Last modified: 2018-09-09
Abstract
Purpose. To determine of long-term functional and cognitive outcomes in stroke patients from birth to 7 years.
Methods. 38 children from birth to 7 years (Me±16,2 months) who had stroke were examined with the PSOM (Pediatric Stroke Outcome Measure).
Results. Hemiplegic motor deficiency are observed - 33 (86.8%) and tetraplegic - 5 (13.2%) cases. Right side motor deficiency observed in 14 (36.8%), left side - in 19 (50%) and on both sides – in 5 (13.2%) patients. Scores on the PSOM sensorimotor subscale shows that deficiency identified at right side – in 15 (39.5%), at the left side – in 18 (47.4%) and on both sides – in 5 (13.2%) cases. The Spearman correlation analysis showed, a moderate positive correlation to the high level of significance between movement abnormality (hemiplegia, quadriplegia) and the side of the motor deficit (r=0.64 at p˂0,001). Likewise, we detected strong positive correlation with the high level of significance between speech deficit (understanding) and speech production deficit (exception dysarthria) (r=0,93 at p˂0,001).
Conclusion. The PSOM is a valid and reliable outcome measure for pediatric stroke. It is useful for retrospective scoring from health records and prospective serial longitudinal outcome assessments and is ideally suited for prospective clinical trials in pediatric stroke.