000 02458nam a22003377a 4500
008 191014s20192019 xxu||||| |||| 00| 0 eng d
022 _a0894-9115
024 _a10.1097/PHM.0000000000001326 [doi]
040 _aOvid MEDLINE(R)
099 _a31592879
245 _aArm-Subscore of Motricity Index to Predict Recovery of Upper Extremity Dexterity in Patients with Acute Ischemic Stroke.
251 _aAmerican Journal of Physical Medicine & Rehabilitation. 2019 Oct 07
252 _aAm J Phys Med Rehabil. 2019 Oct 07
253 _aAmerican journal of physical medicine & rehabilitation
260 _c2019
260 _fFY2020
265 _saheadofprint
266 _d2019-10-14
520 _aCONCLUSION: Early AMI at 1-week predicts upper extremity functional capacity prior to IRF discharge and at 3-months outpatient follow-up.
520 _aDESIGN: 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.
520 _aOBJECTIVE: 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.
520 _aRESULTS: 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.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar National Rehabilitation Network
657 _aJournal Article
700 _aMalmut, Laura
790 _aHarvey RL, Kocherginsky M, Lin C, Malmut L, Prabhakaran S, Srdanovic N
856 _uhttps://dx.doi.org/10.1097/PHM.0000000000001326
_zhttps://dx.doi.org/10.1097/PHM.0000000000001326
942 _cART
_dArticle
999 _c4652
_d4652