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- W2167379462 abstract "OBJECTIVE: To measure motor and language recovery during the acute stroke period.BACKGROUND: Studies of stroke recovery have not assessed daily function during acute stroke admission. Little is known about the evolution of deficits over this period.DESIGN/METHODS: Patients >18 years had UE motor weakness, aphasia, or both, had positive acute-stroke image, and were 24-72 hours post stroke. Patients with hemiparesis received the Fugl-Meyer (FM) Upper Extremity Motor Assessment (max score=66), and aphasic patients received the Western Aphasia Battery (WAB) Comprehension subtest (max score=200), and the 15-item Boston Naming Test (BNT). Patients were tested daily for 5 days. Overall recovery was the difference between the first and last assessment.RESULTS: Among 34 patients, 19 had motor deficits alone, 8 had aphasia alone, and 7 had both. The mean post-stroke time of initial assessment was 2.48 days (SD =0.67). The mean initial FM score was 25.7 (SD=19.9) and improved to 36.2 (SD=22.13) after 5 days (p<0.001). The WAB score improved statistically from a mean of 88.1 (SD 63.8) to 107.6 (SD=75.6)(p<0.001). The mean BNT was statistically unchanged from 5.37 at baseline. To examine individual motor trajectories, the motor patients were divided into 3 groups based on initial impairment (0-22, 23-44, 45-60). In the severe group, some patients made significant recoveries during the acute period, while others made no recovery. In the moderate, nearly all made a statistical recovery. In the mild group, patients were as likely to improve as not. Initial scores on the BNT and WAB did not predict whether significant recoveries were made. Neither lesion volume, nor the mean, day-to-day fluctuations of scores correlated with overall recovery.CONCLUSIONS: Motor and language recovery for individuals during the acute stroke period was unpredictable, based on initial impairment. Our findings demonstrate the feasibility of measuring the trajectory of acute stroke recovery. Disclosure: Dr. Lazar has nothing to disclose. Dr. Dunn has nothing to disclose. Dr. Schweber has nothing to disclose. Dr. Manson has nothing to disclose. Dr. Lendaris has nothing to disclose. Dr. Marshall has nothing to disclose." @default.
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- W2167379462 date "2014-04-08" @default.
- W2167379462 modified "2023-10-01" @default.
- W2167379462 title "Inter-Individual Variability in Motor and Language Recovery during the Acute Stroke Period (P1.136)" @default.
- W2167379462 hasPublicationYear "2014" @default.
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