{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:45:31Z","timestamp":1793378731935,"version":"4.5.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[1999,12,1]],"date-time":"1999-12-01T00:00:00Z","timestamp":944006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[1999,12]]},"abstract":"<jats:p> Objective: To develop a prognostic model to estimate the probability of patients being independent in ambulation and in activities of daily living (ADL) after six months of stroke. <\/jats:p><jats:p> Design: Cohort analytical study. Setting: Rehabilitation departments of two district general hospitals. Subjects: Ninety-two consecutive stroke patients admitted to a rehabilitation programme. Main outcome measures: Independent ambulation was defined as a Functional Ambulation Classification (FAC) \u22654, and the independence in ADL as a Barthel Index (BI) \u226585. All patients were assessed on admission to rehabilitation, and in the first, second, third, fourth and six months after stroke. <\/jats:p><jats:p> Results: Prognostic factors were identified by means of a multivariate survival analysis using Cox regression. Three variables were predictors for a FAC \u22654: (1) The patients in the motor (M), motor-sensitive (MS) and motor-sensitive with hemianopsia (MSH) groups (relative risk (RR) 5.43 of M with respect to MSH, and 2.41 of MS to MSH). (2) A Motricity Index &gt;25 (RR 3.19). (3) An age &lt;70 years old (RR 1.99). For a BI \u226585 three predictors were selected: (1) The classification M\u2013MS\u2013MSH (RR 6.02 M to MSH, and 1.52 MS to MSH). (2) An initial BI &gt;20 (RR 3.45); the highest contribution in the achievement of an initial BI &gt;20 was bowel and bladder continence. (3) The antecedent of previous independence (RR 2.68). The predictive models, constructed by means of multiple logistic regression correctly classified 77% and 79% of the patients who obtained FAC \u22654 and a BI \u226585 respectively. <\/jats:p><jats:p> Conclusions: The syndromic classification M, MS and MSH, together with other routinely available data, such as the Motricity Index, BI, the age and the previous functionality, can be used to obtain a patient prognosis level with regard to ambulation and ADL independence. <\/jats:p>","DOI":"10.1191\/026921599672994947","type":"journal-article","created":{"date-parts":[[2003,5,13]],"date-time":"2003-05-13T05:30:08Z","timestamp":1052803808000},"page":"464-475","source":"Crossref","is-referenced-by-count":67,"title":["Predictive model of functional independence in stroke patients admitted to a rehabilitation programme"],"prefix":"10.1177","volume":"13","author":[{"given":"I","family":"S\u00e1nchez-Blanco","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation Service, The University of Salamanca, Zamora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Ochoa-Sangrador","sequence":"additional","affiliation":[{"name":"Responsible of the Research Unit, Virgen de la Concha Hospital, Zamora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"L\u00f3pez-Muna\u00edn","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Service, Marqu\u00e9s de Valdecilla Hospital, Santander, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Izquierdo-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation Service, Virgen de la Concha Hospital, Zamora, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Fermoso-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Service of Neurology, The University of Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,12,1]]},"reference":[{"issue":"2","key":"atypb1","first-page":"68S","volume":"21","author":"Task Force on Stroke Impairment","year":"1990","journal-title":"Stroke"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410380110"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.10.1765"},{"key":"atypb4","first-page":"505","volume":"65","author":"Hertanu JS","year":"1984","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.26.11.2023"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.17.4.765"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.50.2.177"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-198806000-00002"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/0168-6054(96)89335-4"},{"key":"atypb10","first-page":"224","volume":"64","author":"Wade DT","year":"1983","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1987.tb03543.x"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.13.5.641"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/18.3.183"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.1.78"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.21.1.82"},{"key":"atypb16","first-page":"729","volume":"68","author":"Novack TA","year":"1987","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb17","first-page":"415","volume":"69","author":"Kelly-Hayes M","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.56.3.308"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.55.5.347"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.11.1354"},{"key":"atypb21","first-page":"1407","volume":"20","author":"World Health Organization","year":"1989","journal-title":"Recommendation on stroke prevention, diagnosis, and therapy: report of the WHO Task Force on Stroke and other Cerebrovascular Disorders. Stroke"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1159\/000115178"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1177\/026921559100500403"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)93206-O"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.12.1801"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(74)91639-0"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/1.4.233"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1177\/026921559200600104"},{"key":"atypb29","first-page":"169","volume":"36","author":"Brun V","year":"1993","journal-title":"Ann R\u00e9adap M\u00e9d Phys"},{"key":"atypb30","first-page":"61","volume":"14","author":"Mahoney FI","year":"1965","journal-title":"Md State Med J"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/64.1.35"},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.49.6.1694"},{"key":"atypb33","first-page":"506","volume":"69","author":"Granger CV","year":"1988","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"atypb34","first-page":"64S","volume":"21","author":"Chino N","year":"1990","journal-title":"Stroke"},{"key":"atypb35","first-page":"63","volume-title":"Advances in stroke rehabilitation","author":"Barton LA","year":"1993"},{"key":"atypb36","first-page":"777","volume":"68","author":"Bohanon RW","year":"1987","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-199109000-00010"},{"key":"atypb38","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.4.729"},{"key":"atypb39","first-page":"100","volume":"70","author":"Granger CV","year":"1989","journal-title":"Relative merits of the total Barthel index score and a four-item subscore in predicting patient outcomes. 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