Motor outcomes of patients with a complete middle cerebral artery territory infarct*

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Abstract

Research Highlights

(1) This study, for the first time, reported the motor outcomes of upper and lower extremities in patients with a complete middle cerebral artery territory infarct.

Research Highlights

(2) After receiving rehabilitation treatments for 3-6 months, about 70% of patients were able to walk independently, but no patient achieved functional hand recovery.

Research Highlights

(3) Results from this study will provide supporting evidence for developing rational rehabilitation strategies and establishing proper goals for stroke patients.

Detailed knowledge of motor outcomes enables to establish proper goals and rehabilitation strategies for stroke patients. Several previous studies have reported functional or motor outcomes in patients with a middle cerebral artery territory infarct. However, little is known about motor outcome in patients with a complete middle cerebral artery territory infarct. In this study, we investigated the motor outcomes in 23 patients with a complete middle cerebral artery territory infarct. All of these patients received comprehensive rehabilitative management, including movement therapy and neuromuscular electrical stimulation of the affected finger extensors and ankle dorsiflexors, for more than 3 months. Motor outcomes were measured at 6 months after stroke onset using the Medical Research Council, Motricity Index, the modified Brunnstrom Classification, and Functional Ambulation Category scores. The motor function of the lower extremities was found to be better than that of the upper extremities. After receiving rehabilitation treatments for 3-6 months, about 70% of these patients were able to walk independently (Functional Ambulation Category scores > 3), but no patient achieved functional hand recovery.

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