S-2-04-03
PREDICTION OF MOTOR RECOVERY FOLLOWING VASCULAR HEMIPLEGIA
Satoshi Miyano
(Dept. of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan)
Objective: We investigated whether it was possible to predict motor recovery on the basis of clinical evaluation at the onset of vascular hemiplegia.
Subjects were 280 vascular hemiplegics with the mean age of 62.8.
Methods: The motor recovery after vascular hemiplegia was evaluated at least twice, at the onset and after 3 months. The first evaluation was performed at the mean of 5.4 days (1 to 10 days) after the onset, and the second evaluation was done 3 months after the onset by Brunnstrom stage.
Results: Paresis of upper extremity and fingers showed less recovery than that of lower extremity. Vascular hemiplegics without voluntary movement of the extremities (Stage 1) at the onset showed poor recovery after 3 months. However hemiplegics with a slight voluntary movement (Stage 2) or synergistic movement (Stage 3) at the onset recovered quite well after 3 months, and younger hemiplegics showed better recovery than older ones. When hemiplegics with no motor movement of upper extremity or lower extremity at the onset had lesions at the basal ganglia or massive middle cerebral artery area, they showed poor motor recovery on both extremities.
S-2-04-04
PREDICTIVITY OF THE STROKE OUTCOME BY MEANS OF THE FIM SCALE. A CRITICAL EXPERIENCE.
*｡?P. Marano and ^M. Seminara (*University of Chieti & ｡?Rehabilitative Institute Villa Salus Augusta and ^A.I.A.S Acireale Branch - Italy).
The rehabilitative field of the stroke has been, in the course of the years,, always more studied by means of subjective and objective evaluations, thanks to the use of scales more or minus legitimate, more or minus reliable. In rehabilitative aspired experience doesn't exist more empirical than the rehabilitation of the stroke where, each patient could do a history to it, on the base of the indicators of culture, calling, operative ability and constructions of thought. The use of the FIM scale, last borne in this field, it has assayed of fluster this sector up to the point of do believe, in who use it, that other type of evaluation to the doesn't exist of out of this.
After two years of experience, an d hundred cases of listed stroked patients, the authors are deeply convicted that, despite the big evaluational help that the FIM can bring, it doesn't exist a predictive capability of a pathology as serious and as invalidant which the stroke, in as could not become to minus of consider all those indicators enrolled in precedence. In venue of discussion the data until here collected, a great deal encouraging for many verses, they will come discussed and places in doubt to the light of the results and of the collected statisticses.
