Table 4.
Predicted outcome | Description | Rehabilitation focus |
---|---|---|
Excellent | Potential to make a complete, or near‐complete, recovery of hand and arm function within 3 months | Promote normal use of the affected hand and arm with task‐specific practice, while minimizing adaptation and compensation. |
Good | Potential to be using the affected hand and arm for most activities of daily living within 3 months, though with some weakness, slowness, or clumsiness | Promote normal function of the affected hand and arm by improving strength, coordination, and fine motor control with repetitive and task‐specific practice. Minimize compensation with the other hand and arm, and the trunk. |
Limited | Potential to regain movement in the affected hand and arm within 3 months, but daily activities are likely to require significant modification | Promote movement and reduce impairment by improving strengthand active range of motion. Promote adaptation in daily activities, incorporating the affected upper limb wherever safely possible. |
Poor | Unlikely to regain useful movement of the hand and arm within 3 months | Prevent secondary complications such as pain, spasticity, and shoulder instability. Reduce disability by learning to complete daily activities with the stronger hand and arm. |
Note that the outcome category names replace those used in the original PREP algorithm (Complete, Notable, Limited, None).