TY - JOUR
T1 - Joint position sense is bilaterally reduced for shoulder abduction and flexion in chronic hemiparetic individuals
AU - Dos Santos, Gabriela Lopes
AU - García Salazar, Luisa Fernanda
AU - Lazarin, Ana Carolina
AU - De Russo, Thiago Luiz
N1 - Publisher Copyright:
© W. S. Maney & Son Ltd 2015.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2015
Y1 - 2015
N2 - Background: The stroke is the leading cause of adult disability in the world. One of the main complaints of individuals post-stroke refers to the loss of function of the upper limb, as evidenced during the performance of activities of daily living. This difficulty may be related to an important component of sensorimotor control, joint position sense, a submodality of proprioception. Objectives: To investigate whether the proprioception of both shoulders of chronic hemiparetic patients is altered during abduction and flexion. Methods: Thirteen subjects with chronic hemiparesis due to ischemic stroke and 13 healthy subjects matched for gender and age was included. The joint sense position was assessed using a dynamometer. Absolute error for shoulder abduction and flexion at the 30 and 60° was calculated. Results: No difference was found between the paretic and non-paretic limbs in movements at both 30 and 60°. Higher values of absolute error for both paretic and non-paretic limbs compared to the control were observed during abduction at 30 and at 60°. Conclusions: Chronic ischemic post-stroke patients have bilateral proprioceptive deficits in the shoulder during abduction and flexion. But these deficits are dependent on themovement performed and the angle tested. The results demonstrate the need to include bilateral exercises and/or visual feedback in the rehabilitation program.
AB - Background: The stroke is the leading cause of adult disability in the world. One of the main complaints of individuals post-stroke refers to the loss of function of the upper limb, as evidenced during the performance of activities of daily living. This difficulty may be related to an important component of sensorimotor control, joint position sense, a submodality of proprioception. Objectives: To investigate whether the proprioception of both shoulders of chronic hemiparetic patients is altered during abduction and flexion. Methods: Thirteen subjects with chronic hemiparesis due to ischemic stroke and 13 healthy subjects matched for gender and age was included. The joint sense position was assessed using a dynamometer. Absolute error for shoulder abduction and flexion at the 30 and 60° was calculated. Results: No difference was found between the paretic and non-paretic limbs in movements at both 30 and 60°. Higher values of absolute error for both paretic and non-paretic limbs compared to the control were observed during abduction at 30 and at 60°. Conclusions: Chronic ischemic post-stroke patients have bilateral proprioceptive deficits in the shoulder during abduction and flexion. But these deficits are dependent on themovement performed and the angle tested. The results demonstrate the need to include bilateral exercises and/or visual feedback in the rehabilitation program.
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U2 - 10.1179/1074935714Z.0000000014
DO - 10.1179/1074935714Z.0000000014
M3 - Article
C2 - 26258452
AN - SCOPUS:84943355386
VL - 22
SP - 271
EP - 280
JO - Topics in Stroke Rehabilitation
JF - Topics in Stroke Rehabilitation
SN - 1074-9357
IS - 4
ER -