The International Stroke Recovery and Rehabilitation Alliance

Bernhardt, Julie; Corbett, Dale; Dukelow, Sean P.; Savitz, Sean I; Solomon, John M.; Stockley, Rachel; Sunnerhagen, Katharina S.; Verheyden, Geert; Walker, Marion F; Murphy, Margit Alt; Bonkhoff, Anna K.; Cadilhac, Dominique A.; Carmichael, S. Thomas; Dalton, Emily; Dancause, Numa; Edwards, Jodi D.; English, Coralie; Godecke, Erin; Hayward, Kate; Kamalakannan, Sureshkumar; Thrift, Amanda G.; Kwakkel, Gert; Lang, Catherine E.; Lannin, Natasha A.; Levin, Mindy F.; Lynch, Elizabeth; Mead, Gillian; Saa, Juan Pablo; Ward, Nick

doi:10.1016/s1474-4422(23)00072-8

Cited by 8 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the prevalence of upper limb weakness and other impairments early post-stroke may be shifting, the complexity of stroke recovery remains an important topic for the stroke recovery community. 15 The presence of impairments across multiple domains and individual patient circumstances, including premorbid conditions such as dementia and clinical frailty, have implications for researchers and clinicians. Forty-one percent of the participants in this study had impairments across 2 or more domains.…”

Section: Discussionmentioning

confidence: 99%

“… 10 In a recent paper by the International Stroke Recovery and Rehabilitation Alliance, impairments across multiple domains, the heterogeneity of impairment severity and the patient’s individual circumstances (eg, pre-stroke health, social situation) were some of the factors identified as contributors to the complexity of stroke recovery. 15 Given the data were collected 25 years ago (prior to the introduction of thromboloysis 2 , 3 and thrombectomy 4 , 5 ) by Lawrence et al, 10 a more contemporary understanding of the prevalence of multiple post-stroke impairments (including upper limb weakness) and the potential impact of pre-stroke health is required.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of Arm Weakness, Pre-Stroke Outcomes and Other Post-Stroke Impairments Using Routinely Collected Clinical Data on an Acute Stroke Unit

Dalton,

Jamwal,

Augoustakis

et al. 2024

Neurorehabil Neural Repair

View full text Add to dashboard Cite

Introduction The prevalence of upper limb motor weakness early post-stroke may be changing, which can have clinical and research implications. Our primary aim was to describe the prevalence of upper limb motor weakness early post-stroke, with a secondary aim to contextualize this prevalence by describing pre-stroke outcomes, other post-stroke impairments, functional activities, and discharge destination. Methods This cross-sectional observational study extracted clinical data from confirmed stroke patients admitted to a metropolitan stroke unit over 15-months. The primary upper limb weakness measure was Shoulder Abduction and Finger Extension (SAFE) score. Demographics (eg, age), clinical characteristics (eg, stroke severity), pre-stroke outcomes (eg, clinical frailty), other post-stroke impairments (eg, command following), functional activities (eg, ambulation), and discharge destination were also extracted. Results A total of 463 participants had a confirmed stroke and SAFE score. One-third of patients received ≥1 acute medical intervention(s). Nearly one-quarter of patients were classified as frail pre-stroke. Upper limb weakness (SAFE≤8) was present in 35% [95% CI: 30%-39%] at a median of 1-day post-stroke, with 22% presenting with mild-moderate weakness (SAFE5-8). The most common other impairments were upper limb coordination (46%), delayed recall (41%), and upper limb sensation (26%). After a median 3-day acute stroke stay, 52% of the sample were discharged home. Conclusion Upper limb weakness was present in just over a third (35%) of the sample early post-stroke. Data on pre-stroke outcomes and the prevalence of other post-stroke impairments highlights the complexity and heterogeneity of stroke recovery. Further research is required to tease out meaningful recovery phenotypes and their implications.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of Arm Weakness, Pre-Stroke Outcomes and Other Post-Stroke Impairments Using Routinely Collected Clinical Data on an Acute Stroke Unit

Dalton,

Jamwal,

Augoustakis

et al. 2024

Neurorehabil Neural Repair

View full text Add to dashboard Cite

show abstract

“… 1 According to the 2023 Lancet report on the Global Burden of Stroke Risk in countries and regions, the incidence of stroke has increased by 70% worldwide since 1999; there was a prevalence of 85%; and death caused by stroke increased by 43%. 2 Stroke can lead to a variety of functional disabilities, and aphasia is one of the most common complications. About 38% of stroke patients have aphasia symptoms of varying degrees, 3 , 4 which has a serious effect on quality of life.…”

Section: Introductionmentioning

confidence: 99%

Melodic intonation therapy for non-fluent aphasia after stroke: A clinical pilot study on behavioral and DTI findings

Zhang,

Talifu,

et al. 2023

iScience

View full text Add to dashboard Cite

“…Rather than be stifled by what is affordable, what is feasible, and what has always been done, the International Stroke Recovery and Rehabilitation Alliance 19 has spear headed a task force to identify internationally relevant defining criteria of hypothetical centers that provide exceptional rehabilitation to people with stroke. The premise of this work is that the delivery of consistently excellent rehabilitation is one pathway toward major breakthroughs in stroke recovery; when every person with stroke is provided with evidence-based, person-centered rehabilitation in the right dose and intensity, recovery will be optimized within the limits of our available knowledge.…”

mentioning

confidence: 99%