Document Detail


Frequency of discriminative sensory loss in the hand after stroke in a rehabilitation setting.
MedLine Citation:
PMID:  21305243     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: Somatosensory loss following stroke is common, with negative consequences for functional outcome. However, existing studies typically do not include quantitative measures of discriminative sensibility. The aim of this study was to quantify the proportion of stroke patients presenting with discriminative sensory loss of the hand in the post-acute rehabilitation phase.
DESIGN: Prospective cohort study of stroke survivors presenting for rehabilitation.
PATIENTS: Fifty-one consecutive patients admitted to a metro-politan rehabilitation centre over a continuous 12-month period who met selection criteria.
METHODS: Quantitative measures of touch discrimination and limb position sense, with high re-test reliability, good discriminative test properties and objective criteria of abnormality, were employed. Both upper limbs were tested, in counterbalanced order.
RESULTS: Impaired touch discrimination was identified in the hand contralateral to the lesion in 47% of patients, and in the ipsilesional hand in 16%. Forty-nine percent showed impaired limb position sense in the contralesional limb and 20% in the ipsilesional limb. Sixty-seven percent demonstrated impairment of at least one modality in the contrale-sional limb. Ipsilesional impairment was less severe.
CONCLUSION: Discriminative sensory impairment was quantified in the contralesional hand in approximately half of stroke patients presenting for rehabilitation. A clinically significant number also experienced impairment in the ipsilesional "unaffected" hand.
Authors:
Leeanne M Carey; Thomas A Matyas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  43     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  257-63     Citation Subset:  IM    
Affiliation:
Division of Neuro-rehabilitation and Recovery, National Stroke Research Institute, Florey Neuroscience Institutes, Level 2, Neurosciences Building, Heidelberg Repatriation Hospital, Austin Health, 300 Waterdale Road, Heidelberg Heights, Victoria, 3081, Australia. E-mail: lcarey@nsri.org.au.
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