PMID- 24990005
OWN - NLM
STAT- MEDLINE
DCOM- 20150717
LR  - 20181202
IS  - 1878-6448 (Electronic)
IS  - 1053-8135 (Linking)
VI  - 35
IP  - 1
DP  - 2014
TI  - Can stroke survivors with severe upper arm disability achieve a clinically 
      important change in arm function during inpatient rehabilitation? A multicentre, 
      prospective, observational study.
PG  - 17-23
LID - 10.3233/NRE-141096 [doi]
AB  - BACKGROUND: Severe arm disability is considered to indicate poor potential to 
      recover arm function. OBJECTIVE: Determine if stroke survivors with severe upper 
      arm disability can achieve a clinically important change in arm function on 
      discharge from inpatient rehabilitation. METHODS: 618 stroke survivors from 16 
      inpatient rehabilitation units were assessed on admission and discharge using the 
      Motor Assessment Scale Item 6 Upper Arm Function (MAS6). Admission scores defined 
      participants with severe (MAS6 </=2) and mild/moderate (MAS6 >2) upper arm 
      disability. A clinically important change was evaluated according to: 1) 
      statistical significance; 2) minimal clinical importance difference (MCID); and 
      3) shift in disability status i.e., severe to mild/moderate. Achievers of a MCID 
      and shift were compared to non-achievers. RESULTS: Stroke survivors with severe 
      upper arm disability (n = 226) demonstrated a significant improvement in arm 
      function (p < 0.001) at discharge. A MCID was achieved by 68% (n = 155) and a 
      shift from severe to mild/moderate upper arm disability on discharge by 45% (n = 
      102) of participants. Achievers had a significantly shorter interval from stroke 
      onset to inpatient rehabilitation admission (p < 0.002). CONCLUSION: Stroke 
      survivors with severe upper arm disability can achieve a clinically important 
      change during inpatient rehabilitation.
FAU - Hayward, Kathryn S
AU  - Hayward KS
AD  - Division of Physiotherapy, School of Health and Rehabilitation Sciences, The 
      University of Queensland, Brisbane, QLD, Australia.
FAU - Kuys, Suzanne S
AU  - Kuys SS
AD  - Griffith Health Institute, Griffith University, Gold Coast, Australia; and Allied 
      Health Research Collaborative, The Prince Charles Hospital, Brisbane, QLD, 
      Australia.
FAU - Barker, Ruth N
AU  - Barker RN
AD  - Discipline of Physiotherapy, School of Public Health Tropical Medicine and 
      Rehabilitation Sciences, James Cook University, Townsville, QLD, Australia 
      Community Rehab Northern Queensland, Townsville Mackay Medicare Local, 
      Townsville, QLD, Australia.
FAU - Brauer, Sandra G
AU  - Brauer SG
AD  - Division of Physiotherapy, School of Health and Rehabilitation Sciences, The 
      University of Queensland, Brisbane, QLD, Australia.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
PL  - Netherlands
TA  - NeuroRehabilitation
JT  - NeuroRehabilitation
JID - 9113791
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - *Arm/physiopathology
MH  - Disabled Persons/*rehabilitation
MH  - Female
MH  - *Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - *Recovery of Function
MH  - Stroke/diagnosis/physiopathology
MH  - *Stroke Rehabilitation
MH  - *Survivors
OTO - NOTNLM
OT  - Stroke
OT  - functional recovery
OT  - inpatient rehabilitation
OT  - motor
OT  - severe
EDAT- 2014/07/06 06:00
MHDA- 2015/07/18 06:00
CRDT- 2014/07/04 06:00
PHST- 2014/07/04 06:00 [entrez]
PHST- 2014/07/06 06:00 [pubmed]
PHST- 2015/07/18 06:00 [medline]
AID - AM72N140571L5PQ2 [pii]
AID - 10.3233/NRE-141096 [doi]
PST - ppublish
SO  - NeuroRehabilitation. 2014;35(1):17-23. doi: 10.3233/NRE-141096.