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Predictive factors of upper limb motor recovery for stroke survivors admitted to a rehabilitation program

2021· article· en· W3042525138 on OpenAlexaboutno aff
Jingyi Wu, Jiaqi Zhang, Zhongfei Bai, Song Chen

Bibliographic record

VenueEuropean Journal of Physical and Rehabilitation Medicine · 2021
Typearticle
Languageen
FieldMedicine
TopicStroke Rehabilitation and Recovery
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineRehabilitationMontreal Cognitive AssessmentStroke (engine)Physical medicine and rehabilitationObservational studyPhysical therapyCognitionLongitudinal studyPopulationCognitive impairmentInternal medicinePsychiatry

Abstract

fetched live from OpenAlex

BACKGROUND: Various factors may interact with functional gains from upper limb motor training in patients with stroke. AIM: This study aimed to explore the predictors of upper limb motor recovery in patients with stroke who were admitted to a rehabilitation program. DESIGN: A retrospective, longitudinal observational study was conducted to evaluate the change in Fugl-Meyer assessment upper extremity Score (FMA-UE) at admission and 15 and 30 days after admission. SETTING: Setting of the study was a rehabilitation hospital. POPULATION: Patients received rehabilitation training during the study period. METHODS: Demographic information and clinical factors were collected as independent variables. Longitudinal analysis of UE motor recovery measured by FMA-UE over time was performed using the mixed-effects model. RESULTS: Data from 110 participants were included. FMA-UE score showed significant increase (β=4.12, P<0.001). Cognitive functions assessed by the Montreal Cognitive Assessment (MoCA) positively correlated with the improvement in UE functions (β=0.13, P<0.001), while time since stroke negatively correlated with improvement across time (β=-0.05, P=0.019). Patients with subcortical lesions improved faster than those with mixed cortical and subcortical lesions did (difference in slope =2.83, P=0.001). Improvement in patients with moderately impaired UE motor functions was faster than in those with severely impaired UE motor functions (difference in slope =2.74, P=0.016). Severity of hemiplegia, MoCA, and time since stroke were significant predictors in multivariable, mixed-effects models. CONCLUSIONS: Initial motor and cognitive impairments may be associated with UE motor recovery in patients admitted to a rehabilitation program. CLINICAL REHABILITATION IMPACT: Early assessments of motor and cognitive impairments after stroke would contribute to the prediction of UE motor recovery in patients admitted to a rehabilitation program. The information would also help the stratification of patients for poststroke upper limb rehabilitation trials.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.014
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.629
Threshold uncertainty score0.994

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.014
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.287
Teacher spread0.275 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2021
Admission routes1
Has abstractyes

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