Stroke, Vol 21, 78-81, Copyright © 1990 by American Heart Association
SC Loewen and BA Anderson
We set out to determine if rehabilitation variables predicted the motor and
functional outcomes of stroke patients. Using the Modified Motor Assessment
Scale (motor status) and the Barthel Index (functional status), we tested
50 stroke patients less than or equal to 3 days, 1 week, and 1 month after
their stroke and at discharge from the hospital. Both measures are reliable
and valid. We used the Spearman correlation coefficient (r) and stepwise
regression analysis to analyze the data. Balanced sitting and bladder
control scores at 1 week correlated significantly with motor score at
discharge (r = 0.83), Barthel Index score at discharge (r = 0.82), and
walking score at discharge (r = 0.80). The combined arm score at 1 month
correlated significantly with the combined arm score at discharge (r =
0.94). Regression equations using the scores at 1 month produced the
highest r2 values (range 0.76-0.95) in predicting the Barthel Index, motor,
walking, and arm recovery scores at discharge. The correlation coefficients
and the regression equations have uses in both research and clinical
settings. We suggest that these objective predictors of recovery be used as
adjuncts in prioritizing and directing the rehabilitation management of
patients with stroke.
ARTICLES
Predictors of stroke outcome using objective measurement scales
Department of Physiotherapy, St. Boniface General Hospital, Winnipeg, Manitoba, Canada.
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