Changes in upper limb capacity and performance in the early and late subacute phase after stroke

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Changes in upper limb capacity and performance in the early and late subacute phase after stroke. / Lundquist, Camilla; Nguyen, Binh T; Hvidt, Thomas Bo et al.

I: Journal of stroke and cerebrovascular diseases, Bind 31, Nr. 8, 106590, 08.2022.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Lundquist C, Nguyen BT, Hvidt TB, Stabel HH, Christensen JR, Brunner I. Changes in upper limb capacity and performance in the early and late subacute phase after stroke. Journal of stroke and cerebrovascular diseases. 2022 aug.;31(8):106590. doi: 10.1016/j.jstrokecerebrovasdis.2022.106590

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Lundquist, Camilla ; Nguyen, Binh T ; Hvidt, Thomas Bo et al. / Changes in upper limb capacity and performance in the early and late subacute phase after stroke. I: Journal of stroke and cerebrovascular diseases. 2022 ; Bind 31, Nr. 8.

Bibtex

@article{1217d397cac3402d97727349174d17d8,
title = "Changes in upper limb capacity and performance in the early and late subacute phase after stroke",
abstract = "Background: The course of spontaneous biological recovery indicates that no essential improvements in upper limb (UL) capacity should be expected 3 months after stroke. Likewise, UL performance as assessed with accelerometers does not seem to increase. However, this plateau may not apply to all patients with stroke. Objectives: This study aimed to investigate the changes in UL capacity and performance from 3 to 6 months post-stroke, and the association between patients{\textquoteright} UL capacity and actual UL performance. Methods: This study was a secondary analysis of a prospective longitudinal cohort study. Patients with UL impairment and first or recurrent stroke were included. Their UL capacity was assessed at 3 and 6 months with the Action Research Arm Test (ARAT) and UL performance was examined with accelerometry and expressed as a use ratio. The association between ARAT and use ratio was examined with multiple regression analyses. Results: Data from 67 patients were analyzed. It was shown that UL capacity as assessed with ARAT still improved from 3 to 6 months. A clinically meaningful improvement (≥ 6 points on ARAT) was found in 16 (46%) of the 35 patients whose scores allowed for such an increase. Improvements were mainly observed for patients with ARAT scores in the range of 15-51 at 3 months. Conversely, UL performance did not change. Three and 6 months after stroke respectively 69% and 64% of the variation in use ratio was explained by ARAT. Conclusion: While a substantial part of patients improved their UL capacity, UL performance did not change from 3 to 6 months post-stroke. Strategies to remind patients of including their affected UL may encourage the transfer from better capacity to increased performance.",
keywords = "Accelerometry, Neurorehabilitation, Stroke, Upper limb capacity, Upper limb performance",
author = "Camilla Lundquist and Nguyen, {Binh T} and Hvidt, {Thomas Bo} and Stabel, {Henriette Holm} and Christensen, {Jeanette Reffstrup} and Iris Brunner",
year = "2022",
month = aug,
doi = "10.1016/j.jstrokecerebrovasdis.2022.106590",
language = "English",
volume = "31",
journal = "Journal of Stroke & Cerebrovascular Diseases",
issn = "1052-3057",
publisher = "W.B. Saunders Co.",
number = "8",

}

RIS

TY - JOUR

T1 - Changes in upper limb capacity and performance in the early and late subacute phase after stroke

AU - Lundquist, Camilla

AU - Nguyen, Binh T

AU - Hvidt, Thomas Bo

AU - Stabel, Henriette Holm

AU - Christensen, Jeanette Reffstrup

AU - Brunner, Iris

PY - 2022/8

Y1 - 2022/8

N2 - Background: The course of spontaneous biological recovery indicates that no essential improvements in upper limb (UL) capacity should be expected 3 months after stroke. Likewise, UL performance as assessed with accelerometers does not seem to increase. However, this plateau may not apply to all patients with stroke. Objectives: This study aimed to investigate the changes in UL capacity and performance from 3 to 6 months post-stroke, and the association between patients’ UL capacity and actual UL performance. Methods: This study was a secondary analysis of a prospective longitudinal cohort study. Patients with UL impairment and first or recurrent stroke were included. Their UL capacity was assessed at 3 and 6 months with the Action Research Arm Test (ARAT) and UL performance was examined with accelerometry and expressed as a use ratio. The association between ARAT and use ratio was examined with multiple regression analyses. Results: Data from 67 patients were analyzed. It was shown that UL capacity as assessed with ARAT still improved from 3 to 6 months. A clinically meaningful improvement (≥ 6 points on ARAT) was found in 16 (46%) of the 35 patients whose scores allowed for such an increase. Improvements were mainly observed for patients with ARAT scores in the range of 15-51 at 3 months. Conversely, UL performance did not change. Three and 6 months after stroke respectively 69% and 64% of the variation in use ratio was explained by ARAT. Conclusion: While a substantial part of patients improved their UL capacity, UL performance did not change from 3 to 6 months post-stroke. Strategies to remind patients of including their affected UL may encourage the transfer from better capacity to increased performance.

AB - Background: The course of spontaneous biological recovery indicates that no essential improvements in upper limb (UL) capacity should be expected 3 months after stroke. Likewise, UL performance as assessed with accelerometers does not seem to increase. However, this plateau may not apply to all patients with stroke. Objectives: This study aimed to investigate the changes in UL capacity and performance from 3 to 6 months post-stroke, and the association between patients’ UL capacity and actual UL performance. Methods: This study was a secondary analysis of a prospective longitudinal cohort study. Patients with UL impairment and first or recurrent stroke were included. Their UL capacity was assessed at 3 and 6 months with the Action Research Arm Test (ARAT) and UL performance was examined with accelerometry and expressed as a use ratio. The association between ARAT and use ratio was examined with multiple regression analyses. Results: Data from 67 patients were analyzed. It was shown that UL capacity as assessed with ARAT still improved from 3 to 6 months. A clinically meaningful improvement (≥ 6 points on ARAT) was found in 16 (46%) of the 35 patients whose scores allowed for such an increase. Improvements were mainly observed for patients with ARAT scores in the range of 15-51 at 3 months. Conversely, UL performance did not change. Three and 6 months after stroke respectively 69% and 64% of the variation in use ratio was explained by ARAT. Conclusion: While a substantial part of patients improved their UL capacity, UL performance did not change from 3 to 6 months post-stroke. Strategies to remind patients of including their affected UL may encourage the transfer from better capacity to increased performance.

KW - Accelerometry

KW - Neurorehabilitation

KW - Stroke

KW - Upper limb capacity

KW - Upper limb performance

UR - http://www.scopus.com/inward/record.url?scp=85132506438&partnerID=8YFLogxK

U2 - 10.1016/j.jstrokecerebrovasdis.2022.106590

DO - 10.1016/j.jstrokecerebrovasdis.2022.106590

M3 - Journal article

C2 - 35716523

VL - 31

JO - Journal of Stroke & Cerebrovascular Diseases

JF - Journal of Stroke & Cerebrovascular Diseases

SN - 1052-3057

IS - 8

M1 - 106590

ER -