0000000000286146
AUTHOR
Joan Ferri Campos
Determining cut-off points in functional assessment scales in stroke
[EN] BACKGROUND: A wide variety of well-validated assessment scales of functioning and disability have been developed for stroke population. However, these instruments have limitations in their interpretation. Therefore, determining cut-off points for their categorization becomes necessary. OBJECTIVES: To determine cut-off points for the BI, FIM and FAM scales to differentiate clinical disability categories and to establish the relationship between mRS and DOS scales. METHODS: One hundred and six adults with ischemic or haemorrhagic stroke were mainly recruited from a rehabilitation facility (Hospitales Nisa, Valencia, Spain). RESULTS: A high correlation was observed between the DOS and mRS…
Neuropsicología de los Estados Alterados de la Conciencia: Criterios Clínicos, Pronósticos y Diagnósticos
El daño cerebral adquirido constituye en la actualidad un importante problema sociosanitario. Entre 30-40% de pacientes con graves lesiones cerebrales tendrán una alta discapacidad con niveles alterados de la conciencia. Estos pueden originarse por lesiones corticales difusas y/o por lesiones localizadas en el troncoencéfalo, lugar donde se halla el sistema activador reticular ascendente. Otras estructuras encefálicas relacionadas son el córtex de asociación o el tálamo medial entre otras. Es necesario unificar criterios, protocolizar las valoraciones, así como validar herramientas de diagnósticos ya que son prácticamente inexistentes en este campo. Es importante poder describir la nomencla…
Study of the recovery patterns of elderly subacute stroke patients in an interdisciplinary neurorehabilitation unit
Background This study seeks to establish the facts of the improvement over time in elderly poststroke patients. Methods A retrospective study was performed with regard to 106 subacute stroke patients aged older than 65 years, who were treated in an interdisciplinary neurorehabilitation unit. Three assessment points were established (on admission, 6 months post-onset, and 12 months post-onset), with the scores relative to 10 assessment scales having been collected at each point. Results By means of a principal component analysis, a first component was obtained, which is taken to represent a combined index of the 10 scales and to express the overall health status of the patient. An analysis o…