Comparison of the Orpington Prognostic Scale (OPS) and the National Institutes of Health Stroke Scale (NIHSS) for the prediction of the functional status of patients with stroke

Abstract

In patients with stroke, OPS and NIHSS had significant contribution to the estimation of the functional status and OPS was more effective than NIHSS.

Predictive value of the NIHSS for ADL outcome after ischemic hemispheric stroke: Does timing of early assessment matter?

“…In a sample of 373 stroke patients, they found the following characteristics of NIHSS scores measured within 72 h to predict outcome in terms of being alive but in care or being dead (poor outcome) or being alive at home (good outcome) at 3 months after the stroke: a sensitivity of 0.71 (95% CI, 0.64-0.79), a specificity of 0.90 (95%CI, 0.86-0.94) and a positive predictive value of 0.82 (95%CI, 0.75-0.89) [16]. The present findings are also in line with those of Celik et al [21] who reported that the variance in the NIHSS scores measured 7 days post stroke explained about 20% of the variance in the outcome. The cut-off value of 8 points we used for the NIHSS that discriminates between mild and moderate stroke categories is in line with previous studies [9,33].…”

“…Recently, the American Heart Association (AHA) recommended bedside NIHSS assessment as a valuable tool for nursing and interdisciplinary care of the acute ischemic stroke patient [10]. The NIHSS shows significant association with lesion volume [5,7,15] as well as with final outcome after a stroke in terms of survival [5,16], discharge destination [16], length of stay (LOS) [17], activities of daily living (ADL) [9,11,[18][19][20][21][22] and extended ADLs [23]. For example, the NINDS trial showed that a lower baseline NIHSS score during the first 24 h post stroke was independently associated with a favorable outcome in terms of the Barthel Index (BI) and the modified Rankin Scale (mRS) measured one year post stroke [9].…”

Correlations among impairment, daily activities and thinking operations after stroke

“…So we infer that physical impairment significantly predicts dependency in ADL performance. This conclusion has been established in many studies (Young et al, 2005;Mok et al, 2004;Saxena et al, 2007;Kwakkel et al, 2010;Skidmore, Rogers, Chandler, & Holm, 2006;Celik, Aksel, & Karaoglan, 2006;Lai, Duncan, & Keighley, 1998;Han, Law-Gibson, & Reding, 2002). Because instrumental ADL is correlated with cognition and stroke severity, both in same degree, we conclude that IADL test used here (Lawton 1969) could serve as a valid and reliable test of both cognitive and physical outcomes after stroke.…”

Effect of Contextual Interference in the Practicing of a Computer Task in Individuals Poststroke

“…For characterization of the sample, the following instruments were applied: the Orpington Scale to classify the severity and estimate the prognosis of functional improvement [30,31], the Fugl Meyer Evaluation Scale (FMS) to assess motor and sensory impairment [32], and the Berg Balance Scale to evaluate balance ability [33]. In addition, hand muscle function was evaluated through palmar grip dynamometry (Saehan® brand dynamometer) [34], and unilateral manual dexterity was measured with the Box and Block Test (BBT) [35].…”