Active finger extension: A simple movement predicting recovery of arm function in patients with acute stroke

Nicola Smania, Stefano Paolucci, Michele Tinazzi, Anna Borghero, Paolo Manganotti, Antonio Fiaschi, Giuseppe Moretto, Paolo Bovi, Mattia Gambarin

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND AND PURPOSE - Early prognosis of arm recovery is a major clinical issue in stroke. The aim of this study was to assess the prognostic value of 4 simple bedside tests. METHODS - Forty-eight patients with arm paresis/plegia were evaluated on days 7, 14, 30, 90 and 180 after stroke. Assessment included 4 potential predictors of arm recovery (active finger extension, shoulder abduction, shoulder shrug and hand movement scales) and 3 outcome measures evaluating arm function (Nine Hole Peg Test, Fugl-Meyer arm subtest, Motricity Index arm subtest). RESULTS - The active finger extension scale was the most powerful prognostic factor. Patients with active finger extension scores >3 had a high probability of achieving good performance as assessed by the Motricity Index. CONCLUSIONS - Active finger extension is a reliable early predictor of recovery of arm function in stroke patients.

Original languageEnglish
Pages (from-to)1088-1090
Number of pages3
JournalStroke
Volume38
Issue number3
DOIs
Publication statusPublished - Mar 2007

Keywords

  • Prognosis
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)
  • Medicine(all)

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