Comparison of upper extremity function, pain, and tactile sense between the uneffected side of hemiparetic patients and healthy subjects

Balcı, Nilay Çömük; Doğru, Esra; Aytar, Aydan; Gokmen, Ozge; Depreli, Ozde

doi:10.1589/jpts.28.1998

Cited by 8 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was determined that the pain values were higher in the intact side upper extremities of the hemiplegic patients. This supports our observation of an increase in pain levels in the intact side upper extremities of the patients with stroke after the one-month follow-up period [6].…”

Section: Discussionsupporting

confidence: 91%

“…Stroke involves the rapid loss of brain function due to a disturbance in blood flow to the brain and often affects upper extremity mobility [6]. In the majority of A -Research concept and design B -Collection and/or assembly of data C -Data analysis and interpretation D -Writing the article E -Critical revision of the article F -Final approval of article patients with stroke (more than 50%), functional disability occurs in the upper extremity.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

Küçük¹,

Özden²,

Alptekin³

2021

areh

View full text Add to dashboard Cite

Introduction:The aim of this study was to investigate the functional changes in the upper extremity of the intact side of hemiplegic patients within 0-12 months after stroke.Materials and methods: The study included 32 individuals with Stage 3 and Stage 4 progression according to Brunnstrom stages, whose right side was dominant. The age range of the individuals in the study was 45-80 years. This research was a prospective study planned according to the single group pretest-posttest pattern. There was no control group.Results: As a result of the study, it was determined that pain increased in the shoulder region of the non-affected side during the one-month follow-up period and therefore, upper extremity functionality decreased. After one month, strength values of grip, shoulder flexion (left intact), shoulder extension, shoulder abduction (right intact), shoulder internal rotation, shoulder external rotation (left intact), elbow flexion, elbow extension, and wrist extension increased. Furthermore, during this follow-up period upper extremity functionality decreased, pain values increased in the shoulder area, and hand grip strength values increased in individuals whose disease duration was 0-6 months and 7-12 months. Conclusion:The non-affected upper extremity of a stroke patient plays an important role in helping them throughout the activities of their daily life. This study concluded that, upper extremities of the non-affected side of hemiplegic patients are also affected in terms of muscle strength, pain and functionality.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

Küçük¹,

Özden²,

Alptekin³

2021

areh

View full text Add to dashboard Cite

show abstract

“…However, there is relevant evidence that also the unaffected hands might undergo functional changes after stroke. 26 , 27 Therefore, our models included the motor function of the unaffected hand as independent covariates. Post hoc , we evaluated how the models for CST FA AH would perform in reduced models with proportional grip force and pinch force values (affected hand/unaffected hand) as the dependent variables.…”

Section: Discussionmentioning

confidence: 99%

Strengthened structure–function relationships of the corticospinal tract by free water correction after stroke

Guder

Pasternak

Gerloff

et al. 2021

Brain Communications

View full text Add to dashboard Cite

The corticospinal tract is the most intensively investigated tract of the human motor system in stroke rehabilitative research. Diffusion-tensor-imaging gives insights into its microstructure, and transcranial magnetic stimulation assesses its excitability. Previous data on the interrelationship between both measures are contradictory. Correlative or predictive models which associate them with motor outcome are incomplete. Free water correction has been developed to enhance diffusion-tensor-imaging by eliminating partial volume with extracellular water, which could improve capturing stroke-related microstructural alterations, thereby also improving structure-function relationships in clinical cohorts. In the present cross-sectional study, data of eighteen chronic stroke patients and seventeen healthy controls, taken from a previous study on cortico-cerebellar motor tracts, were re-analysed: The data included diffusion-tensor-imaging data quantifying corticospinal tract microstructure with and without free water correction, transcranial magnetic stimulation data assessing recruitment curve properties of motor evoked potentials and detailed clinical data. Linear regression modelling was used to interrelate corticospinal tract microstructure, recruitment curves properties and clinical scores. The main finding of the present study was that free water correction substantially strengthens structure-function associations in stroke patients: Specifically, our data evidenced a significant association fractional anisotropy of the ipsilesional corticospinal tract and its excitability (p = 0.001, adj. R2=0.54), with free water correction explaining additional 20% in recruitment curve variability. For clinical scores, only free water correction leads to the reliable detection of significant correlations between ipsilesional corticospinal tract fractional anisotropy and residual grip (p = 0.001, adj. R2=0.70) and pinch force (p < 0.001, adj. R2=0.72). Finally, multimodal models can be improved by free water correction as well. This study evidences that corticospinal tract microstructure directly relates to its excitability in stroke patients. It also shows that unexplained variance in motor outcome is considerably reduced by free water correction arguing that it might serve as a powerful tool to improve existing models of structure-function associations and potentially also outcome prediction after stroke.

show abstract

“…Loss of arms functions is a major problem that causes long-term impairment, which affects 30%-66% of all stroke cases (26). Balci et al found significant difference between hemiplegic patients' and healthy individuals' upper extremity functions (27). Few studies have objectively and quantitatively evaluated the upper and lower extremities of patients participating in a rehabilitation program (18).…”

Section: Discussionmentioning

confidence: 99%

Relationship among pain, function, and motor activity in early hemiplegic patients

Talu¹,

Kamışlı²,

Talu³

2018

J Turgut Ozal Med Cent

View full text Add to dashboard Cite

Aim: Evaluation of the relationship among upper extremity pain, function, and motor activity in early hemiplegic patients Material and Methods: Fifty-three subjects, who had suffered hemiplegia between 1-3 months after stroke, were included in this study. Visual Analogue Scale was used for pain assessment, Fugl-Meyer Upper Extremity Motor Assessment Scale was used for upper extremity function evaluation, and Motor Activity Log-28 was used for evaluating motor activity after the demographic data of the subjects were recorded. Brunnstrom stages were used to identify, define, and quantify the recovery stages after stroke. Results: The average age of the individuals participating in the study was 54.56±8.10, and the Body Mass Index was 26.12±3.68. The subjects' rest pain score was 30.00±19.90 and the activity pain score 42.83±24.44. The total score of the Fugl-Meyer Upper Extremity Motor Evaluatıon Scale was 18.84±17.08, the Quality of Movement sub-parameter score of the Motor Activity Log was 28 0.89±0.87, and the Amount of Use sub parameter score was 0.93±0.92. The relationship between the upper extremity function of the patients and motor activity was observed, which showed that all sub-parameters had a moderate correlation in the positive direction (r=0.539-0.779, p<0.001). However, there was no relationship between pain, function and motor activity (r=0.054-0.238, p=0.086-0.700). Conclusion: This study showed that upper extremity motor activity and function were significantly affected and closely related to each other in early hemiplegic patients. However, there was no correlation between pain, function and motor activity.

show abstract

Comparison of upper extremity function, pain, and tactile sense between the uneffected side of hemiparetic patients and healthy subjects

Cited by 8 publications

References 24 publications

Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

Evaluation of the upper extremity functions of the non-affected side in hemiplegic patients during one month follow-up

Strengthened structure–function relationships of the corticospinal tract by free water correction after stroke

Relationship among pain, function, and motor activity in early hemiplegic patients

Contact Info

Product

Resources

About