Abstract
Treger I, Aidinof L, Lutsky L, Kalichman L. Mean flow velocity in the middle cerebral
artery is associated with rehabilitation success in ischemic stroke patients.
Objective
To evaluate the association between mean flow velocity (MFV) in the middle cerebral
artery (MCA) measured by using transcranial Doppler (TCD) and functional and neurologic
impairment change during rehabilitation after acute stroke.
Design
Cross-sectional observational study.
Setting
Acute neurologic rehabilitation department.
Participants
Consecutive patients (N=67; 53 men, 14 women; mean ± SD age, 61.54±8.92y) referred
to the rehabilitation center during the first 6 months of 2006 for a first ischemic
stroke in the MCA area.
Interventions
Not applicable.
Main Outcome Measures
All subjects were evaluated on admission and at discharge by using the National Institutes
of Health Stroke Scale (NIHSS) and the FIM. TCD measurements of MFV of the ipsilateral
and contralateral MCA were performed on admission (during the first 20 days after
stroke) and a few days before discharge.
Results
Contralateral MFV at admission was associated significantly with all indexes of functional
rehabilitation success (FIM score at discharge [β=.169; P=.010], change in FIM score [β=.554; P=.010], relative improvement in FIM score [β=.783; P=.003]). No significant association was found between indexes of NIHSS change and
ipsilateral or contralateral MFV.
Conclusions
Ipsilateral or contralateral MFV measured at admission did not change during the 2-month
rehabilitation period. Our data showed a significant association between blood flow
velocity in the contralateral MCA and functional rehabilitation parameters of patients
after first ischemic stroke in the MCA area.
Key Words
List of Abbreviations:
ΔFIM (change in FIM score), ΔNIHSS (change in NIHSS score), MCA (middle cerebral artery), MFV (mean flow velocity), NIHSS (National Institutes of Health Stroke Scale), RI-FIM (relative improvement in FIM score), TCD (transcranial Doppler)To read this article in full you will need to make a payment
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Article info
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
