Longitudinal survival data study on upper extremity motor rehabilitation trajectory within 6 months of stroke
10.3969/j.issn.1001-1242.2025.07.008
- VernacularTitle:脑卒中6个月内上肢运动康复轨迹的纵向生存数据研究
- Author:
Ran LI
1
;
Sujuan LIU
1
;
Yajing HOU
1
Author Information
1. 首都医科大学附属复兴医院康复中心,北京市,100038
- Publication Type:Journal Article
- Keywords:
stroke;
upper extremity;
prognosis;
rehabilitation;
survival analysis
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(7):1025-1032
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the prognostic factors for long-term upper limb motor function recovery after stroke.Method:Patients(n=61)with upper limb motor dysfunction after stroke were included.General demographic and clinical data were collected.Upper limb motor function was evaluated with the Fugl-Meyer assessment-up-per extremity(FMA-UE).Intracranial lesion locations were identified based on head MRI or CT.The recovery of upper limb motor function was monitored longitudinally at admission and at 1,3 and 6 months post-stroke.Patients were divided into a good prognosis group or a poor prognosis group according to the FMA-UE score at 6 months poststroke.Clinical and radiological data between the two groups were compared using the χ2 test and Kaplan-Meier survival analysis.Result:The prognosis of upper limb motor function in stroke patients is determined by the recovery of active hand movement and the location of the lesion,but not with age,sex,stroke type or affected side.The average recovery time to achieve good prognosis for those who experience active hand movement within 1 month and 3 months poststroke is 2.100 months and 3.313 months.Patients with earlier active hand movement had better prog-noses.Poor long-term prognosis is associated with lesions affecting core regions such as the precentral gyrus,posterior horn of the lateral ventricular and posterior limb of the inner capsule.In contrast,patients with lesions not involving these core regions achieved good prognosis after an average of approximately 2.792 months.Conclusion:The long-term prognosis for hemiplegic upper limbs recovery after stroke is significantly influ-enced by the timing of active hand movement and the location of intracranial lesions.
