Predicting driving performance after stroke.
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Biomedical subjects
Publications and source records attributed to F M Nouri.
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The aim of the study was to identify factors affecting the progress in physical abilities and activities of daily living of patients admitted to a stroke unit. A series of 70 patients admitted consecutively were assessed on a series of tests of motor, functional and cognitive abilities at admission. They were assessed for level of motor abilities and activities of daily living at discharge and 9 months after stroke. Predictive equations were developed which account for between 61% and 33% of the variance in motor abilities and activities of daily living at discharge and at 9 months after stroke. The most important factor influencing outcome was the degree of motor loss.
This study investigated the relationship between cognitive ability and driving after stroke. Thirty-nine pre-stroke drivers were assessed using a battery of cognitive tests followed by a road test over a set route. Subjects were graded into Pass, Borderline of Fail categories on the basis of the road test. Cognitive test results were compared across grades of driving performance and significant differences were found on nine of the 23 measures. A discriminant function analysis identified 10 tests which together predicted the grading of 94% of subjects into Pass or Fail categories.
The study was designed to evaluate the effect of electromyographic (EMG) biofeedback on the recovery of arm function after stroke. Patients who had impaired arm function and were between 2 and 8 weeks after stroke were randomly allocated to receive either treatment incorporating EMG biofeedback or a control treatment in addition to their routine physiotherapy. The two groups of 20 patients were compared before and after 6 weeks of treatment and at follow-up 6 weeks later. There were no significant differences between the groups before treatment or at follow-up, but at the end of treatment those who received EMG biofeedback scored significantly higher on tests of arm function. Patients with severe impairment were shown to benefit most from EMG biofeedback but there was no difference in response to treatment according to patient's age or side of stroke. Men had higher arm function scores than women before and at the end of treatment, but not at follow-up.