Sensory deficits in ipsilesional upper-extremity in chronic stroke patients.

Autor:	Lima NM; Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR., Menegatti KC; Universidade Estadual de Campinas, Campinas, SP, BR., Yu É; Universidade Estadual de Campinas, Campinas, SP, BR., Sacomoto NY; Universidade Estadual de Campinas, Campinas, SP, BR., Scalha TB; Departamento de Fisioterapia, Universidade de Sorocaba, Sorocaba, SP, BR., Lima IN; Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR., Camara SM; Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR., Souza MC; Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR., Cacho Rde O; Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR., Cacho EW; Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR., Honorato DC; Departamento de Neurologia, Universidade Estadual de Campinas, Campinas, SP, BR.
Jazyk:	angličtina
Zdroj:	Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2015 Oct; Vol. 73 (10), pp. 834-9. Date of Electronic Publication: 2015 Sep 01.
DOI:	10.1590/0004-282X20150128
Abstrakt:	Objective To investigate somatosensory deficits in the ipsilesional wrist and hand in chronic stroke patients and correlate these deficits with contralesional sensorimotor dysfunctions, functional testing, laterality and handedness.Methods Fifty subjects (twenty-two healthy volunteers and twenty-eight stroke patients) underwent evaluation with Semmes-Weinstein monofilaments, the sensory and motor Fugl-Meyer Assessment, the Nottingham Sensory Assessment in both wrists and hands and functional tests.Results Twenty-five patients had sensory changes in the wrist and hand contralateral to the stroke, and eighteen patients (64%) had sensory deficits in the ipsilesional wrist and hand. The most significant ipsilesional sensory loss was observed in the left-handed patients. We found that the patients with brain damage in the right hemisphere had better scores for ipsilesional tactile sensation.Conclusions A reduction in ipsilesional conscious proprioception, tactile or thermal sensation was found in stroke subjects. Right hemisphere damage and right-handed subjects had better scores in ipsilesional tactile sensation.
Databáze:	MEDLINE
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