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UPPER EXTREMITY TEN DAYS AFTER FIRST OCCASION OF STROKE; PATIENT PERCIEVED STRENGTH CORRELATING TO OBJECTIVE MEASUREMENTS. A PART OF THE SALGOT STUDY.

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Hanna C Persson
Anna Danielsson
Katharina S Sunnerhagen
Publicerad i 7TH ISPRM WORLD CONGRESS. International Society of Physical and Rehabilitation Medicine, June 16-20, 2013, Bejing
Publiceringsår 2013
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Språk en
Ämneskategorier Annan medicin och hälsovetenskap

Sammanfattning

Objective To investigate the patient’s perception of arm and hand strength ten days after stroke onset and correlate this to objective measurements. Method One hundred patients with stroke and impaired upper extremity within 3 days after onset were investigated from the Stroke Arm Longitudinal Study at the University of GOThenburg (SALGOT). Ten days after onset, the patients estimated their function in the upper extremity on the Stroke Impact Scale; items regarding the strength of the arm and grip in the hand. Upper extremity function was assessed with grip strength measurement JAMAR and the activity scale Action Research Arm Test (ARAT). The correlations were calculated. Results High correlations were found between patient reported strength in the hand and grip strength (JAMAR); rho 0.86 and in the arm; rho 0.81. High correlation were also found between patient reported strength in the hand and the ARAT; rho 0.83 and in the arm; rho 0.79, all with a significant level of p < 0.01. Implication/Impact on Rehabilitation The results from the present study indicate that only 10 days after stroke over 80% of the participated patients, can correctly evaluate their strength in impaired limb. The patients’ understanding of the capacity is important for the rehabilitation and in planning for the future. Awareness of impaired function in the upper extremity is not previously described in this early stage after a stroke.

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