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Questions for part A
Published in Henry J. Woodford, Essential Geriatrics, 2022
Which of these is required for a person to obtain a maximum score on the Barthel Index?ContinentNo cognitive impairmentNormal sitting balanceRequiring only verbal assistance to manage stairsWalks with no aids
Community- and Home-Based Rehabilitation of COVID-19
Published in Wenguang Xia, Xiaolin Huang, Rehabilitation from COVID-19, 2021
The Barthel Index is used to assess daily living abilities, which includes the ability to defecate, urinate, use the toilet, eat, transfer beds and chairs, walk, dress, go upstairs and downstairs, and bathe independently. Communication with the outside world is an essential human survival ability, while social participation manifests comprehensive ability. Clinically, it has been found that some patients are unable to achieve regular interpersonal communication and return to work due to their long medical treatment, which requires a more extended period of rehabilitation and more help from society.
Drug Products with Multiple Components—Development of TCM
Published in Shein-Chung Chow, Innovative Statistics in Regulatory Science, 2019
As an example, for assessment of safety and efficacy of a drug product for treatment of ischemic stroke, a commonly considered primary clinical endpoint is the functional status assessed by the so-called Barthel index. The Barthel index is a weighted functional assessment scoring technique composed of 10 items with a minimum score of 0 (functional incompetence) and a maximum score of 100 (functional competence). The Barthel index is a weighted scale measuring performance in self-care and mobility, which is widely accepted in ischemic stroke clinical trials. A patient may be considered a responder if his/her Barthel index is greater than or equal to 60. On the other hand, Chinese doctors usually consider a quantitative instrument developed by the Chinese medical community as the standard diagnostic procedure for assessment of ischemic stroke. The standard quantitative instrument is composed of six domains, which capture different information regarding patient’s performance, functional activities, and signs and symptoms and status of the disease.
The role of extracranial carotid duplex in predicting functional outcome in first time lacunae strokes
Published in Neurological Research, 2023
Ting-Wei Jiang, Ying-Lin Hsu, Ju-Lan Yang, Yin-Tzer Shih, Chih-Ming Lin
All the patients were evaluated using the National Institutes of Health Stroke Scale (NIHSS) [8], modified Rankin scale (mRS) [9], and Barthel Index [10] upon first admission to the emergency department (ED) for assessment of their neurological and independent capacities. The stroke case manager-in-charge documented the recordings and compared them with the neurologist values. If any major discrepancy existed, the ED doctor was called in to decide the final verification and measurements were ultimately documented on the medical sheets. NIHSS follow-ups took place up to 1 month after neurological ward discharge, while the Barthel Index and mRS were investigated up to 2 months and more than one year, respectively, after discharge. From the mRS perspective, patients were followed up 3, 6, and 12 months after discharge and the results were recorded on the medical computer system. The NIHSS score specifically measures patient neurological function and runs from 0 to 42 points, with higher points indicating more unfavorable/worse neurological deficits. The Barthel index is a clinical assessment tool designed for gauging the capacity of daily life activity ranging from 0 to 100 points, with the highest points representing the best daily independence a patient can reach. The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered neurological disability from a stroke or from other causes. The scale runs from 0 (perfect health without symptoms) to 6 (death).
Early clinical predictors of post stroke spasticity
Published in Topics in Stroke Rehabilitation, 2021
Stefanie Glaess-Leistner, Song Jin Ri, Heinrich J Audebert, Jörg Wissel
We also found that paresis could be highly predictive for PSS occurrence, given that it was observed in 100% of patients developing PSS in the first three months following stroke. However, 36% of patients without PSS also had paresis of limbs contralateral to the cerebral lesion. Therefore, the existence of paresis can be just only a precondition of PSS, but not a predictor. Actually, in other study 42.6% of patients with initial paresis due to stroke showed PSS in 6 months and they suggested that severe paresis at onset would be a strong predictor of PSS.8 In our study, topical distribution, paresis extent and severity, thereby, severe affected function status from paresis were also crucial factors given that the more severe the paresis and dysfunction in clinical assessments, the higher the proportion of patients that suffer from PSS. Overall, the extent of functional impairment was shown to be a significant predictor of PSS. A high NIHSS score as expression of damaged neurological functions, in addition to low Barthel Index and high Rankin Scale score as the expression of functional limitation and impairment in everyday functions, in addition to a low MMSE score as the expression of reduced cognitive ability, was all associated with PSS occurring in the later post-stroke period. Severe stroke status is associated with their affected life quality i. e. low Barthel Index and with functional impairment i. e. high score for modified Rankin scale and these were often associated with the development of PSS.8,10,18
A scoping review of psychoeducational interventions for people after transient ischemic attack and minor stroke
Published in Topics in Stroke Rehabilitation, 2021
Eirini Kontou, Jade Kettlewell, Laura Condon, Shirley Thomas, Abigail R. Lee, Nikola Sprigg, Dame Caroline Watkins, Marion F. Walker, Farhad Shokraneh
Although all studies state that they included TIA and/or minor stoke participants, the definition of diagnoses was variable and, in some cases unclear. The diagnosis of minor/mild stoke across the studies was (i) National Institutes of Health Stroke Scale (NIHSS) score of ≥1, 0 to 5, ≤3, or ≤15; (ii) score >8.5/11.5 on the Canadian Neurological Scale; (iii) a modified Rankin Score between 0 and 2; (iv) Barthel Index score of >60 or ≥65; (v) minor stroke confirmed by positive findings on CT or MRI of the head. There was no common definition of minor stroke, and no explicit definition of TIA. The number of participants with a TIA versus minor stroke diagnosis was not clearly reported in one study24 and three studies included both diagnoses but did not report the numbers.23,25,26