severe stroke poor prognosis:
mod-severe cog. deficits hemiplegia Brunnstrom stage 1-2 severe sensory def. sitting balance impaired bowel and bladder incontinence barthel <60 tx focus: caregiver/pt education, compensations
mod stroke: fair prognosis
mod. cog. deficits hemiplegia brunnstrom stages 2-3 mild sensory deficits standing balance impaired bladder incontinence barthel >60 major comorbidities tx focus: compensations
Mild stroke: good prognosis
mild/no cog. deficits hemiplegia (brunnstrom stages 4-5) mild/no sensory deficits good standing balance continent few comorbidities *all resources should go to this patient tx focus: recovery
minimal stroke: excellent prognosis
good cognition slight hemiparesis (brunnstrom stages 5-6) no sensory deficits good balance continent few comorbidities
Orpington prognostic scale
scores range from 1.6 (best) to 6.8 (worst) focuses on motor deficit in arm, proprioception, walking and balance and ….???
what are the cut off scores of the OPS and what do they mean?
???
pts with PD have worse prognosis if…
diagnosed older (57-78) hypokinesia- rigidity upon initial presentation don't respond to dopamine