Journal of rehabilitation medicine · 2025
Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage.
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Yang Shu-Mei, Lin Yen-Heng, Lai Ting-Ju, Lu You-Lin, Chen Hsing-Yu, Tsai Hsiao-Ting, Wu Chueh-Hung, Wang Kuo-Chuan, Lin Meng Ting
Аннотация
OBJECTIVE: Intracerebral haemorrhage significantly impacts patients' functional and motor recovery. Identifying predictive factors is crucial for enhancing post-intracerebral haemorrhage rehabilitation strategies. This study explores the predictors of functional improvement and motor recovery in intracerebral haemorrhage survivors.
DESIGN: This retrospective cohort study was conducted at a tertiary referral hospital, encompassing patients diagnosed with acute spontaneous intracerebral haemorrhage from 1 June 2019, to 30 June 2023.
METHODS: Data on clinical characteristics, activity-based indicators like the initial ability to sit independently without physical assistance and the ability to sit independently for 2 minutes, and haematoma location were analysed to determine their association with functional and motor recovery outcomes, assessed by the modified Rankin Scale, Barthel Index, and Brunnstrom stages.
RESULTS: Among 310 patients, significant predictors for functional outcomes included hypertension, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, length of hospitalization, and initial National Institute of Health Stroke Scale (NIHSS). For motor recovery, the initial ability to sit independently with-out physical assistance, the initial ability to sit independently for 2 min, 24-h NIHSS, and length of hospitalization were identified as strong predictors for Brunnstrom stage recovery of upper and lower limbs.
CONCLUSION: Predictive factors including hypertension, early NIHSS, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, and length of hospitalization play a crucial role in predicting functional and motor recovery after intracerebral haemorrhage.
DESIGN: This retrospective cohort study was conducted at a tertiary referral hospital, encompassing patients diagnosed with acute spontaneous intracerebral haemorrhage from 1 June 2019, to 30 June 2023.
METHODS: Data on clinical characteristics, activity-based indicators like the initial ability to sit independently without physical assistance and the ability to sit independently for 2 minutes, and haematoma location were analysed to determine their association with functional and motor recovery outcomes, assessed by the modified Rankin Scale, Barthel Index, and Brunnstrom stages.
RESULTS: Among 310 patients, significant predictors for functional outcomes included hypertension, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, length of hospitalization, and initial National Institute of Health Stroke Scale (NIHSS). For motor recovery, the initial ability to sit independently with-out physical assistance, the initial ability to sit independently for 2 min, 24-h NIHSS, and length of hospitalization were identified as strong predictors for Brunnstrom stage recovery of upper and lower limbs.
CONCLUSION: Predictive factors including hypertension, early NIHSS, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, and length of hospitalization play a crucial role in predicting functional and motor recovery after intracerebral haemorrhage.