School of Sport and Health Sciences, University of Central Lancashire, Preston, PR1 2HE, UK.
Department of Exercise Sciences, University of Auckland, Private Bag 92019, Auckland 1023, New Zealand.
Phys Med Rehabil Clin N Am. 2024 May;35(2):259-276. doi: 10.1016/j.pmr.2023.06.003. Epub 2023 Jul 11.
Predicting motor outcomes after stroke based on clinical judgment alone is often inaccurate and can lead to inefficient and inequitable allocation of rehabilitation resources. Prediction tools are being developed so that clinicians can make evidence-based, accurate, and reproducible prognoses for individual patients. Biomarkers of corticospinal tract structure and function can improve prediction tool performance, particularly for patients with initially moderate to severe motor impairment. Being able to make accurate predictions for individual patients supports rehabilitation planning and communication with patients and families.
仅凭临床判断预测中风后的运动预后通常不够准确，可能导致康复资源分配效率低下和不公平。目前正在开发预测工具，以便临床医生能够为个体患者做出基于证据的、准确且可重复的预后判断。皮质脊髓束结构和功能的生物标志物可以提高预测工具的性能，特别是对于初始运动功能中度至重度受损的患者。能够对个体患者做出准确的预测有助于康复计划的制定，并与患者和家属进行沟通。
