Table 4 Algorithm predictions
Predicted outcome | Description | Proposed rehabilitation focus |
|---|---|---|
Very Good | Potentially able to gain close-to-complete recovery of hand and arm function within 3 months | Promote normal use of the affected hand and arm with task-specific practice, while minimizing adaptation and compensation |
Good | Potentially able to use the affected hand and arm for many daily living activities within 3 months, though with some clumsiness, slowness, or weakness | Promote normal function of the affected hand and arm by improving strength, coordination, and fine motor control with repetitive and task-specific practice. Minimize compensation with the other hand and arm and the trunk |
Limited | Potentially to regain movement in the affected hand and arm within 3 months, but daily activities are likely to require significant modification | Promote movement and reduce impairment by improving strength and active range of motion. Promote adaptation in daily activities, incorporating the affected upper limb wherever safely possible |
Poor | Unlikely to regain useful movement of the hand and arm within 3 months | Prevent secondary complications such as pain, spasticity, and shoulder instability. Reduce disability by learning to complete daily activities with the stronger hand and arm |