Prediction of upper limb recovery in the acute phase of Cerebrovascular disease: Evaluation of "functional hand" using the manual function test

Toshimasa Sone Otr, Naoki Nakaya, Kazuaki Iokawa Otr, Keiichi Hasegawa Otr, Tetsu Tsukada Otr, Mariko Kaneda Otr, Toyohiro Hamaguchi Otr, Kenji Suzuki

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Background: Prediction of upper limb function recovery in the acute phase of cerebrovascular disease can help clarify goal setting in rehabilitation and subsequently shorten hospital stay. The present study aimed to develop regression equations that can be used to predict the Manual Function Test (MFT) score 3 weeks after onset and to determine the optimal cutoff MFT score for the identification of "Functional Hand." Methods: In all, 190 patients with cerebrovascular disease were included in this study. The baseline survey performed within 1 week after onset assessed sociodemographic profiles, medical profiles, and acute symptoms. MFT was performed to determine the cutoff score to indicate Functional Hand. We used stepwise multiple regression analysis to establish the prediction equations with the best fit for the MFT score 3 weeks after onset. In addition, the sensitivity and specificity of the MFT as an indicator of Functional Hand with cutoff values were determined. Results: The multiple regression analysis showed that the following factors had a significant influence on the MFT: Brunnstrom recovery stage, cognitive function, range of motion, age, and sensation. The area under the curve was .93 for the MFT score as an indicator of Functional Hand. The cutoff MFT score to identify Functional Hand was 22/21 points, with a sensitivity and specificity of 91.1% and 82.1%, respectively. Conclusions: Our findings helped develop regression equations that can be used to predict the MFT score 3 weeks after onset of cerebrovascular disease by evaluating factors reportedly associated with upper limb function recovery.

Original languageEnglish
Pages (from-to)815-822
Number of pages8
JournalJournal of Stroke and Cerebrovascular Diseases
Volume24
Issue number4
DOIs
Publication statusPublished - 2015

Keywords

  • Cerebrovascular disease
  • Functional recovery
  • Prediction statistics
  • Rehabilitation
  • Upper limb function

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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