Factors related to daily use of the paretic upper limb in patients with chronic hemiparetic stroke–A retrospective cross-sectional study

Autor: Miho Ogura, Asako Oka, Kohei Okuyama, Takuya Nakamura, Meigen Liu, Tetsuya Tsuji, Osamu Oshima, Nanako Hijikata, Miho Kuroki, Michiyuki Kawakami, Syoichi Tashiro
Rok vydání: 2021
Předmět:
Male
Activities of daily living
Physiology
medicine.medical_treatment
Sensory Physiology
Social Sciences
Hands
Vascular Medicine
Medical Conditions
Mathematical and Statistical Techniques
Activities of Daily Living
Medicine and Health Sciences
Psychology
Tactile Sensation
Stroke
Aged
80 and over
Multidisciplinary
Rehabilitation
Statistics
Stroke Rehabilitation
Middle Aged
Sensory Systems
Paresis
Arms
medicine.anatomical_structure
Neurology
Somatosensory System
Physical Sciences
Medicine
Regression Analysis
Upper limb
Sensory Perception
Female
Anatomy
medicine.symptom
Research Article
Adult
medicine.medical_specialty
Science
Cerebrovascular Diseases
Modified Ashworth scale
Research and Analysis Methods
Upper Extremity
Physical medicine and rehabilitation
medicine
Humans
Paralysis
Functional electrical stimulation
Statistical Methods
Aged
Retrospective Studies
business.industry
Cognitive Psychology
Biology and Life Sciences
Retrospective cohort study
Proprioception
medicine.disease
Health Care
Cross-Sectional Studies
Hemiparesis
Touch
Body Limbs
Chronic Disease
Quality of Life
Cognitive Science
Perception
business
Mathematics
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 3, p e0247998 (2021)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0247998
Popis: Aims The present study aimed to determine factors associated with the frequency of paralyzed upper extremity (UE) use in chronic stroke patients with severe UE functional deficiency. Methods We retrospectively reviewed the medical records of 138 consecutive patients, and 117 was analyzed (median age, 55 [range, 18–85] years; median stroke duration, 24.5 [range, 7–302] months) with chronic hemiparetic stroke who were admitted to our hospital for intensive upper extremity rehabilitation. The mean Fugl-Meyer Assessment (FMA) UE score was 28.6. All of them are independent in their activity of daily living (ADL) and without remarkable cognitive deficits. Amount-of-use score of Motor Activity Log-14 (MAL-AOU) was applied as the index of daily use of affected UE. The following parameters were examined as the explanatory variables: demographics, proximal and distal sub-scores of FMA UE, Modified Ashworth Scale (MAS), and sensory function scores in the Stroke Impairment Assessment Set (SIAS). Results The median MAL-AOU score was 0.57 [range, 0.28–0.80]. Ordinal regression analysis revealed that FMA proximal, FMA distal, and SIAS sensory function (touch) were associated with AOU score of MAL-14 (Pseudo R-square = 0.460). Conclusion Not only motor but also sensory function, especially tactile sensation, play a crucial role in the daily use of affected UE in chronic stroke patients with severe UE hemiparesis.
Databáze: OpenAIRE
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