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dc.contributor.authorAllison, Ren
dc.contributor.authorKilbride, Cen
dc.contributor.authorChynoweth, Jen
dc.contributor.authorCreanor, Sen
dc.contributor.authorFrampton, Ien
dc.contributor.authormarsden, Jen
dc.date.accessioned2017-10-24T09:11:11Z
dc.date.issued2017-09-01en
dc.identifier.urihttp://hdl.handle.net/10026.1/10084
dc.description.abstract

OBJECTIVE: To establish the longitudinal profile of impairments of body functions and activity limitations of the arm, and evaluate potential predictors of difficulty caring for the profoundly-affected arm post-stroke. DESIGN: Prospective cohort study. SETTING: Three UK stroke services. PARTICIPANTS: People unlikely to regain functional use of the arm (N=155) were recruited at 2-4 weeks post-stroke, and followed up at 3, 6 and 12 months. Potential predictors at baseline were hypertonicity, pain, motor control, mood, sensation/perception, age and stroke severity. INTERVENTIONS: NA MAIN OUTCOME MEASURES: Difficulty caring for the arm (LASIS), pain, hypertonicity, range of movement, arm function and skin integrity. Multi-variable linear regression identified the best fitting model for predicting LASIS at 12 months. RESULTS: One hundred and ten participants (71%) were reviewed at one year. There was a large variation in the profile of arm functions and activity limitations. Inability or severe difficulty caring for the arm affected 29% of participants. Hypertonicity developed in 77%, with severe hypertonicity present in 25%. Pain was reported by 65%, 94% developed shoulder contracture and 6% had macerated skin. Difficulty caring for the arm increased with age, greater level of hypertonicity and stroke classification; collectively these factors accounted for 33% of the variance in LASIS. CONCLUSIONS: At one year post-stroke, there was a high incidence of impairments of body functions and activity limitations in people with a profoundly-affected arm. Individual profiles were very variable and although some pre-disposing factors have been identified, it remains difficult to predict who is at greatest risk.

en
dc.language.isoenen
dc.subjectcontractureen
dc.subjectpainen
dc.subjectspasticityen
dc.subjectstrokeen
dc.subjectupper limben
dc.titleWhat is the longitudinal profile of impairments and can we predict difficulty caring for the profoundly-affected arm in the first year post-stroke?en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28866012en
plymouth.publication-statusPublished onlineen
plymouth.journalArch Phys Med Rehabilen
dc.identifier.doi10.1016/j.apmr.2017.07.016en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/00 Groups by role/Post-Graduate Research Students
plymouth.organisational-group/Plymouth/Faculty of Health: Medicine, Dentistry and Human Sciences
plymouth.organisational-group/Plymouth/Faculty of Health: Medicine, Dentistry and Human Sciences/Peninsula Medical School
plymouth.organisational-group/Plymouth/Faculty of Health: Medicine, Dentistry and Human Sciences/School of Health Professions
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CBBB
dcterms.dateAccepted2017-07-24en
dc.rights.embargodate2018-09-01en
dc.identifier.eissn1532-821Xen
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1016/j.apmr.2017.07.016en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2017-09-01en
rioxxterms.typeJournal Article/Reviewen


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