Survivors of Chronic Stroke Experience Continued Impairment of Dexterity But Not Strength in the Nonparetic Upper Limb
| Autor: | Kristen M. Triandafilou, Mary Ellen Stoykov, Naveen K. Bansal, Derek G. Kamper, Elliot J. Roth, Alexander J. Barry |
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| Rok vydání: | 2019 |
| Předmět: |
Rehabilitation hospital
Male 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Rehabilitation Centers Risk Assessment Article Cohort Studies Upper Extremity 03 medical and health sciences Grip strength Disability Evaluation 0302 clinical medicine Physical medicine and rehabilitation Reference Values medicine Humans cardiovascular diseases Survivors Jebsen-Taylor Hand Function Test Stroke Chronic stroke Aged Academic Medical Centers Rehabilitation Hand Strength business.industry Stroke Rehabilitation Middle Aged medicine.disease Prognosis Paresis medicine.anatomical_structure Cross-Sectional Studies Treatment Outcome Chronic Disease Exercise Test Upper limb Female 0305 other medical science business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Arch Phys Med Rehabil |
| ISSN: | 1532-821X |
| Popis: | OBJECTIVE: To investigate the performance of the less affected upper limb in people with stroke, compared to normative values. To examine less affected upper limb function in those whose pre-stroke dominant limb became paretic and those whose pre-stroke non-dominant limb became paretic. DESIGN: Cohort study of chronic stroke survivors (7.2±6.7 years post incident) SETTING: The study was performed at a freestanding academic rehabilitation hospital PARTICIPANTS: Forty chronic stroke survivors with severe hand impairment (Chedoke-McMaster Stroke Assessment rating of 2-3 on Stage of Hand) participated in the study. In 20 participants, the pre-stroke dominant hand (DH) was tested, (non-dominant hand affected by stroke), and in 20 participants the pre-stroke non-dominant hand (NH) was tested, (dominant hand affected by stroke). INTERVENTIONS: Not applicable MAIN OUTCOME MEASURE: Jebsen-Taylor Hand Function Test. Data from stroke survivors were compared with normative age- and gender-matched data from neurologically intact individuals. RESULTS: When combined, DH and NH groups performed significantly worse on fine motor tasks with their nonparetic hand relative to normative data (p0.140). CONCLUSIONS: Stroke survivors with severe impairment of the paretic limb continue to present significant upper extremity impairment in their nominally nonparetic limb even years after stroke. This phenomenon was observed regardless of whether the DH or NH hand was primarily affected. As this group of stroke survivors is especially dependent on the nonparetic limb for performing functional tasks, our results suggest that the nonparetic upper limb should be targeted for rehabilitation. |
| Databáze: | OpenAIRE |
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