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Evaluation of upper limb perception after stroke with the new Affected Limb Perception Questionnaire (ALPQ): a study protocol.
Konik, Stéphanie; Beaud, Valérie; Fellrath, Julia; Martinelli, Isabella; Guanziroli, Eleonora; Molteni, Franco; Bassolino, Michela; Serino, Andrea.
Afiliação
  • Konik S; MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. stephanie.konik@chuv.ch.
  • Beaud V; Service of Neuropsychology and Neurorehabilitation, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
  • Fellrath J; MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
  • Martinelli I; Département Hospitalier, Institution de Lavigny, Lavigny, Switzerland.
  • Guanziroli E; MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
  • Molteni F; Villa Beretta Rehabilitation Center, Ospedale Valduce, Costa Masnaga, Italy.
  • Bassolino M; School of Health Sciences, Institute of Health, HES-SO Valais-Wallis, Sion, Switzerland.
  • Serino A; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
BMC Neurol ; 24(1): 196, 2024 Jun 11.
Article em En | MEDLINE | ID: mdl-38862898
ABSTRACT

BACKGROUND:

Following a stroke, patients may suffer from alterations in the perception of their own body due to an acquired deficit in body representations. While such changes may impact their quality of life as well as recovery, they are not systematically assessed in clinical practice. This study aims at providing a better understanding of the rate, evolution, and impact on recovery of upper limb (UL) body perceptions (BPs) alterations following stroke. In addition, we will investigate associations among BPs alterations items, their associations with the sensorimotor functions, UL activity, damages in brain structure and connectivity.

METHODS:

We developed a new tool named ALPQ (for Affected Limb Perception Questionnaire) to address the present study objectives. It assesses subjective alterations in the perception of the affected UL following stroke, by measuring several dimensions, namely anosognosia for hemiplegia, anosodiaphoria for hemiplegia, hemiasomatognosia, somatoparaphrenia, personification of the affected limb, illusion of modification of physical characteristics (temperature, weight, length), illusory movements, super- or undernumerary limb, UL disconnection, misoplegia, and involuntary movement. This study combines a cross-sectional and longitudinal design. The completed data sample will include a minimum of 60 acute and 100 sub-acute stroke patients. When possible, patients are followed up to the chronic stage. Complementary evaluations are administered to assess patients' sensorimotor and cognitive functions as well as UL activity, and brain lesions will be analysed.

DISCUSSION:

This study will provide a better understanding of BPs alterations following stroke their rate and evolution, as well as their associations with sensorimotor deficit, cognitive profile and UL activity, brain lesions and recovery. Ultimately, the results could support the personalization of rehabilitation strategy according to patients' UL perception to maximize their recovery. STUDY REGISTRATION The protocol for this study has been pre-registered on the Open Science Framework on July the 7th, 2021 https//osf.io/p6v7f .
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Acidente Vascular Cerebral / Extremidade Superior Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Neurol Assunto da revista: NEUROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Acidente Vascular Cerebral / Extremidade Superior Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Neurol Assunto da revista: NEUROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Suíça