Cooper AN, et al. - Researchers characterized 5-year motor and functional outcomes after pediatric arterial ischemic stroke (AIS), as well as factors correlated with poorer long-term outcome. From a previously reported prospective longitudinal stroke outcome study, 33 children (21 males, 12 females) with AIS were selected to a single-site, cross-sectional study. Findings revealed that motor function, quality of life, fatigue, adaptive behavior, activities of daily living, and handwriting speed were significantly worse than age expectations 5 years after a stroke. After AIS, children were at elevated risk for motor and functional impairments, with the preschool age group having the highest proportion of motor impairment. Findings suggested that identifying early predictors of worse outcomes encourages focus on early intervention and long-term rehabilitation.