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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1983 Jun;46(6):521–524. doi: 10.1136/jnnp.46.6.521

The hemiplegic arm after stroke: measurement and recovery.

D T Wade, R Langton-Hewer, V A Wood, C E Skilbeck, H M Ismail
PMCID: PMC1027442  PMID: 6875585

Abstract

Seven clinical tests have been used to study the recovery of arm function in 92 patients over 2 years following their stroke. These tests are simple and quick, and can be used by any interested observer. They form a hierarchical scale that measures recovery. Statistically significant improvement is only seen in the first 3 months. Fifty-six patients initially had non-functional arms; eight made a "complete recovery" and 14 a partial recovery. The tests described are inadequate on their own because they are not sufficiently sensitive at the upper range of ability. While recovery of lost function does relate to the degree of initial neurological loss in the arm, it seems to be largely independent of the overall severity of the stroke.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrews K., Brocklehurst J. C., Richards B., Laycock P. J. The rate of recovery from stroke - and its measurement. Int Rehabil Med. 1981;3(3):155–161. doi: 10.3109/03790798109166795. [DOI] [PubMed] [Google Scholar]
  2. BARD G., HIRSCHBERG G. G. RECOVERY OF VOLUNTARY MOTION IN UPPER EXTREMITY FOLLOWING HEMIPLEGIA. Arch Phys Med Rehabil. 1965 Aug;46:567–572. [PubMed] [Google Scholar]
  3. CARROLL D. HAND FUNCTION IN HEMIPLEGIA. J Chronic Dis. 1965 May;18:493–500. doi: 10.1016/0021-9681(65)90031-7. [DOI] [PubMed] [Google Scholar]
  4. De Souza L. H., Hewer R. L., Miller S. Assessment of recovery of arm control in hemiplegic stroke patients. 1. Arm function tests. Int Rehabil Med. 1980;2(1):3–9. doi: 10.3109/09638288009163947. [DOI] [PubMed] [Google Scholar]
  5. Fugl-Meyer A. R., Jäskö L., Leyman I., Olsson S., Steglind S. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13–31. [PubMed] [Google Scholar]
  6. Granger C. V., Sherwood C. C., Greer D. S. Functional status measures in a comprehensive stroke care program. Arch Phys Med Rehabil. 1977 Dec;58(12):555–561. [PubMed] [Google Scholar]
  7. Klonoff H., Low M. D., Clark C. Head injuries in children: a prospective five year follow-up. J Neurol Neurosurg Psychiatry. 1977 Dec;40(12):1211–1219. doi: 10.1136/jnnp.40.12.1211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kusoffsky A., Wadell I., Nilsson B. Y. The relationship between sensory impairment and motor recovery in patients with hemiplegia. Scand J Rehabil Med. 1982;14(1):27–32. [PubMed] [Google Scholar]
  9. RANKIN J. Cerebral vascular accidents in patients over the age of 60. II. Prognosis. Scott Med J. 1957 May;2(5):200–215. doi: 10.1177/003693305700200504. [DOI] [PubMed] [Google Scholar]
  10. Skilbeck C. E., Wade D. T., Hewer R. L., Wood V. A. Recovery after stroke. J Neurol Neurosurg Psychiatry. 1983 Jan;46(1):5–8. doi: 10.1136/jnnp.46.1.5. [DOI] [PMC free article] [PubMed] [Google Scholar]

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