS:Motor evoked potentials were recorded at baseline and after one month. Upper limb muscular strength (Medical Research Council Scale, MRC) and functional tests (Frenchay Arm Test, Barthel Index) were used as dependent outcome variables 12 months later. Motor evoked potentials were classified as present or absent. Predictive values of motor evoked potentials and MRC were evaluated. RESULTS:At 12 months, patients with baseline recordable motor evoked potentials showed a good functional recovery (positive predictive value 94%). The absence of motor evoked potentials did not exclude muscular strength recovery (negative predictive value 95%). Motor evoked potentials had a higher positive predictive value than MRC only in patients with MRC < 2. CONCLUSION:Motor evoked potentials could be a supportive tool to increase the prognostic accuracy of upper limb motor and functional outcome in hemiparetic patients, especially those with severe initial paresis (MRC < 2) and/or with motor evoked potentials absent in the post-stroke acute phase.
journal_name
J Rehabil Medjournal_title
Journal of rehabilitation medicineauthors
Pizzi A,Carrai R,Falsini C,Martini M,Verdesca S,Grippo Adoi
10.2340/16501977-0389subject
Has Abstractpub_date
2009-07-01 00:00:00pages
654-60issue
8eissn
1650-1977issn
1651-2081journal_volume
41pub_type
杂志文章abstract:OBJECTIVE:To investigate the clinical course of, and prognostic factors for, work-participation in patients with chronic non-specific low back pain. METHODS:A total of 1,608 patients with chronic non-specific low back pain received a multidisciplinary therapy and were evaluated at baseline and 2-, 5- and 12-month foll...
journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
doi:10.2340/16501977-2006
更新日期:2015-10-05 00:00:00
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2015-08-18 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2003-05-01 00:00:00
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journal_title:Journal of rehabilitation medicine
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2008-05-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2011-10-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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更新日期:2018-11-07 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.1080/16501970410030742
更新日期:2004-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-01-10 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2007-03-01 00:00:00
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journal_title:Journal of rehabilitation medicine
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更新日期:2010-09-01 00:00:00
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journal_title:Journal of rehabilitation medicine
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-01-01 00:00:00