Nakayama H, Jørgensen H S, Raaschou H O, Olsen T S
Department of Neurology, Bispebjerg Hospital, Copenhagen NV, Denmark.
Arch Phys Med Rehabil. 1994 Apr;75(4):394-8. doi: 10.1016/0003-9993(94)90161-9.
Time course and degree of recovery of upper extremity (UE) function after stroke and the influence of initial UE paresis were studied prospectively in a community-based population of 421 consecutive stroke patients admitted acutely during a 1-year period. UE function was assessed weekly, using the Barthel Index subscores for feeding and grooming. UE paresis was assessed by the Scandinavian Stroke Scale subscores for hand and arm. The best possible UE function was achieved by 80% of the patients within 3 weeks after stroke onset and by 95% within 9 weeks; in patients with mild UE paresis, function was achieved within 3 and 6 weeks, respectively, and in patients with severe UE paresis within 6 and 11 weeks, respectively. Full UE function was achieved by 79% of patients with mild UE paresis and only by 18% of patients with severe UE paresis. A valid prognosis of UE function can be made within 3 and 6 weeks in patients with mild and severe UE paresis, respectively. Further recovery of UE function should not be expected after 6 and 11 weeks respectively, in these groups of patients.
对421例在1年期间急性入院的连续性社区卒中患者进行前瞻性研究，观察卒中后上肢（UE）功能恢复的时间进程和程度以及初始UE麻痹的影响。每周使用巴氏指数中进食和修饰的子评分评估UE功能。通过斯堪的纳维亚卒中量表中手部和手臂的子评分评估UE麻痹。80%的患者在卒中发作后3周内达到最佳UE功能，95%在9周内达到；轻度UE麻痹患者分别在3周和6周内恢复功能，重度UE麻痹患者分别在6周和11周内恢复功能。轻度UE麻痹患者中79%实现了完全UE功能，而重度UE麻痹患者中只有18%实现了完全UE功能。轻度和重度UE麻痹患者分别在3周和6周内可以对UE功能做出有效的预后判断。在这些患者组中，分别在6周和11周后不应期望UE功能有进一步恢复。
