Pediatric Stroke Recovery: A Descriptive Analysis

ediatric neurology Journal :

Volume 90, Issue 4, Pages 657-662 (April 2009)
22 of 32

Pediatric Stroke Recovery: A Descriptive Analysis

 

Chong-Tae Kim, MD, PhDab, James Han, DO, MSb, Heakyung Kim, MDab

 

Abstract 

Kim C-T, Han J, Kim H. Pediatric stroke recovery: a descriptive analysis.

 

Objective

To investigate recovery patterns and potential prognostic factors of pediatric stroke.

 

Design

Retrospective study.

 

Setting

Acute rehabilitation at a university-based children’s hospital.

 

Participants

Children (N=44; 25 boys, 19 girls; age range, 8mo–17y) with diagnosis of first-ever stroke.

 

Interventions

Not applicable.

 

Main Outcome Measures

Functional outcomes at discharge and 1-year follow-up. Modified Brunnstrom stages, Gross Motor Function Classification System, activities of daily living (ADLs), swallowing, speech, and sphincter function were measured.

 

Results

Recovery of swallowing function occurred earlier than other functions in the first 2 to 3 months poststroke. Less than half of the patients were able to use the affected arms and legs without assistive devices. Eleven of 32 patients who initially had poor body control became ambulatory without assistive devices. A total of 18 of 44 patients were able to walk without assistive devices. Bilateral hemisphere lesions and flaccid muscle tone of the affected extremity at stroke onset had a less favorable prognosis in terms of ambulation and ADLs. Hemorrhagic strokes without surgical complications had a better prognosis than nonhemorrhagic strokes.

 

Conclusions

Similar to the adult stroke population, most of the functional recovery in pediatric stroke occurs within the first 2 to 3 months after stroke, but the quality of functional recovery was better in the pediatric population. The lesion size of the stroke was found to be related to prognosis. Additional large cohort studies are suggested to understand the complex similarities and differences in recovery between pediatric and adult stroke.

 

Key Words: Rehabilitation, StrokeList of Abbreviations: ADLs, activity of daily living, GMFCS, Gross Motor Function Classification System

 

 

Supported  by
CLINICAL PEDIATRIC ONLINE 

Yudhasmara Foundation Indonesia 

JL Taman Bendungan Asahan 5 Jakarta Indonesia 102010

phone : 62(021) 70081995 – 5703646

email : judarwanto@gmail.com,

http://clinicalpediatric.wordpress.com/

 

Copyright © 2009, Clinical Pediatric Online Information Education Network. All rights reserved.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s