Predictors for early motor improvement in patients with ischemic stroke
Disability as a stroke consequence is reported by 3% males and 2% females in general population. Motor deficits are common in stroke patients, but their complete recovery is seen only in a minority of cases. Assessment of motor deficits uses clinical methods, especially standardized scales, but al...
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doaj-cf91970f8d0f46b8a239c04ce1abba902020-11-24T21:58:39ZengRomanian Association of Balneology, Editura BalnearaBalneo Research Journal2069-75972069-76192019-09-0110323624210.12680/balneo.2019.263Predictors for early motor improvement in patients with ischemic strokeSTANESCU Ioana C., 0BULBOACA Angelo C., 1DOGARU Gabriela B., 2GUSETU Gabriel, 3FODOR Dana M.4 "Iuliu Hatieganu"University of Medicine and Pharmacy , Cluj-Napoca, Romania 2. Clinical Rehabilitation Hospital, Cluj-Napoca, Romania. "Iuliu Hatieganu"University of Medicine and Pharmacy , Cluj-Napoca, Romania 2. Clinical Rehabilitation Hospital, Cluj-Napoca, Romania. "Iuliu Hatieganu"University of Medicine and Pharmacy , Cluj-Napoca, Romania 2. Clinical Rehabilitation Hospital, Cluj-Napoca, Romania. "Iuliu Hatieganu"University of Medicine and Pharmacy , Cluj-Napoca, Romania 2. Clinical Rehabilitation Hospital, Cluj-Napoca, Romania. Clinical Rehabilitation Hospital, Cluj-Napoca, Romania.Disability as a stroke consequence is reported by 3% males and 2% females in general population. Motor deficits are common in stroke patients, but their complete recovery is seen only in a minority of cases. Assessment of motor deficits uses clinical methods, especially standardized scales, but also electrophysiological and imagistic methods. The motor recovery is a continuous process, maximal in the first month after stroke, decreasing gradually over the first 6 months. Most powerful predictors for motor recovery are clinical parameters: severity of motor deficit, onset of first voluntary movements after stroke in the first 48-72 hours, a continuous improvement in motor function during the first 8 weeks, a good postural control during the first month, young age, male sex, left hemispheric stroke and absence of other neurological impairments are strong positive predictors. Presence of motor-evoked potentials in paretic muscles and imagistic parameters as location, stroke volume and motor pathways integrity are paraclinical predictors for recovery. There are no specific biomarker which is efficient in predicting recovery. In patients with poor chances for recovery according to actual predictors, the development of more precise algorithms to assess functional outcome is needed, in order to support the choice of appropriate methods and intensity of rehabilitation treatment.http://bioclima.ro/Balneo263.pdfischemic stroke rehabilitationfunctional assessmentmotor improvementrecovery predictorsprognostic factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
STANESCU Ioana C., BULBOACA Angelo C., DOGARU Gabriela B., GUSETU Gabriel, FODOR Dana M. |
spellingShingle |
STANESCU Ioana C., BULBOACA Angelo C., DOGARU Gabriela B., GUSETU Gabriel, FODOR Dana M. Predictors for early motor improvement in patients with ischemic stroke Balneo Research Journal ischemic stroke rehabilitation functional assessment motor improvement recovery predictors prognostic factors |
author_facet |
STANESCU Ioana C., BULBOACA Angelo C., DOGARU Gabriela B., GUSETU Gabriel, FODOR Dana M. |
author_sort |
STANESCU Ioana C., |
title |
Predictors for early motor improvement in patients with ischemic stroke |
title_short |
Predictors for early motor improvement in patients with ischemic stroke |
title_full |
Predictors for early motor improvement in patients with ischemic stroke |
title_fullStr |
Predictors for early motor improvement in patients with ischemic stroke |
title_full_unstemmed |
Predictors for early motor improvement in patients with ischemic stroke |
title_sort |
predictors for early motor improvement in patients with ischemic stroke |
publisher |
Romanian Association of Balneology, Editura Balneara |
series |
Balneo Research Journal |
issn |
2069-7597 2069-7619 |
publishDate |
2019-09-01 |
description |
Disability as a stroke consequence is reported by 3% males and 2% females in general population. Motor deficits are
common in stroke patients, but their complete recovery is seen only in a minority of cases. Assessment of motor deficits
uses clinical methods, especially standardized scales, but also electrophysiological and imagistic methods. The motor
recovery is a continuous process, maximal in the first month after stroke, decreasing gradually over the first 6 months.
Most powerful predictors for motor recovery are clinical parameters: severity of motor deficit, onset of first voluntary
movements after stroke in the first 48-72 hours, a continuous improvement in motor function during the first 8 weeks, a
good postural control during the first month, young age, male sex, left hemispheric stroke and absence of other
neurological impairments are strong positive predictors. Presence of motor-evoked potentials in paretic muscles and
imagistic parameters as location, stroke volume and motor pathways integrity are paraclinical predictors for recovery.
There are no specific biomarker which is efficient in predicting recovery. In patients with poor chances for recovery
according to actual predictors, the development of more precise algorithms to assess functional outcome is needed, in
order to support the choice of appropriate methods and intensity of rehabilitation treatment. |
topic |
ischemic stroke rehabilitation functional assessment motor improvement recovery predictors prognostic factors |
url |
http://bioclima.ro/Balneo263.pdf |
work_keys_str_mv |
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