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Abstract
Time course and degree of recovery of upper extremity (UE) function after stroke and
the influence of initial UE paresis were studied prospectively in a community-based
population of 421 consecutive stroke patients admitted acutely during a 1-year period.
UE function was assessed weekly, using the Barthel Index subscores for feeding and
grooming. UE paresis was assessed by the Scandinavian Stroke Scale subscores for hand
and arm. The best possible UE function was achieved by 80% of the patients within
3 weeks after stroke onset and by 95% within 9 weeks; in patients with mild UE paresis,
function was achieved within 3 and 6 weeks, respectively, and in patients with severe
UE paresis within 6 and 11 weeks, respectively. Full UE function was achieved by 79%
of patients with mild UE paresis and only by 18% of patients with severe UE paresis.
A valid prognosis of UE function can be made within 3 and 6 weeks in patients with
mild and severe UE paresis, respectively. Further recovery of UE function should not
be expected after 6 and 11 weeks respectively, in these groups of patients.
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Article info
Publication history
Accepted:
October 4,
1993
Received:
June 28,
1993
Footnotes
☆This research supported by grants from The Danish Health Foundation, The Danish Heart Foundation, Ebba Celinders Foundation, and the Gangsted Foundation.
Identification
Copyright
© 1994 Published by Elsevier Inc.
