Predictors for early motor improvement in patients with ischemic stroke
| Autor: | Gabriel Gusetu, Dana Marieta Fodor, Angelo Bulboaca, Gabriela Dogaru, Ioana Stanescu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
motor improvement business.industry lcsh:RM1-950 recovery predictors prognostic factors General Medicine ischemic stroke rehabilitation 03 medical and health sciences 0302 clinical medicine lcsh:Therapeutics. Pharmacology Internal medicine Ischemic stroke Cardiology Medicine In patient 030212 general & internal medicine functional assessment business 030217 neurology & neurosurgery |
| Zdroj: | Balneo Research Journal, Vol 10, Iss 3, Pp 236-242 (2019) |
| ISSN: | 2069-7619 2069-7597 |
| Popis: | 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. Key words: ischemic stroke rehabilitation, functional assessment, motor improvement, recovery predictors, prognostic factors |
| Databáze: | OpenAIRE |
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