Harvey Richard L
The Rehabilitation Institute of Chicago, 345 East Superior Street, Chicago, IL 60611, USA.
Phys Med Rehabil Clin N Am. 2015 Nov;26(4):583-98. doi: 10.1016/j.pmr.2015.07.002. Epub 2015 Sep 26.
Predicting functional outcome in stroke is challenging to most clinicians, partly because of the complexity of the condition and also because of the lack of validated prognostic models. The strongest predictors of functional outcome are age and motor function at stroke onset. There is a growing literature on predicting recovery of upper limb after stroke; however, literature on prediction of language recovery remains sparse. This review covers the current status of predicting functional outcome after stroke focusing on recovery of activities of daily living, ambulation, upper limb use, and aphasia. Use of clinical factors, imaging, and neurophysiological measures are discussed.
对大多数临床医生而言，预测中风后的功能转归具有挑战性，部分原因在于病情的复杂性，也在于缺乏经过验证的预后模型。功能转归的最强预测因素是中风发作时的年龄和运动功能。关于预测中风后上肢恢复的文献越来越多；然而，关于语言恢复预测的文献仍然很少。本综述涵盖了中风后功能转归预测的现状，重点关注日常生活活动能力、步行、上肢使用和失语症的恢复。讨论了临床因素、影像学和神经生理学测量方法的应用。
