Wade et al developed 2 simple equations for predicting the Barthel Activies of Daily Living (ADL) Score for a patient at 6 months after an acute stroke. These can help identify a patient who may benefit from more aggressive management. The authors are from the Frenchay Hospital in Bristol, England.
Parameters:
(1) urinary incontinence at initial assessment
(2) motor deficit arm
(3) sitting balance
(4) hemianopia
(5) age in years
(6) initial Barthel ADL score
Parameter |
Finding |
Points |
---|---|---|
urinary incontinence |
not incontinent |
1 |
|
some incontinence (<= 1 time in 24 hours) |
2 |
|
usually incontinent (> 1 time in 24 hours) |
3 |
motor deficit arm |
normal motor activity and function |
1 |
|
some motor deficit, some function deficit |
2 |
|
some motor deficit, no function |
3 |
|
complete motor and function deficit (no movement at all) |
4 |
sitting balance |
normal (able to sit for 1 minute on side of bed without support despite attempt to displace) |
1 |
|
slightly abnormal (can sit for 1 minute on side of bed, but falls over with an attempt to displace) |
2 |
|
severely abnormal (unable to sit on side of bed for 1 minute without support) |
3 |
hemianopia |
normal |
1 |
|
visual inattention |
2 |
|
hemianopia |
3 |
equation 1 for predicting 6-month Barthel score =
= 151 - (4.3 * (points for urinary incontinence)) - (5.9 * (points for motor deficit arm)) - (2.8 * (points for sitting balance)) - (2 * (points for hemianopia)) - (0.5 * (age in years))
equation 2 for predicting 6-month Barthel score =
= 100 + (0.31 * (initial Barthel score)) - (2.6 * (points for hemianopia)) - (0.4 * (age in years))
Purpose: To predict the Barthel activities of daily living (ADL) score at 6 months in an acute stroke patient using the equations of Wade et al.
Specialty: Sports Medicine & Rehabilitation, Neurology
Objective: severity, prognosis, stage, physical and lifestyle, quality of life
ICD-10: I61, I62, I63, I64,