{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T13:48:39Z","timestamp":1760622519159},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,3,17]],"date-time":"2006-03-17T00:00:00Z","timestamp":1142553600000},"content-version":"vor","delay-in-days":1842,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2001,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>Clinical prediction of walking outcome after a stroke is essential for effective discharge planning. However, its accuracy has hardly been explored. This study took place in a regional unit admitting patients with complex neurological disabilities for specialist inpatient rehabilitation. The aim was to compare predicted outcome (goal score) with achieved outcome (discharge score) on the seven\u2010point locomotion subscale of the Functional Independence Measure (FIM), to evaluate its precision and identify factors influencing accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Admission, goal and discharge scores were analysed retrospectively for 141 subjects (90 M; 51 F) admitted consecutively to the Unit with median age 54 years (range 15\u201368 years) with median length of stay 13.6 weeks (range 3\u201335 weeks).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety subjects (64%) gained from two to six points; 50 subjects (35%) gained one point or showed no change. One patient deteriorated by two points. Excluding patients admitted with the highest score (FIM level 7), the overall level of agreement between predicted and discharge scores was moderate (weighted kappa 0.47). Prediction was accurate to \u00b11 point in 113 subjects (80%). Overprediction by \u22652 points occurred in 16 subjects (11%) and underprediction by \u22652 points in 12 subjects (9%). Analysis of the most\u2010disabled cohort, admitted with FIM levels 1 or 2 scores, revealed a higher sensitivity for predicting \u2018independence\u2019 (FIM levels 5\u20137) (78%) than \u2018dependence\u2019 (FIM levels 1\u20134) (65%). Accuracy was not affected by age, gender or side of stroke. Inaccurate predictions were associated with lower admission FIM level scores (p=\u22120.26;p=0.002) and a greater length of stay (p=0.36;p&lt;0.001). Subjects with quad\u2010riplegia were more likely to have inaccurate outcome predictions made than those with hemiplegia (p=0.025) and those with neglect were more likely to have inaccurate outcome predictions made than those without neglect (p=0.017).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Further investigation into clinical prediction and the variables which confound accuracy is needed for effective planning. Copyright \u00a9 2001 Whurr Publishers Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.209","type":"journal-article","created":{"date-parts":[[2006,3,17]],"date-time":"2006-03-17T18:18:38Z","timestamp":1142619518000},"page":"1-14","source":"Crossref","is-referenced-by-count":4,"title":["Accuracy of prediction of walking for young stroke patients by use of the FIM"],"prefix":"10.1002","volume":"6","author":[{"given":"Heather","family":"Thornton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynne","family":"Turner\u2010Stokes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,3,17]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"545","article-title":"Predictive factors in stroke rehabilitation","volume":"55","author":"Anderson TP","year":"1974","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.4.606"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-199109000-00010"},{"key":"e_1_2_1_5_1","first-page":"17","article-title":"A new measure of agreement between rank ordered variables","volume":"7","author":"Cicchetti DV","year":"1972","journal-title":"Proceedings of the American Psychological Association"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.8.1186"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(93)90119-U"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90182-1"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.3109\/03790799009166265"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.5.347"},{"key":"e_1_2_1_11_1","first-page":"137","volume-title":"Rehabilitation Outcomes: Analysis and Measurement","author":"Hamilton BB","year":"1987"},{"key":"e_1_2_1_12_1","doi-asserted-by":"crossref","first-page":"115","DOI":"10.2340\/165019771994263115119","article-title":"Interrater reliability of the 7 level Functional Independence Measure (FIM)","volume":"26","author":"Hamilton BB","year":"1994","journal-title":"Scandinavian Journal of Rehabilitation Medicine"},{"key":"e_1_2_1_13_1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/0003-9993(94)90385-9","article-title":"Prediction of rehabilitation outcomes with disability measures","volume":"75","author":"Heinemann AW","year":"1994","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215500cr358oa"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.148"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.17.4.765"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80038-7"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(14)60488-8"},{"key":"e_1_2_1_19_1","first-page":"95","article-title":"Motor and functional recovery after stroke: accuracy of physical therapists' predictions","volume":"70","author":"Korner\u2010Bitensky N","year":"1989","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.1.78"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638289609165892"},{"key":"e_1_2_1_22_1","first-page":"61","article-title":"Functional Evaluation; the Barthel Index","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"Maryland State Medical Journal"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.2.247"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.11.1354"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1191\/026921599672994947"},{"key":"e_1_2_1_26_1","unstructured":"StataCorp.Stata Statistical Software Release 6.0. Stata Corporation College Station Texas USA 1999."},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1191\/026921599676896799"},{"key":"e_1_2_1_28_1","first-page":"7","volume-title":"Clinical Decision Making in Physical Therapy","author":"Watts NT","year":"1985"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.2.388"},{"key":"e_1_2_1_30_1","first-page":"252","article-title":"Day hospital and home physiotherapy for stroke patients: a comparative cost\u2010effectiveness study","volume":"27","author":"Young J","year":"1993","journal-title":"Journal of the Royal College of Physicians of London"}],"container-title":["Physiotherapy Research International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpri.209","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.209","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T19:02:59Z","timestamp":1700420579000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pri.209"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,3]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2001,3]]}},"alternative-id":["10.1002\/pri.209"],"URL":"https:\/\/doi.org\/10.1002\/pri.209","archive":["Portico"],"relation":{},"ISSN":["1358-2267","1471-2865"],"issn-type":[{"value":"1358-2267","type":"print"},{"value":"1471-2865","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,3]]}}}