PMID- 26759075
OWN - NLM
STAT- MEDLINE
DCOM- 20170313
LR  - 20191210
IS  - 1563-5279 (Electronic)
IS  - 0020-7454 (Linking)
VI  - 127
IP  - 1
DP  - 2017 Jan
TI  - Motor recovery of stroke patients after rehabilitation: one-year follow-up study.
PG  - 37-43
AB  - Purpose To investigate motor recovery of stroke patients 1 year after 
      rehabilitation. Materials and Methods A cross-sectional study of 192 stroke 
      patients discharged from rehabilitation wards in nine tertiary hospitals was 
      conducted. Motor recovery was assessed using the Brunnstrom motor recovery stages 
      (BMRS), at 6 and 12 months after discharge. Factors related to the BMRS of the 
      hand, arm and leg were analyzed. Results The mean age of patients was 62.2 years 
      (57.3% male). Significantly more patients presented improvement of at least one 
      BMRS of the hand, arm and leg compared with those with decreasing BMRS (p < 
      0.001). The percentage of patients with BMRS III- VI at 6 months was greater than 
      that at discharge, but the recovery at 12 months was slightly higher than that at 
      6 months. It seems that motor recovery from stroke was near maximal at six 
      months. Regarding the factors related to motor recovery, only lengths of stay 
      (LOS) <30 d during the first admission and Barthel index at discharge >/=10 were 
      related to the improvement of BMRS of the hand, arm and leg on multivariate 
      analysis. Additionally, no complication at discharge was associated with the 
      improvement of BMRS of the leg. Conclusions Approximately half of our stroke 
      patients had motor improvement of at least one stage of BMRS at one year. Motor 
      recovery after stroke at the end of the first year was associated with shorter 
      LOS during the first admission, higher discharge Barthel index score and absence 
      of complications at discharge.
FAU - Kuptniratsaikul, Vilai
AU  - Kuptniratsaikul V
AD  - a Faculty of Medicine, Department of Rehabilitation Medicine, Siriraj Hospital , 
      Mahidol University , Bangkok , Thailand.
FAU - Kovindha, Apichana
AU  - Kovindha A
AD  - b Faculty of Medicine, Department of Rehabilitation Medicine , Chiang Mai 
      University , Chiang Mai , Thailand.
FAU - Suethanapornkul, Sumalee
AU  - Suethanapornkul S
AD  - c Department of Rehabilitation Medicine , Phramongkutklao Hospital and College of 
      Medicine , Bangkok , Thailand.
FAU - Massakulpan, Pornpimon
AU  - Massakulpan P
AD  - d Department of Rehabilitation Medicine , Prasat Neurological Institute, Ministry 
      of Public Health , Bangkok , Thailand.
FAU - Permsirivanich, Wutichai
AU  - Permsirivanich W
AD  - e Department of Orthopaedic Surgery and Rehabilitation Medicine , Prince of 
      Songkla University , Songkla , Thailand.
FAU - Kuptniratsaikul, Patcharawimol Srisa-An
AU  - Kuptniratsaikul PS
AD  - f Faculty of Medicine, Department of Rehabilitation Medicine , Ramathibodi 
      Hospital, Mahidol University , Bangkok , Thailand.
LA  - eng
PT  - Journal Article
DEP - 20160129
PL  - England
TA  - Int J Neurosci
JT  - The International journal of neuroscience
JID - 0270707
SB  - IM
MH  - Aged
MH  - Cross-Sectional Studies
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Movement Disorders/etiology/*rehabilitation
MH  - *Outcome Assessment, Health Care
MH  - Recovery of Function/*physiology
MH  - *Severity of Illness Index
MH  - Stroke/complications/*therapy
MH  - Stroke Rehabilitation/*methods
OTO - NOTNLM
OT  - Barthel index
OT  - Brunnstrom stages
OT  - motor recovery
OT  - stroke rehabilitation
EDAT- 2016/01/14 06:00
MHDA- 2017/03/14 06:00
CRDT- 2016/01/14 06:00
PHST- 2016/01/14 06:00 [pubmed]
PHST- 2017/03/14 06:00 [medline]
PHST- 2016/01/14 06:00 [entrez]
AID - 10.3109/00207454.2016.1138474 [doi]
PST - ppublish
SO  - Int J Neurosci. 2017 Jan;127(1):37-43. doi: 10.3109/00207454.2016.1138474. Epub 
      2016 Jan 29.