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If adaptations to the environment are made, they should be described in detail and attached to the Barthel index. [2] The scale was introduced in 1965, [3] and yielded a score of 0–100 (Mahoney, F.I. & Barthel, D.W., 1965. Functional Evaluation: The Barthel Index. Maryland state medical journal, 14, pp. 61–65.).
The Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance. [1]It uses the time that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees.
The Copenhagen Stroke Study found that patients who presented with ipsilateral pushing took an average of 3.6 additional weeks to reach the same functional outcome, as measured by the Barthel Index, compared with acute-stroke and hemiparesis patients who did not engage in ipsilateral pushing. [5]
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Validated instruments such as the Barthel scale may be used to assess the likelihood of a person who has had stroke being able to manage at home with or without support subsequent to discharge from a hospital. [192] Stroke rehabilitation should be started as quickly as possible and can last anywhere from a few days to over a year.
In people with acute stroke and hemiparesis, the disorder is present in 10.4% of patients. [4] Rehabilitation may take longer in patients that display pusher behaviour. The Copenhagen Stroke Study found that patients that presented with ipsilateral pushing used 3.6 weeks more to reach the same functional outcome level on the Barthel Index, than did patients without ipsilateral pushing.
The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disability.
Frailty Index (FI) = (number of health deficits present) ÷ (number of health deficits measured) For example, a person with 20 of 40 deficits collected has an FI score of 20/40 = 0.5; whilst for someone with 10 deficits, the FI score is 10/40 = 0.25. The FI takes advantage of the high redundancy in the human organism.