Article

A good motor outcome after stroke is often equated with independence
in functional performance. However, for patients with severe motor disability a
good outcome is unlikely, but an important change may be achievable. OBJECTIVE:
Determine if patients admitted to inpatient rehabilitation with severe motor
disability can achieve clinically important improvements in motor function.
A prospective observational study of 239 patients with stroke admitted
to inpatient rehabilitation in Brisbane, Australia was conducted. On admission
and discharge, participants were assessed using the motor items of the Functional
Independence Measure (m-FIM). The importance of change achieved on the m-FIM was
evaluated according to: 1) a statistical significant outcome; 2) achievement of a
MCID based on a physician-anchored rating of change; and 3) shift in disability
status e.g., severe to moderate disability. RESULTS:
Patients with severe motor
disability achieved a significant improvement in motor function
(p < 0.001),
which saw up to 83% achieve a MCID and 85% shift out of 'severe' to either
moderate or mild motor disability on discharge from inpatient rehabilitation.
CONCLUSION: This study demonstrates that patients admitted to inpatient
rehabilitation with severe motor disability can achieve clinically important
improvements in motor function on discharge from inpatient rehabilitation.

Langue : ANGLAIS