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The PREP algorithm is currently used at the Auckland District Health Board within a research study called TRIO (Targeted Rehabilitation Improved Outcomes). The study provides patients, their families and their rehabilitation teams with information about their potential for arm and hand recovery after their stroke. This information is then used to help tailor rehabilitation for the individual.

WHO is PREP for?

PREP is designed for patients who are at least 18 years old and have had a recent stroke that has caused weakness in the arm and hand.

WHAT does PREP involve?

Within the first two weeks after the stroke, trained staff may test:
  • Arm and hand movement and strength using clinical tests at the bedside
  • The functioning of motor pathways between the stroke-affected side of the brain and the affected arm using TMS (Transcranial Magnetic Stimulation)
  • The anatomical structure of the motor pathways on each side of the brain using MRI (Magnetic Resonance Imaging)

The majority of patients will only require the first test, which is suitable for most people. The subsequent tests are only necessary in the case of more severe stroke, and aren't suitable for all people. For example, people with a cardiac pacemaker cannot have an MRI scan.

What is done with the results?

After all the required tests are done, the patient is given information about how well their hand and arm are likely to recover movement, as well as a recommended rehabilitation focus.

The results are discussed with the patient in person and the patient is given a copy of this information in writing. You can view and print copies of the information for people in each category by clicking on the links above.

Patient InformationInformation is available for patients in each predicted recovery potential group. This information can be printed and given to patients and their families, by clicking on the links below:CompleteNotable
Limited
None



For example, patients in the notable category receive information such as:

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The patient’s rehabilitation team results also receive the results. For example, the rehabilitation team for the patients in the notable category receive information such as:


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For more information about what is done with the results of the PREP algorithm, please see the Resources page.
If you have any further questions regarding PREP, feel free to contact the PREP team, or simply send us an email at prep@auckland.ac.nz




Home | How PREP Works | PREP for Patients | PREP for Clinicians | PREP for ResearchersCase Examples | Resources | Publications | About Us | FAQs | What's new?