Joint position sense is bilaterally reduced for shoulder abduction and flexion in chronic hemiparetic individuals

Gabriela Lopes Dos Santos; Luisa Fernanda García Salazar; Ana Carolina Lazarin; Thiago Luiz De Russo

doi:10.1179/1074935714Z.0000000014

Joint position sense is bilaterally reduced for shoulder abduction and flexion in chronic hemiparetic individuals

Título traducido de la contribución: El sentido de la posición articular está reducido bilateralmente para la abducción y flexión del hombro en individuos hemiparéticos crónicos

Gabriela Lopes Dos Santos, Luisa Fernanda García Salazar, Ana Carolina Lazarin, Thiago Luiz De Russo

Escuela de Medicina y Ciencias de la Salud

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12 Citas (Scopus)

Resumen

Antecedentes: El ictus es la principal causa de discapacidad en adultos en el mundo. Una de las principales quejas de los individuos post-ictus se refiere a la pérdida de función del miembro superior, evidenciada durante la realización de las actividades de la vida diaria. Esta dificultad puede estar relacionada con un componente importante del control sensomotor, el sentido de la posición articular, una submodalidad de la propiocepción. Objetivos: Investigar si la propiocepción de ambos hombros de pacientes hemiparéticos crónicos está alterada durante la abducción y la flexión. Métodos: Se incluyeron 13 sujetos con hemiparesia crónica debida a ictus isquémico y 13 sujetos sanos emparejados por sexo y edad. Se evaluó la posición sensitiva articular mediante un dinamómetro. Se calculó el error absoluto para la abducción y flexión del hombro a los 30 y 60°. Resultados: No se encontraron diferencias entre las extremidades paréticas y no paréticas en los movimientos a 30 y 60°. Se observaron valores más altos de error absoluto tanto para las extremidades paréticas como para las no paréticas en comparación con el control durante la abducción a 30° y a 60°. Conclusiones: Los pacientes post-ictus isquémicos crónicos presentan déficits propioceptivos bilaterales en el hombro durante la abducción y la flexión. Pero estos déficits dependen del movimiento realizado y del ángulo evaluado. Los resultados demuestran la necesidad de incluir ejercicios bilaterales y/o feedback visual en el programa de rehabilitación.

Título traducido de la contribución	El sentido de la posición articular está reducido bilateralmente para la abducción y flexión del hombro en individuos hemiparéticos crónicos
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	271-280
Número de páginas	10
Publicación	Topics in Stroke Rehabilitation
Volumen	22
N.º	4
DOI	https://doi.org/10.1179/1074935714Z.0000000014
Estado	Publicada - feb. 25 2015

Áreas temáticas de ASJC Scopus

Rehabilitación
Cuidados comunitarios y atención domiciliaria
Neurología clínica

ODS de las Naciones Unidas

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title = "Joint position sense is bilaterally reduced for shoulder abduction and flexion in chronic hemiparetic individuals",

abstract = "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.",

author = "{Dos Santos}, {Gabriela Lopes} and {Garc{\'i}a Salazar}, {Luisa Fernanda} and Lazarin, {Ana Carolina} and {De Russo}, {Thiago Luiz}",

year = "2015",

month = feb,

day = "25",

doi = "10.1179/1074935714Z.0000000014",

language = "English (US)",

volume = "22",

pages = "271--280",

journal = "Topics in Stroke Rehabilitation",

issn = "1074-9357",

publisher = "Thomas Land Publishers Inc.",

number = "4",

}

Joint position sense is bilaterally reduced for shoulder abduction and flexion in chronic hemiparetic individuals. / Dos Santos, Gabriela Lopes; García Salazar, Luisa Fernanda; Lazarin, Ana Carolina et al.
En: Topics in Stroke Rehabilitation, Vol. 22, N.º 4, 25.02.2015, p. 271-280.

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

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

PY - 2015/2/25

Y1 - 2015/2/25

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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Joint position sense is bilaterally reduced for shoulder abduction and flexion in chronic hemiparetic individuals

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