Motor recovery of stroke patients after rehabilitation: one-year follow-up study

Abstract

Purpose To investigate motor recovery of stroke patients 1 year after rehabilitation. Materials and Methods A cross-sectional study of 192 stroke patients discharged from rehabilitation wards in nine tertiary hospitals was conducted. Motor recovery was assessed using the Brunnstrom motor recovery stages (BMRS), at 6 and 12 months after discharge. Factors related to the BMRS of the hand, arm and leg were analyzed. Results The mean age of patients was 62.2 years (57.3% male). Significantly more patients presented improvement of at least one BMRS of the hand, arm and leg compared with those with decreasing BMRS (p < 0.001). The percentage of patients with BMRS III- VI at 6 months was greater than that at discharge, but the recovery at 12 months was slightly higher than that at 6 months. It seems that motor recovery from stroke was near maximal at six months. Regarding the factors related to motor recovery, only lengths of stay (LOS) <30 d during the first admission and Barthel index at discharge ≥10 were related to the improvement of BMRS of the hand, arm and leg on multivariate analysis. Additionally, no complication at discharge was associated with the improvement of BMRS of the leg. Conclusions Approximately half of our stroke patients had motor improvement of at least one stage of BMRS at one year. Motor recovery after stroke at the end of the first year was associated with shorter LOS during the first admission, higher discharge Barthel index score and absence of complications at discharge.

Quality of life in patients with stroke at 1-year after discharge from inpatient rehabilitation: A multicenter study

“…Even though mBI was one of positive factors, its effect was not large (b=0.63). This might be due to change score of mBI at 1-year and at discharge was 2.39 ± 3.92 [11]. However, the mBI score at 1-year follow-up period was more than discharge period (mean mBI at 1-year and at discharge were 16.04 ± 4.30 and 13.66 ± 4.34 respectively).…”

“…Written informed consent was obtained from all participants prior to their inclusion in the study. Stroke participants in this registry (TSRR) who had received inpatient stroke rehabilitation one year prior were invited to participate [11]. Those patients who were unable to be followed up were excluded.…”

Decrease in Insulin-Like Growth Factor-1 and Insulin-Like Growth Factor-1 Ratio in the First Week of Stroke Is Related to Positive Outcomes

“…A study performed by Kuptniratsaikul and colleagues examined motor recovery in 192 individuals with stroke across nine hospitals (12). Motor recovery at 6 and 12 months after stroke was assessed by the Brunnstrom motor recovery stages (BMRS).…”

“…The BMRS is broken into 6 stages of recovery with each level (Levels 1–6) describing progressive improvements in movement patterns in the hand, arm and leg, separately. Their results showed that improvements in the BMRS were associated with a shorter length of stay (12). Another study, which investigated 481 individuals with acute stroke, determined the relationship between Functional Independence Measure (FIM) scores on admission and discharge destination (14).…”

“…One study showed that motor recovery was improved after the first year of stroke in people with a shorter LOS during their first hospital admission for stroke (12). LOS was also negatively related to improvements on the Functional Independence Measure (FIM), such that individuals who stayed in the hospital longer had poorer scores on the FIM (13).…”