2018
DOI: 10.1080/09638288.2018.1442504
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Mismatch between observed and perceived upper limb function: an eye-catching phenomenon after stroke

Abstract: In our chronic sample, one in five patients showed good upper limb observed but low perceived function. Measuring both observed and perceived arm and hand function seems warranted together with considering a differential therapy approach for the distinct groups. Implications for rehabilitation A considerable group of patients in the chronic phase post-stroke have good motor function in their affected upper limb, but nevertheless perceive a restricted ability. In order to identify a mismatch in people with chro… Show more

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Cited by 24 publications
(19 citation statements)
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“…The discrepancy between self-perceived and observed upper limb function among well-performing individuals with stroke has been documented in literature. Approximately 20-40% of individuals with perfect or near perfect arm function scores in the observational scales reported residual disability in the self-perceived assessment scales 7,9 during the subacute and chronic stages after stroke. As high as 75% individuals reported reduced amount of arm use in the subacute stage of stroke, even though they had near-perfect scores in an activity capacity scale 8 .…”
Section: Kinematic Variablesmentioning
confidence: 99%
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“…The discrepancy between self-perceived and observed upper limb function among well-performing individuals with stroke has been documented in literature. Approximately 20-40% of individuals with perfect or near perfect arm function scores in the observational scales reported residual disability in the self-perceived assessment scales 7,9 during the subacute and chronic stages after stroke. As high as 75% individuals reported reduced amount of arm use in the subacute stage of stroke, even though they had near-perfect scores in an activity capacity scale 8 .…”
Section: Kinematic Variablesmentioning
confidence: 99%
“…In order to re-gain independence, it is important that the individual perceives oneself as having good functional ability 6 . Arm function can be perceived as limited, even with good observed function of the more-affected limb in the subacute and chronic stages of stroke 2,7,8 . About 20-40% of individuals with full or nearly full observed hand function reported decreased self-perceived hand function at the chronic stage of stroke 7,9 .…”
mentioning
confidence: 99%
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“…However, besides the actual return of manual ability the perception may be affected by other factors such as expectations on recovery and functioning, ability to compensate for disability and adapt to new circumstances after stroke [34]. Previous research has shown that changes in objective and observed measures do not always correspond to self-perceived measures [18,35,36]. Measuring both objective, observed and perceived manual ability is therefore important when following recovery of the upper extremity after stroke.…”
Section: Discussionmentioning
confidence: 99%
“…The mismatch between subjective and objective outcome measures has already been found in research assessing upper limb function of stroke survivors [94]. A recent systematic review highlighted that user experience is not solely depending on objective efficiency and feasibility of a device, but also depends on numerous other factors including familiarity with technology, usability aspects, and confidence in the device [83].…”
Section: Discussionmentioning
confidence: 99%