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dc.contributor.authorHayward, Kathryn S
dc.contributor.authorKuys, Suzanne S
dc.contributor.authorBarker, Ruth N
dc.contributor.authorBrauer, Sandra G
dc.date.accessioned2017-05-03T11:50:13Z
dc.date.available2017-05-03T11:50:13Z
dc.date.issued2014
dc.date.modified2014-08-18T05:41:25Z
dc.identifier.issn1053-8135
dc.identifier.doi10.3233/NRE-141076
dc.identifier.urihttp://hdl.handle.net/10072/62354
dc.description.abstractBACKGROUND: A good motor outcome after stroke is often equated with independence in functional performance. However, for patients with severe motor disability a good outcome is unlikely, but an important change may be achievable. OBJECTIVE: Determine if patients admitted to inpatient rehabilitation with severe motor disability can achieve clinically important improvements in motor function. METHODS: A prospective observational study of 239 patients with stroke admitted to inpatient rehabilitation in Brisbane, Australia was conducted. On admission and discharge, participants were assessed using the motor items of the Functional Independence Measure (m-FIM). The importance of change achieved on the m-FIM was evaluated according to: 1) a statistical significant outcome; 2) achievement of a MCID based on a physician-anchored rating of change; and 3) shift in disability status e.g., severe to moderate disability. RESULTS: Patients with severe motor disability achieved a significant improvement in motor function (p < 0.001), which saw up to 83% achieve a MCID and 85% shift out of 'severe' to either moderate or mild motor disability on discharge from inpatient rehabilitation. CONCLUSION: This study demonstrates that patients admitted to inpatient rehabilitation with severe motor disability can achieve clinically important improvements in motor function on discharge from inpatient rehabilitation.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.publisherIOS Press
dc.publisher.placeNetherlands
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom773
dc.relation.ispartofpageto779
dc.relation.ispartofissue4
dc.relation.ispartofjournalNeuroRehabilitation
dc.relation.ispartofvolume34
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNeurosciences
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1109
dc.titleClinically important improvements in motor function are achievable during inpatient rehabilitation by stroke patients with severe motor disability: A prospective observational study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorKuys, Suzanne S.
gro.griffith.authorBarker, Ruth N.


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