{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:59:46Z","timestamp":1792594786978,"version":"4.5.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2001,2]]},"abstract":"<jats:p>\n            <jats:italic>Background and Purpose<\/jats:italic>\n            \u2014Relatively few data exist concerning functional recovery after ischemic and hemorrhagic cerebellar stroke. We studied patients admitted to a rehabilitation hospital after cerebellar stroke to quantify recovery after rehabilitation therapy and to identify variables that predicted functional outcome.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Methods<\/jats:italic>\n            \u2014This study was a retrospective review of consecutive cases admitted in a 4-year period with new cerebellar infarct or hemorrhage. Clinical features of stroke were recorded and comorbidities scored with the Charlson Index. Follow-up information was obtained by telephone interview. The Functional Independence Measure (FIM) was scored at admission (AFIM), discharge (DFIM), and follow-up (FFIM). Outcome measures were DFIM and FFIM. Univariate and multivariate analyses were performed.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Results<\/jats:italic>\n            \u2014Fifty-eight cases were identified (mean age 69.2 years; 49 infarcts, 9 hemorrhages). Mean AFIM was 65.5, and mean DFIM was 89.8. Mean AFIM was significantly higher in the infarct than in the hemorrhage subgroup (70 versus 43,\n            <jats:italic>P<\/jats:italic>\n            =0.006). Mean DFIM was also higher in the infarct subgroup but did not reach statistical significance (93 versus 74,\n            <jats:italic>P<\/jats:italic>\n            =0.1). Follow-up information was obtained for 45 cases (78%) (mean interval 19.5 months). Median FFIM was 123.5. Outcome was significantly positively correlated with AFIM and initial presenting syndrome of vertigo\/vomiting\/ataxia\/headache. Outcome correlated negatively with preexisting comorbidity score, altered level of consciousness at initial presentation, and superior cerebellar artery infarction. On multivariate analysis, AFIM and comorbidity score were independent predictors of outcome.\n          <\/jats:p>\n          <jats:p>\n            <jats:italic>Conclusions<\/jats:italic>\n            \u2014Substantial improvement of mean FIM score frequently occurs after rehabilitation after cerebellar infarction. Functional outcome is best predicted by preexisting comorbidities and functional status at the time of discharge from acute hospitalization.\n          <\/jats:p>","DOI":"10.1161\/01.str.32.2.530","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"530-534","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":128,"title":["Functional Recovery After Rehabilitation for Cerebellar Stroke"],"prefix":"10.1161","volume":"32","author":[{"given":"P. J.","family":"Kelly","sequence":"first","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Stein","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Shafqat","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Eskey","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Doherty","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Chang","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kurina","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. L.","family":"Furie","sequence":"additional","affiliation":[{"name":"From the Department of Physical Medicine and Rehabilitation (P.J.K., J.S., S.S., D.D., A.K., K.L.F.), Spaulding Rehabilitation Hospital, Boston, Mass; Stroke Service (P.J.K., S.S., A.K., K.L.F.), Department of Neurology, Massachusetts General Hospital, Boston, Mass; Clinical Investigator Training Program (P.J.K.), Harvard\/MIT Health Sciences and Technology, Beth Israel Deaconess Medical Center, in collaboration with Pfizer Inc, Boston, Mass; Division of Neuroradiology (C.E.), Department of Radiology..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.41.7.973"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/000331979604700902"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.23.7.1615540"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.13.1.7039001"},{"key":"e_1_3_2_5_2","unstructured":"Wijman CAC Kase CS. Intracerebral hemorrhage In: Barnett HJM Mohr JP Stein BM Yatsu FM eds. Stroke: Pathophysiology Diagnosis and Management. 3rd ed. New York NY: Churchill Livingstone; 1998:1359\u20131371."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.23.7.1615544"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.25.2.8303748"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.18.5.3629642"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.24.1.8418555"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004150050344"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/str.24.11.8236346"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.47.5.1125"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_3_2_14_2","unstructured":"Keith RA Granger CV Hamilton BB Sherwin FS. The Functional Independence Measure: a new tool for rehabilitation. In: Eisenberg MG Grzesiak RC eds. Advances in Clinical Rehabilitation. New York NY: Springer Publishing; 1987:6\u201318."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638289509166622"},{"key":"e_1_3_2_16_2","first-page":"790","volume":"71","year":"1991","unstructured":"Hamilton BB, Laughlin JA, Granger CV, Kayton RM. Interrater agreement of the seven level Functional Independence Measure (FIM). Arch Phys Med Rehabil. 1991;71:790. Abstract.","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_3_2_17_2","first-page":"919","volume":"23","year":"1992","unstructured":"Pallicino P, Snyder W, Granger C. The NIH Stroke Scale and the FIM in stroke rehabilitation. Stroke. 1992;23:919. Letter.","journal-title":"Stroke"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(96)90029-5"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199603283341306"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/01.STR.32.2.530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:31:49Z","timestamp":1715553109000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.32.2.530"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,2]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,2]]}},"alternative-id":["10.1161\/01.STR.32.2.530"],"URL":"https:\/\/doi.org\/10.1161\/01.str.32.2.530","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,2]]},"assertion":[{"value":"2000-07-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-10-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2001-02-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}