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Arm-Subscore of Motricity Index to Predict Recovery of Upper Extremity Dexterity in Patients with Acute Ischemic Stroke.

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Citation: American Journal of Physical Medicine & Rehabilitation. 2019 Oct 07PMID: 31592879Institution: MedStar National Rehabilitation NetworkForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2019 ISSN:

0894-9115

Name of journal: American journal of physical medicine & rehabilitationAbstract: CONCLUSION: Early AMI at 1-week predicts upper extremity functional capacity prior to IRF discharge and at 3-months outpatient follow-up.DESIGN: This was a prospective cohort study of patients with acute ischemic stroke admitted to a single acute care hospital and affiliated IRF between 2016 and 2018. Upper extremity dexterity of the impaired limb was assessed using the AMI and ARAT. Receiver operating characteristic (ROC) curve analysis was used to determine optimal cut-offs of the initial AMI for a good functional outcome defined as ARAT>=45.OBJECTIVE: The aim of this study was to determine if the arm-subscore of the Motricity Index (AMI) 1 week following stroke can predict recovery of upper extremity function according to the Action Research Arm Test (ARAT) prior to inpatient rehabilitation facility (IRF) discharge and at 3-months outpatient follow-up.RESULTS: Ninety-five patients were evaluated at median 6, 26, and 98.5 days following stroke. Median [interquartile range (IQR)] AMI at 1-week was 77 [20.3-93]. Median [IQR] ARAT scores prior to IRF discharge and at 3-months outpatient follow-up were 33 [3.5-52] and 52 [34-55.8], respectively. The optimal AMI to predict ARAT>=45 prior to IRF discharge and at 3-months outpatient follow-up were 71 and 58, respectively.All authors: Harvey RL, Kocherginsky M, Lin C, Malmut L, Prabhakaran S, Srdanovic NFiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1097/PHM.0000000000001326

Date added to catalog: 2019-10-14

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Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	31592879	Available		31592879

CONCLUSION: Early AMI at 1-week predicts upper extremity functional capacity prior to IRF discharge and at 3-months outpatient follow-up.

DESIGN: This was a prospective cohort study of patients with acute ischemic stroke admitted to a single acute care hospital and affiliated IRF between 2016 and 2018. Upper extremity dexterity of the impaired limb was assessed using the AMI and ARAT. Receiver operating characteristic (ROC) curve analysis was used to determine optimal cut-offs of the initial AMI for a good functional outcome defined as ARAT>=45.

OBJECTIVE: The aim of this study was to determine if the arm-subscore of the Motricity Index (AMI) 1 week following stroke can predict recovery of upper extremity function according to the Action Research Arm Test (ARAT) prior to inpatient rehabilitation facility (IRF) discharge and at 3-months outpatient follow-up.

RESULTS: Ninety-five patients were evaluated at median 6, 26, and 98.5 days following stroke. Median [interquartile range (IQR)] AMI at 1-week was 77 [20.3-93]. Median [IQR] ARAT scores prior to IRF discharge and at 3-months outpatient follow-up were 33 [3.5-52] and 52 [34-55.8], respectively. The optimal AMI to predict ARAT>=45 prior to IRF discharge and at 3-months outpatient follow-up were 71 and 58, respectively.

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