Sensory deficits in ipsilesional upper-extremity in chronic stroke patients

Arquivos de Neuro-Psiquiatria

Núbia Maria Freire Vieira Lima¹  Karina Cândido Menegatti¹  Érica Yu¹  Natália Yumi Sacomoto¹  Thais Botossi Scalha¹  Illia Nadinne Dantas Florentino Lima¹  Saionara Maria Aires Da Camara¹  Marcelo Cardoso De Souza¹  Roberta De Oliveira Cacho¹  Enio Walker De Azevedo Cacho¹  Donizeti Cesar Honorato¹ 

关键词: stroke;    tactile sensation;    proprioception;    ipsilesional upper extremity;    acidente vascular encefálico;    sensação tátil;    propriocepção;    extremidade superior ipsilateral;   

DOI  :  10.1590/0004-282X20150128

来源: SciELO

【 摘 要 】

Objective To investigate somatosensory deficits in the ipsilesional wrist and hand in chronic stroke patients and correlate these deficits with contralesional sensorimotor dysfunctions, functional testing, laterality and handedness.Methods Fifty subjects (twenty-two healthy volunteers and twenty-eight stroke patients) underwent evaluation with Semmes-Weinstein monofilaments, the sensory and motor Fugl-Meyer Assessment, the Nottingham Sensory Assessment in both wrists and hands and functional tests.Results Twenty-five patients had sensory changes in the wrist and hand contralateral to the stroke, and eighteen patients (64%) had sensory deficits in the ipsilesional wrist and hand. The most significant ipsilesional sensory loss was observed in the left-handed patients. We found that the patients with brain damage in the right hemisphere had better scores for ipsilesional tactile sensation.Conclusions A reduction in ipsilesional conscious proprioception, tactile or thermal sensation was found in stroke subjects. Right hemisphere damage and right-handed subjects had better scores in ipsilesional tactile sensation.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License