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Differences in recovery of upper extremity functioning after ischemic and hemorrhagic stroke – part of the SALGOT study.

Conference contribution
Authors Hanna C Persson
Arve Opheim
Åsa Lundgren Nilsson
Margit Alt Murphy
Anna Danielsson
Katharina S Sunnerhagen
Published in 2​nd European Stroke Organisation Conference, 10-12 May, 2016, Barcelona, Spain
Publication year 2016
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Institute of Neuroscience and Physiology, Department of Clinical Neuroscience
Language en
Keywords Stroke, cerebral haemorrhage, rehabilitation, treatment outcome, upper extremity
Subject categories Physiotherapy, Neuroscience

Abstract

Background It is unclear if and how the type of stroke influences the recovery of motor function after stroke. The purpose was to assess if there are differences in extent of change in upper extremity motor function and activity capacity, in persons with ischemic versus hemorrhagic stroke during the first year post stroke. Methods 117 persons with stroke (ischemic n=98, hemorrhagic n=19) and reduced upper extremity function 3 days after onset were consecutively included to the Stroke Arm Longitudinal Study at the University of Gothenburg (SALGOT) from a stroke unit. Upper extremity motor function and activity capacity were assessed at 6 time points during the first year; age and initial stroke severity were recorded. Possible differences between groups in extent of change over time of upper extremity motor function and activity capacity were analyzed with the Mixed models repeated measurements. Results Significant improvements were present in function and activity in both groups within the first month (p= 0.001). Higher age and more severe stroke had a negative impact on recovery in both groups. Larger improvements of function and activity were seen in persons with hemorrhagic stroke, both from 3 days to 3 - and 12 months, and from 1 month to 3 months. Both groups reached similar level of function and activity at 3 months post stroke. Conclusions Poor initial motor function or activity capacity could mislead expertise and exclude persons with hemorrhagic stroke from further intensive rehabilitation.

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