Wrist Proprioception in Adults with and without Subacute Stroke

Autor: Brittany M. Young, Rishika Yadav, Shivam Rana, Won-Seok Kim, Camellia Liu, Rajan Batth, Shivani Sakthi, Eden Farahmand, Simon Han, Darshan Patel, Jason Luo, Christina Ramsey, Marc Feldman, Isabel Cardoso-Ferreira, Christina Holl, Tiffany Nguyen, Lorie Brinkman, Michael Su, Tracy Y. Chang, Steven C. Cramer
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Brain Sciences, Vol 13, Iss 1, p 31 (2022)
Druh dokumentu: article
ISSN: 2076-3425
DOI: 10.3390/brainsci13010031
Popis: Proprioception is critical to motor control and functional status but has received limited study early after stroke. Patients admitted to an inpatient rehabilitation facility for stroke (n = 18, mean(±SD) 12.5 ± 6.6 days from stroke) and older healthy controls (n = 19) completed the Wrist Position Sense Test (WPST), a validated, quantitative measure of wrist proprioception, as well as motor and cognitive testing. Patients were serially tested when available (n = 12, mean 11 days between assessments). In controls, mean(±SD) WPST error was 9.7 ± 3.5° in the dominant wrist and 8.8 ± 3.8° in the nondominant wrist (p = 0.31). In patients with stroke, WPST error was 18.6 ± 9° in the more-affected wrist, with abnormal values present in 88.2%; and 11.5 ± 5.6° in the less-affected wrist, with abnormal values present in 72.2%. Error in the more-affected wrist was higher than in the less-affected wrist (p = 0.003) or in the dominant (p = 0.001) and nondominant (p < 0.001) wrist of controls. Age and BBT performance correlated with dominant hand WPST error in controls. WPST error in either wrist after stroke was not related to age, BBT, MoCA, or Fugl-Meyer scores. WPST error did not significantly change in retested patients. Wrist proprioception deficits are common, bilateral, and persistent in subacute stroke and not explained by cognitive or motor deficits.
Databáze: Directory of Open Access Journals
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