Grip recovery in hemiplegic patients

During a stroke, damage to the upper limb places severe demands on the prehension function.Objective: To assess the level of grip recovery in vascular hemiplegics and associated factors in patients followed in Côte d'Ivoire.Materials and methods: Prospective study conducted in the physical medicine and rehabilitation department of the Yopougon University Hospital in Abidjan. All patients with an upper limb motor deficit following a 1st stroke were included in the study. Patients were assessed using the Enjalbert functional scale, first on admission and then at 3 months.Results: Thirty patients were present at three months' follow-up. On admission, 86.67% of patients had an Enjalbert score of 0. At 3 months post admission, almost 40% had almost completely recovered prehension. Associated factors were young age, hemiparesis, Enjalbert score greater than or equal to 1, absence of algodystrophy on admission and regularity of rehabilitation. With multivariate logistic regression, rehabilitation was the only determinant