Predictors of upper limb recovery following stroke: a systematic review

F. Coupar, P. Langhorne, P.J. Rowe, C. Weir

    Research output: Contribution to conferencePaper

    Abstract

    Background: Upper limb hemiparesis is a common, persisting and disabling sequela of stroke. However, evidence for the effectiveness of interventions targeted at the upper limb remains inconclusive. Identification of reliable predictors of upper limb recovery would allow interventions to be better targeted at appropriate patients and thus potentially optimise upper limb rehabilitation. We carried out a systematic review of predictors of upper limb recovery. Methods: We completed searches in Medline, Embase, Amed, Cinahl and Cochrane CENTRAL databases. Articles were included if predictor variables were measured at baseline and related to an outcome of upper limb recovery at a future time point. Exclusion criteria included predictor variables relating to a particular treatment and outcome measurements of very specific upper limb impairments such as spasticity or pain. Results: To date two independent reviewers have identified 54 studies (over 6000 participants) that meet the inclusion criteria. Predictor variables which have been considered within these studies include; age, sex, lesion site, initial motor impairment, motor evoked potentials and somatosensory evoked potentials. Preliminary results indicate that the severity of the initial upper limb impairment is the most consistently reported and significant predictor of upper limb recovery. Discussion: Interpretation of these results is complicated by methodological factors including variations in study populations, upper limb motor outcome scales, timing of baseline and outcome assessments and predictors selected. The most important predictive factor for upper limb recovery following stroke appears to be the initial severity of motor impairment. This paper was presented at the XVII European Stroke Conference in 2009.
    LanguageEnglish
    Publication statusPublished - 2008
    EventEuropean Stroke Conference - Nice, France
    Duration: 16 May 2008 → …

    Conference

    ConferenceEuropean Stroke Conference
    CityNice, France
    Period16/05/08 → …

    Fingerprint

    Upper Extremity
    Stroke
    Motor Evoked Potentials
    Somatosensory Evoked Potentials
    Paresis
    Rehabilitation
    Outcome Assessment (Health Care)
    Databases
    Pain

    Keywords

    • upper limb recovery
    • stroke
    • bioengineering

    Cite this

    Coupar, F., Langhorne, P., Rowe, P. J., & Weir, C. (2008). Predictors of upper limb recovery following stroke: a systematic review. Paper presented at European Stroke Conference, Nice, France, .
    Coupar, F. ; Langhorne, P. ; Rowe, P.J. ; Weir, C. / Predictors of upper limb recovery following stroke: a systematic review. Paper presented at European Stroke Conference, Nice, France, .
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    Coupar, F, Langhorne, P, Rowe, PJ & Weir, C 2008, 'Predictors of upper limb recovery following stroke: a systematic review' Paper presented at European Stroke Conference, Nice, France, 16/05/08, .

    Predictors of upper limb recovery following stroke: a systematic review. / Coupar, F.; Langhorne, P.; Rowe, P.J.; Weir, C.

    2008. Paper presented at European Stroke Conference, Nice, France, .

    Research output: Contribution to conferencePaper

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    AU - Langhorne, P.

    AU - Rowe, P.J.

    AU - Weir, C.

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    N2 - Background: Upper limb hemiparesis is a common, persisting and disabling sequela of stroke. However, evidence for the effectiveness of interventions targeted at the upper limb remains inconclusive. Identification of reliable predictors of upper limb recovery would allow interventions to be better targeted at appropriate patients and thus potentially optimise upper limb rehabilitation. We carried out a systematic review of predictors of upper limb recovery. Methods: We completed searches in Medline, Embase, Amed, Cinahl and Cochrane CENTRAL databases. Articles were included if predictor variables were measured at baseline and related to an outcome of upper limb recovery at a future time point. Exclusion criteria included predictor variables relating to a particular treatment and outcome measurements of very specific upper limb impairments such as spasticity or pain. Results: To date two independent reviewers have identified 54 studies (over 6000 participants) that meet the inclusion criteria. Predictor variables which have been considered within these studies include; age, sex, lesion site, initial motor impairment, motor evoked potentials and somatosensory evoked potentials. Preliminary results indicate that the severity of the initial upper limb impairment is the most consistently reported and significant predictor of upper limb recovery. Discussion: Interpretation of these results is complicated by methodological factors including variations in study populations, upper limb motor outcome scales, timing of baseline and outcome assessments and predictors selected. The most important predictive factor for upper limb recovery following stroke appears to be the initial severity of motor impairment. This paper was presented at the XVII European Stroke Conference in 2009.

    AB - Background: Upper limb hemiparesis is a common, persisting and disabling sequela of stroke. However, evidence for the effectiveness of interventions targeted at the upper limb remains inconclusive. Identification of reliable predictors of upper limb recovery would allow interventions to be better targeted at appropriate patients and thus potentially optimise upper limb rehabilitation. We carried out a systematic review of predictors of upper limb recovery. Methods: We completed searches in Medline, Embase, Amed, Cinahl and Cochrane CENTRAL databases. Articles were included if predictor variables were measured at baseline and related to an outcome of upper limb recovery at a future time point. Exclusion criteria included predictor variables relating to a particular treatment and outcome measurements of very specific upper limb impairments such as spasticity or pain. Results: To date two independent reviewers have identified 54 studies (over 6000 participants) that meet the inclusion criteria. Predictor variables which have been considered within these studies include; age, sex, lesion site, initial motor impairment, motor evoked potentials and somatosensory evoked potentials. Preliminary results indicate that the severity of the initial upper limb impairment is the most consistently reported and significant predictor of upper limb recovery. Discussion: Interpretation of these results is complicated by methodological factors including variations in study populations, upper limb motor outcome scales, timing of baseline and outcome assessments and predictors selected. The most important predictive factor for upper limb recovery following stroke appears to be the initial severity of motor impairment. This paper was presented at the XVII European Stroke Conference in 2009.

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    Coupar F, Langhorne P, Rowe PJ, Weir C. Predictors of upper limb recovery following stroke: a systematic review. 2008. Paper presented at European Stroke Conference, Nice, France, .