Motor and Functional Recovery After Stroke

• DOI: 10.1161/strokeaha.107.482869
• Publication Date: 2007-06-01T00:49:22Z
• Authors: Liesbet De Wit; Koen Putman; Birgit Schuback; Arnošt Komárek; Felix Angst; Ilse Baert; Peter Berman; Kris Bogaerts; Nadine Brinkmann; Louise Connell; Eddy Dejaeger; Hilde Feys; Walter Jenni; Christiane Kaske; Emmanuel Lesaffre; Mark Leys; Nadina Lincoln; Fred Louckx; Wilfried Schupp; Bozena Smith; Willy De Weerdt
• Keywords: Stroke; Barthel index; Hemiparesis

Background and Purpose— Outcome after first stroke varies significantly across Europe. This study was designed to compare motor functional recovery between four European rehabilitation centers. Methods— Consecutive patients (532 patients) were recruited. They assessed on admission at 2, 4, 6 months with the Barthel Index, Rivermead Motor Assessment of Gross Function, Leg/Trunk, Arm, Nottingham Extended Activities Daily Living (except admission). Data analyzed using random effects ordinal logistic models adjusting for case-mix multiple testing. Results— Patients in UK center more likely stay lower Function classes compared German (ΔOR, 2.4; 95% CI, 1.3 4.3). In Swiss center, less 0.7; 0.5 0.9). The latter Index 0.6; 95%CI, 0.4 0.8). Recovery patterns Leg/Trunk Arm not different Conclusions— better centers respectively. Personal self-care center. Previous studies same indicated that received therapy per day. result staff but a efficient use human resources. indicates potential improving outcomes Belgian