Article ID: 11643
Purpose: The acute motor functional prognosis was evaluated in patients with branch atheromatous disease (BAD).
Method: Overall, 101 patients with BAD were enrolled from March 2016 to February 2019. Patients with paralysis in their upper limbs and lower limbs were classified into good and bad groups based on their paralysis status at discharge. The patients' age, gender, paralyzed side, National Institute of Health Stroke Scale (NIHSS) at admission, lesion area, infarct area, rehabilitation start date, Fugl-Meyer Assessments (FMA) of the upper and lower limbs, starting Mini-mental State Examination (MMSE) score, hospitalization days, OT session, and PT session were analyzed. Thereafter, univariate and logistic regression analyses were performed.
Results: The univariate analysis revealed significant differences in age, NIHSS at admission, infarct area, FMA, MMSE at initiation, and hospital days in both patients with paralysis in their upper and lower limbs. The logistic regression analysis revealed that FMA was an independent factor in both patients with paralysis in their upper and lower limbs. The cut-off values were 18 for the upper limb (area under the curve, 0.94; sensitivity, 0.80; and specificity, 0.93) and 19 for the lower limb (area under the curve, 0.88; sensitivity, 0.80; and specificity, 0.82).
Conclusion: The initial FMA in patients with BAD was most relevant to motor functional prognosis from the acute phase in the upper and lower limbs.
