{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:06:23Z","timestamp":1753869983036,"version":"3.41.2"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A frequent sequela of stroke is upper limb (UL) impairment. Accurate UL function prognosis is crucial for targeted rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the accuracy of physiotherapists' predictions of UL function and investigate whether prediction accuracy is affected by physiotherapists' seniority within rehabilitation and\/or their level of education. Physiotherapist predictions were compared with a prediction algorithm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 81 patients were included. Two weeks post\u2010stroke, physiotherapists predicted UL function based on clinical reasoning. ARAT scores (<jats:italic>poor<\/jats:italic>, <jats:italic>limited<\/jats:italic>, <jats:italic>good<\/jats:italic>, or <jats:italic>excellent<\/jats:italic>) at 3\u00a0months post\u2010stroke served to determine prediction accuracy. Prediction accuracy was calculated as correct classification rate (CCR). Logistic regression was used to explore the effect of seniority and education. McNemar's test was applied to compare physiotherapist predictions to an algorithm applied 2\u00a0weeks post\u2010stroke to the same patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall correct classification rate (CCR) of physiotherapist predictions was 41% (95% CI: 30\u201351). Predictions were most accurate for the <jats:italic>excellent<\/jats:italic> (75%) and <jats:italic>poor<\/jats:italic> (71%) categories, but lower for <jats:italic>limited<\/jats:italic> (22%) and <jats:italic>good<\/jats:italic> (30%). No association was observed between prediction accuracy and physiotherapist seniority or education. There was a tendency, but not a statistically significant superiority, in the prediction accuracy of the algorithm compared to the physiotherapist predictions (Odds ratio 2 [95% CI: 0.96\u20134.39], McNemar <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0455, exact McNemar <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0652).<\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p><jats:bold>Trial Registration:<\/jats:bold> Project number: 628213.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.70056","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T08:54:11Z","timestamp":1743497651000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Upper Limb Function 3\u00a0Months Post\u2010Stroke: How Accurate Are Physiotherapist Predictions?"],"prefix":"10.1002","volume":"30","author":[{"given":"Sara Kj\u00e6r","family":"Bastholm","sequence":"first","affiliation":[{"name":"Hammel Neurorehabilitation and Research Centre  Hammel Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris Charlotte","family":"Brunner","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Aarhus University Denmark and Hammel Neurorehabilitation and Research Centre  Hammel Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6836-2233","authenticated-orcid":false,"given":"Camilla Biering","family":"Lundquist","sequence":"additional","affiliation":[{"name":"Hammel Neurorehabilitation and Research Centre  Hammel Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2021.07.808"},{"issue":"2","key":"e_1_2_11_3_1","first-page":"79","article-title":"The Prognostic Value of Motor\u2010Evoked Potentials in Motor Recovery and Functional Outcome After Stroke\u2014A Systematic Review of the Literature","volume":"27","author":"Bembenek J. P.","year":"2012","journal-title":"Functional Neurology"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968317732668"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.24472"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1743\u20100003\u201011\u201067"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab040"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1682\/jrrd.2005.04.0075"},{"issue":"3","key":"e_1_2_11_9_1","first-page":"389","article-title":"Is Health\u2010Related\u2010Quality of Life of Stroke Patients Influenced by Neurological Impairments at One Year After Stroke?","volume":"46","author":"Franceschini M.","year":"2010","journal-title":"European Journal of Physical and Rehabilitation Medicine"},{"key":"e_1_2_11_10_1","unstructured":"Health DNBo. Danish National Board of Health.2014. \u201cNational Klinisk Retningslinje for Fysioterapi og Ergoterapi Til Voksne Med Nedsat Funktionsevne Som F\u00f8lge af Erhvervet Hjerneskade Herunder Apopleksi.\u201d"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010015\u20101100\u20100"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.28.6.1138"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0004\u20109514(14)60488\u20108"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2020.1783915"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968316662708"},{"issue":"2","key":"e_1_2_11_16_1","first-page":"95","article-title":"Motor and Functional Recovery After Stroke: Accuracy of Physical Therapists\u2019 Predictions","volume":"70","author":"Korner\u2010Bitensky N.","year":"1989","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000506396"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.Str.0000087172.16305.Cd"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1191\/026921500675130139"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968320971763"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102020\u2010038880"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0004\u20109514(08)70034\u20105"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000170706.13595.4f"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/strokeaha.109.572065"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20120112"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/15459683241237975"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr832oa"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/acn3.488"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545968307305353"}],"container-title":["Physiotherapy Research International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pri.70056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T09:20:36Z","timestamp":1747905636000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pri.70056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/pri.70056"],"URL":"https:\/\/doi.org\/10.1002\/pri.70056","archive":["Portico"],"relation":{},"ISSN":["1358-2267","1471-2865"],"issn-type":[{"type":"print","value":"1358-2267"},{"type":"electronic","value":"1471-2865"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-07-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70056"}}