Lower limb muscle strength of the affected side in stroke patients is an accurate predictor of the need for a KAFO.
NeuroRehabilitation
; 53(3): 355-366, 2023.
Article
en En
| MEDLINE
| ID: mdl-37458050
ABSTRACT
BACKGROUND:
Accurate prediction of recovery is essential to determine whether a knee-ankle-foot orthosis (KAFO) is required in the subacute phase of stroke. However, there are currently no reliable methods to predict such recovery.OBJECTIVE:
This study aimed to determine whether muscle strength of the affected lower limb (affected side LL strength) in stroke patients in the subacute phase who cannot walk without a KAFO can be used to predict the continuous need for a KAFO, using a hand-held dynamometer.METHODS:
We enrolled patients with severe hemiplegia (nâ=â51) who were unable to walk without a KAFO for 10 days after stroke onset. They were divided into two groups depending on the continuous need for a KAFO at 1 month after onset; the KAFO and non-KAFO groups. Logistic regression analysis was used to investigate whether the affected side LL strength was a predictor of the continuous need for a KAFO at 1 month after onset. In addition, significant predictors were analyzed using receiver operating characteristic (ROC) curves.RESULTS:
The KAFO and non-KAFO groups included 23 (45.10%) and 28 (54.90%) patients, respectively. The affected side LL strength and pusher syndrome severity were identified as predictors of the continuous need for a KAFO. The predictor with the highest predictive ability was the affected side LL strength, with an area under the ROC curve of 0.80 (95% CI, 0.68-0.93).CONCLUSIONS:
Affected side LL strength may be a highly accurate predictor of the need for a KAFO in the subacute phase of stroke.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Accidente Cerebrovascular
/
Hemiplejía
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
NeuroRehabilitation
Asunto de la revista:
NEUROLOGIA
/
REABILITACAO
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón