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Bulletin of Faculty of Physical Therapy
Fig. 5 | Bulletin of Faculty of Physical Therapy

Fig. 5

From: Alternative prognosis of recovery assessment for the hemiparetic limb (APRAHL): a biomarker-free algorithm that predicts recovery potential for stroke patients

Fig. 5

The APRAHL algorithm for the hemiplegic upper-limb prognosis. SAFE, sum of the shoulder abduction and finger extension Medical Rating Council muscle grades at day 3 after stroke; MaSoNT, Mobilization and Stimulation of Neuromuscular Tissue; NIHSS, National Institutes of Health Stroke Scale. The test starts at day 3 after stroke. The patient is categorized according to the SAFE score to very good recovery if the score is above or equal to 8. If the SAFE score is lower than 8, the basic technique of MaSoNT is applied on the extensors’ muscle group of the upper limb at day 3. The therapist, then, assesses the elicited brisk muscular contraction which is triggered as a response to that stimulation. If the response is a vivid muscular contraction in a large range of motion, the prognosis is good. If there is no response or if the response is narrow or subtle or takes more than three applications to elicit, the prognosis is limited if the NIHSS is under 8 and poor if the NIHSS is over 8

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