Stroke Survivors Scoring Zero on the NIH Stroke Scale Score Still Exhibit Significant Motor Impairment and Functional Limitation

Joint Authors

Hand, Brittany
Page, Stephen J.
White, Susan

Source

Stroke Research and Treatment

Issue

Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2014-03-17

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Diseases

Abstract EN

Objective.

To determine the National Institutes of Health Stroke Scale’s (NIHSS’s) association with upper extremity (UE) impairment and functional outcomes.

Design.

Secondary, retrospective analysis of randomized controlled trial data.

Setting.

Not applicable.

Participants.

146 subjects with stable, chronic stroke-induced hemiparesis.

Intervention.

The NIHSS, the UE Fugl-Meyer (FM), and the Arm Motor Ability Test (AMAT) were administered prior to their participation in a multicenter randomized controlled trial.

Main Outcome Measures.

The NIHSS, FM, and AMAT.

Results.

The association between the NIHSS and UE impairment was statistically significant ( P = - 0.204 ; p = 0.014 ) but explained less than 4% of the variance among UE FM scores.

The association between NIHSS total score and function as measured by the AMAT was not statistically significant ( P = - 0.141 ; p = 0.089 ) .

Subjects scoring a “zero” on the NIHSS exhibited discernible UE motor deficits and varied scores on the UE FM and AMAT.

Conclusion.

While being used in stroke trials, the NIHSS may have limited ability to discriminate between treatment responses, even when only a relatively narrow array of impairment levels exists among patients.

Given these findings, NIHSS use should be restricted to acute stroke studies and clinical settings with the goal of reporting stroke severity.

American Psychological Association (APA)

Hand, Brittany& Page, Stephen J.& White, Susan. 2014. Stroke Survivors Scoring Zero on the NIH Stroke Scale Score Still Exhibit Significant Motor Impairment and Functional Limitation. Stroke Research and Treatment،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1047695

Modern Language Association (MLA)

Hand, Brittany…[et al.]. Stroke Survivors Scoring Zero on the NIH Stroke Scale Score Still Exhibit Significant Motor Impairment and Functional Limitation. Stroke Research and Treatment No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1047695

American Medical Association (AMA)

Hand, Brittany& Page, Stephen J.& White, Susan. Stroke Survivors Scoring Zero on the NIH Stroke Scale Score Still Exhibit Significant Motor Impairment and Functional Limitation. Stroke Research and Treatment. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1047695

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1047695