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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Clinical features

Assess your patient's functional status specifically looking at b  
  • upper limb motor function
  • proprioception
  • ability to stand and walk 

Why?

Upper limb motor function, proprioception, and standing and walking ability help predict independence

Patient Prognostic Factor Outcome CER RR
(95% CI)
NNF+
(95% CI)
stroke b none to slight upper limb motor function weakness
not independent
functional independence
at 4 months
30% 2.33
(1.52 to 3.56)
2
(1 to 6)
  with none to slight difficulty with proprioception
not independent
  23% 2.56
(1.43 to 4.60)
3
(1 to 10)
  postural function of walking or standing
not independent
    2.69
(1.61 to 4.50)
2
(1 to 7)
 

Note:

  • Loss of memory recall, difficulty with problem solving, lower limb motor function, comprehension, ability to express oneself and normal or abnormal hand on 2 point discrimination did not usefully predict return to independence. b

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball