Is activity loss predictive for development of upper limb oedema after stroke?
DOI:
https://doi.org/10.2340/16501977-0780Keywords:
stroke, oedema, ambulatory monitoring.Abstract
OBJECTIVE: To investigate the disuse hypothesis as an explanation for upper limb oedema in patients with stroke. DESIGN: Longitudinal observational study. PATIENTS: Patients with acute hemiparetic stroke were recruited from 2006 to 2009 (n=139). METHODS: Patients wore 2 uni-axial accelerometers, 1 on each wrist, for 2 periods of 48 h with a 1-week interval. Activity performed by the patients with acute stroke was measured by determining total activity, measured as a total sum of raw counts, and calculating the ratio variable. The National Institute of Health Stroke Scale (NIHSS), Fügl-Meyer Assessment and modified Rankin Scale were used. During a 3-month follow-up, patients underwent 3 assessments of upper limb oedema. RESULTS: The incidence of upper limb oedema range for the objective evaluation was 7.7-14.7%, while the incidence for the subjective evaluation ranged from 11.5% to 18.1%. No significant differences were found between patients with and without oedema concerning the activity variablesDownloads
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