dc.contributor.author | Ada, Louise | |
dc.contributor.author | Preston, Elisabeth | |
dc.contributor.author | Langhammer, Birgitta | |
dc.contributor.author | Canning, Colleen | |
dc.date.accessioned | 2019-04-23T09:18:58Z | |
dc.date.accessioned | 2019-05-16T08:09:44Z | |
dc.date.available | 2019-04-23T09:18:58Z | |
dc.date.available | 2019-05-16T08:09:44Z | |
dc.date.issued | 2018-06-11 | |
dc.identifier.citation | Ada L, Preston E, Langhammer MB, Canning C. Profile of upper limb recovery and development of secondary impairments in patients after stroke with disabled upper limb. An observational study. Physiotherapy Theory and Practice. 2018 | en |
dc.identifier.issn | 0959-3985 | |
dc.identifier.issn | 0959-3985 | |
dc.identifier.issn | 1532-5040 | |
dc.identifier.uri | https://hdl.handle.net/10642/7115 | |
dc.description.abstract | Purpose: To investigate, in patients after stroke with a very weak upper limb, the profile of recovery for upper limb activity over the first 12 weeks, and whether early secondary impairments predict later upper limb activity. Method: Forty patients within 2 weeks of stroke with a very weak upper limb (<4/6 Item 6 of Motor Assessment Scale) were observed longitudinally. Upper limb activity (Items 6, 7 and 8 of Motor Assessment Scale), shoulder subluxation (vertical distance), shoulder pain (visual analogue scale) and upper limb range of motion were measured at 2, 6 and 12 weeks post-stroke. Results: By Week 12 upper limb activity was 1.0/18 (IQR 3.0). Shoulder subluxation was 42 mm (SD 8), 7 mm > the intact side at 2 weeks. Pain at rest was 0.1/10 (IQR 1.1); and pain during movement was 2.6/10 (IQR 4.5). Passive shoulder external rotation was 23 degrees (SD 34), 30% of the intact side at 2 weeks. Shoulder pain during movement at 2 weeks predicted shoulder pain during movement at 6 and 12 weeks after stroke (p = 0.05). Conclusion: Most patients with a disabled upper limb after stroke have little recovery of activity in the first 12 weeks. Shoulder pain on movement at 2 weeks should be flagged as a predictor of future pain. | en |
dc.description.sponsorship | This study was supported by the Sydney University Research Grants - Sesqui Research and Development Scheme, Sydney, Australia. | en |
dc.language.iso | en | en |
dc.publisher | Taylor & Francis | en |
dc.relation.ispartofseries | Physiotherapy Theory and Practice;Published online: 11 Jun 2018 | |
dc.rights | This is an Accepted Manuscript of an article published by Taylor & Francis in Physiotherapy Theory and Practice, available online: http://www.tandfonline.com/10.1080/09593985.2018.1482584 | en |
dc.subject | Glenohumeral subluxations | en |
dc.subject | Contractures | en |
dc.subject | Shoulder pains | en |
dc.subject | Strokes | en |
dc.subject | Upper extremities | en |
dc.title | Profile of upper limb recovery and development of secondary impairments in patients after stroke with disabled upper limb. An observational study | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2019-04-23T09:18:58Z | |
dc.description.version | acceptedVersion | en |
dc.identifier.doi | https://dx.doi.org/10.1080/09593985.2018.1482584 | |
dc.identifier.cristin | 1591003 | |
dc.source.journal | Physiotherapy Theory and Practice | |