| Autor: |
Young, Brittany, Sakthi, Shivani, Kim, Won-Seok, Yadav, Rishika, Batth, Rajan, Farahmand, Eden, Rana, Shivam, Liu, Camellia, Han, Simon, Patel, Darshan, Luo, Jason, Vo, Ivy, Patel, Keena, Ramsey, Christina, Feldman, Marc, Brinkman, Lorie, Nguyen, Tiffany, Su, Michael, Chang, Tracy, Cramer, Steven |
| Zdroj: |
Archives of Physical Medicine & Rehabilitation; Apr2024, Vol. 105 Issue 4, pe93-e94, 2p |
| Abstrakt: |
To investigate the prevalence of wrist proprioception deficits early after stroke and examine differences across three methods of assessing proprioception. Observational survey comparing criterion standard with two alternative variations. The California Rehabilitation Institute is an inpatient rehabilitation facility (IRF). Convenience sample of 26 patients who were tested 14±7 days post-stroke. None. [1] Wrist Position Sense Test (WPST), a validated, quantitative measure of wrist proprioception that passively moves the tested wrist to a target position and asks the subject to indicate this position by manipulating a pointer with the untested hand. WPST is the criterion standard for identifying abnormal wrist proprioception. [2] An Active (A-WPST) variant requiring active flexion/extension of the tested wrist to match a target position. [3] A Passive (P-WPST) variant requiring the subject to verbally indicate when a target position has been matched during continuous passive movement. A-WPST and P-WPST increase demands on working memory but do not require vision or use of the untested upper extremity. WPST error was 18+/-9deg in the more-affected wrist, abnormal in 88% of patients; and 11+/-6deg in the less-affected wrist, abnormal in 73% of patients. Error in the more-affected wrist was higher than the less-affected wrist (p< 0.001). A-WPST and P-WPST scores were approximately one-third lower than standard WPST scores (p< 0.01) but were not significantly different from each other. Standard WPST error correlated with A-WPST error (r=0.627, p< 0.01) and P-WPST error (r=0.543, p< 0.01). A-WPST and P-WPST error correlated with each other (r=0.814, p< 0.001). Deficits in wrist proprioception are common after stroke and may be present bilaterally. WPST variants assess proprioception using different cognitive circuits; error is larger when proprioceptive information must be transferred between hemispheres. Assessment method influences the degree of proprioceptive error appreciated in the early days post-stroke. Dr. Cramer serves as a consultant for Abbvie, Constant Therapeutics, MicroTransponder, Neurolutions, Panaxium, Elevian, Medtronic, Helius, Omniscient, Brainsgate, and TRCare. [ABSTRACT FROM AUTHOR] |
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