Multi-joint Assessment of Proprioception Impairments Poststroke.
Arch Phys Med Rehabil
; 105(3): 480-486, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-37714505
ABSTRACT
OBJECTIVES:
To investigate shoulder, elbow and wrist proprioception impairment poststroke.DESIGN:
Proprioceptive acuity in terms of the threshold detection to passive motion at the shoulder, elbow and wrist joints was evaluated using an exoskeleton robot to the individual joints slowly in either inward or outward direction.SETTING:
A university research laboratory.PARTICIPANTS:
Seventeen stroke survivors and 17 healthy controls (N=34). Inclusion criteria of stroke survivors were (1) a single stroke; (2) stroke duration <1 year; and (3) cognitive ability to follow simple instructions.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Threshold detection to passive motion and detection error at the shoulder, elbow and wrist.RESULTS:
There was significant impairment of proprioceptive acuity in stroke survivors as compared to healthy group at all 3 joints and in both the inward (shoulder horizontal adduction, elbow and wrist flexion, P<.01) and outward (P<.01) motion. Furthermore, the distal wrist joint showed more severe impairment in proprioception than the proximal shoulder and elbow joints poststroke (P<.01) in inward motion. Stroke survivors showed significantly larger detection error in identifying the individual joint in motion (P<.01) and the movement direction (P<.01) as compared to the healthy group. There were significant correlations among the proprioception acuity across the shoulder, elbow and wrist joints and 2 movement directions poststroke.CONCLUSIONS:
There were significant proprioceptive sensory impairments across the shoulder, elbow and wrist joints poststroke, especially at the distal wrist joint. Accurate evaluations of multi-joint proprioception deficit may help guide more focused rehabilitation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidente Vascular Cerebral
/
Articulação do Cotovelo
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Moldávia