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• W2105132346 abstract "Early prognosis, adequate goal setting, and referral are important for stroke management.To investigate if independent gait 6 months poststroke can be accurately predicted within the first 72 hours poststroke, based on simple clinical bedside tests. Reassessment on days 5 and 9 was used to check whether accuracy changed over time.In 154 first-ever ischemic stroke patients unable to walk independently, 19 demographic and clinical variables were assessed within 72 hours and again on days 5 and 9 poststroke. Multivariable logistic modeling was applied to identify early prognostic factors for regaining independent gait, defined as ≥4 points on the Functional Ambulation Categories.Multivariable modeling showed that patients with an independent sitting balance (Trunk Control Test-sitting; 30 seconds) and strength of the hemiparetic leg (Motricity Index leg; eg, visible contraction for all 3 items, or movement against resistance but weaker for 1 item) on day 2 poststroke had a 98% probability of achieving independent gait at 6 months. Absence of these features in the first 72 hours was associated with a probability of 27%, declining to 10% by day 9.Accurate prediction of independent gait performance can be made soon after stroke, using 2 simple bedside tests: sitting balance and strength of the hemiparetic leg. This knowledge is useful for making early clinical decisions regarding treatment goals and discharge planning at hospital stroke units." @default.
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• W2105132346 date "2010-12-26" @default.
• W2105132346 modified "2023-10-14" @default.
• W2105132346 title "Is Accurate Prediction of Gait in Nonambulatory Stroke Patients Possible Within 72 Hours Poststroke?" @default.
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• W2105132346 doi "https://doi.org/10.1177/1545968310384271" @default.
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