Department of Physiotherapy, University of Zambia, Lusaka, Zambia
Department of Epidemiology and Biostatistics, University of Zambia School of Public Health, Lusaka, Zambia.
BMJ Open. 2024 Nov 28;14(11):e081936. doi: 10.1136/bmjopen-2023-081936.
The study aimed to assess the predictors of upper limb motor recovery in stroke survivors.
Pre-post test study design.
Conducted in two centres (First Level Hospital and University Teaching Hospital in Lusaka).
Patients living with stroke accessing physiotherapy services at the two public hospitals. A total of 52 patients were recruited at the start of the study, 6 were lost to follow-up and 46 completed the study.
Conventional physiotherapy for 8 weeks (5 September 2022-28 October 2022).
Motor function measured using a Fugl-Meyer assessment of the upper extremity.
Analysis was conducted on 46 participants. A significant difference was observed between the level of motor function at baseline and after 8 weeks of treatment (p=0.0183). At baseline, 50% of participants had mild motor function, which improved after 8 weeks, with 69.6% having mild motor function. Stroke patients with severe motor function impairment at baseline were associated with 0.01 times likelihood of having mild motor function impairment after 8 weeks of physiotherapy treatment (AOR 0.01; 95 % CI 0.00 to 0.16; p=0.002).
The motor function of stroke patients continues to improve over time. This study demonstrated that initial upper limb motor function impairment could be used as a predictor for upper limb motor function.
本研究旨在评估脑卒中幸存者上肢运动功能恢复的预测因素。
前后测试研究设计。
在两个中心（卢萨卡的一级医院和大学教学医院）进行。
在这两家公立医院接受物理治疗服务的脑卒中患者。在研究开始时共招募了 52 名患者，有 6 名患者失访，46 名患者完成了研究。
常规物理治疗 8 周（2022 年 9 月 5 日至 10 月 28 日）。
上肢运动功能采用 Fugl-Meyer 上肢评估进行测量。
对 46 名参与者进行了分析。在基线和治疗 8 周后，运动功能水平之间观察到显著差异（p=0.0183）。基线时，50%的参与者上肢运动功能轻度受损，经过 8 周治疗后，69.6%的患者上肢运动功能轻度受损。基线时上肢运动功能严重受损的脑卒中患者在接受 8 周物理治疗后上肢运动功能轻度受损的可能性降低 0.01 倍（AOR 0.01；95%CI 0.00 至 0.16；p=0.002）。
脑卒中患者的运动功能随时间推移持续改善。本研究表明，初始上肢运动功能损伤可作为上肢运动功能的预测因素。
