Motor function daily living skills 5 years after paediatric arterial ischaemic stroke: a prospective longitudinal study

Developmental Medicine and Child Neurology
Anna N CooperAnne Gordon

Abstract

To describe 5-year motor and functional outcomes after paediatric arterial ischaemic stroke (AIS) and to explore factors associated with poorer long-term outcome. Thirty-three children (21 males, 12 females) with AIS were recruited to a single-site, cross-sectional study, from a previously reported prospective longitudinal stroke outcome study. Children were stratified according to age at diagnosis: neonates (≤30d), preschool (>30d-5y), and school age (≥5y). Motor and functional outcomes were measured at 5 years after stroke. Neurological outcomes were evaluated using the Pediatric Stroke Outcome Measure (PSOM) at 1 month and more than 4 years after stroke. At 5 years after stroke, motor function, quality of life, fatigue, adaptive behaviour, activities of daily living, and handwriting speed were significantly poorer than age expectations. The preschool group had the highest percentage of fine and gross motor impairment. Poorer fine motor skills were associated with subcortical-only lesions and large lesion size. Poorer gross motor outcomes correlated with preschool age, bilateral lesions, and PSOM impairment at 1 month. Children are at elevated risk for motor and functional impairments after AIS, with the preschool age group m...Continue Reading

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Citations

Nov 1, 2018·Developmental Medicine and Child Neurology·Stijn Roggeman, Chris Truyers
Dec 10, 2019·Annals of Physical and Rehabilitation Medicine·Marie-Doriane MorardUNKNOWN AVCnn Study Group
Nov 24, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sami UllahMaria Fe Flandez
Feb 25, 2021·Journal of Child Neurology·Abhinandan SoodNaveen Sankhyan

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