(Stroke. 1996;27:1564-1570.)
© 1996 American Heart Association, Inc.
Articles |
Performance of the `Unaffected' Upper Extremity of Elderly Stroke Patients
the Centre de recherche en gerontologie et geriatrie (J.D., G.B., P.-M.R., M.G.), Sherbrooke, Quebec; Faculte de medecine (J.D., G.B.), Universite de Sherbrooke, Quebec; and Ecole de readaptation (D.B.), Universite de Montreal, Canada.
Background and Purpose The main objective of this study was to compare the sensorimotor performance of the unaffected upper extremity (UE) of elderly stroke patients with that of healthy elderly people.
Methods The group of stroke patients was composed of 43 hemiplegic/paretic subjects who had had a cerebrovascular accident at least 6 months earlier. They were 
60 years old, were right-handed before the stroke, had visual perception within normal limits, and showed no major cognitive impairments. A group of 43 healthy subjects matched for dominance, age, and sex was used for comparison. The main parameters of the performance of the unaffected UE of the stroke subjects and of the same side of the healthy subjects were measured with valid, reliable instruments. Some variables potentially related to the unaffected UE were also measured: affected UE motor function, functional independence, length of time since the stroke, self-perceived health status, activity level, and hand anthropometry.
Results Statistical analyses showed significant deficits in the unaffected UE of hemiplegic/paretic subjects compared with normal subjects with regard to the following parameters: gross manual dexterity, fine manual dexterity, motor coordination, global performance, and kinesthesia (P<.01 to P<.0001). No significant clinical or statistical difference was found for grip strength (P<.81), static and moving two-point discrimination (P=.21 and P=.12), or touch/pressure threshold (P<.91).
Conclusions Many factors (frequency of use of the unaffected hand, sensorimotor interaction tasks, severity of the deficits in corticifugal projections, and deficits in postural stabilization) could interact to provide the clinical picture obtained in the present study. (Stroke. 1996;27:1564-1570.)
Key Words: hemiplegia • motor activity • sensory testing, quantitative
This article has been cited by other articles:
 |
|
 |
|
  T. M. Stoeckmann, K. J. Sullivan, and R. A. Scheidt Elastic, Viscous, and Mass Load Effects on Poststroke Muscle Recruitment and Co-contraction During Reaching: A Pilot Study Physical Therapy, July 1, 2009; 89(7): 665 - 678. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. A. Shabbott and R. L. Sainburg Differentiating Between Two Models of Motor Lateralization J Neurophysiol, August 1, 2008; 100(2): 565 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. A. Perez and L. G. Cohen Mechanisms Underlying Functional Changes in the Primary Motor Cortex Ipsilateral to an Active Hand J. Neurosci., May 28, 2008; 28(22): 5631 - 5640. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O Noskin, J W Krakauer, R M Lazar, J R Festa, C Handy, K A O'Brien, and R S Marshall Ipsilateral motor dysfunction from unilateral stroke: implications for the functional neuroanatomy of hemiparesis J. Neurol. Neurosurg. Psychiatry, April 1, 2008; 79(4): 401 - 406. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Caimmi, S. Carda, C. Giovanzana, E. S. Maini, A. M. Sabatini, N. Smania, and F. Molteni Using Kinematic Analysis to Evaluate Constraint-Induced Movement Therapy in Chronic Stroke Patients Neurorehabil Neural Repair, February 1, 2008; 22(1): 31 - 39. [Abstract] [PDF]
|
|
|
|
|
|
C. J. Ketcham, T. M. Rodriguez, and K. A. Zihlman Targeted Aiming Movements Are Compromised in Nonaffected Limb of Persons With Stroke Neurorehabil Neural Repair, October 1, 2007; 21(5): 388 - 397. [Abstract] [PDF]
|
|
|
|
 |
|
 S. Y. Schaefer, K. Y. Haaland, and R. L. Sainburg Ipsilesional motor deficits following stroke reflect hemispheric specializations for movement control Brain, August 1, 2007; 130(8): 2146 - 2158. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Davare, J Duque, Y Vandermeeren, J-L Thonnard, and E Olivier Role of the Ipsilateral Primary Motor Cortex in Controlling the Timing of Hand Muscle Recruitment Cereb Cortex, February 1, 2007; 17(2): 353 - 362. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Desrosiers, D. Bourbonnais, H. Corriveau, S. Gosselin, and G. Bravo Effectiveness of unilateral and symmetrical bilateral task training for arm during the subacute phase after stroke: a randomized controlled trial Clinical Rehabilitation, June 1, 2005; 19(6): 581 - 593. [Abstract] [PDF]
|
|
|
|
|
|
C Mercier, A M Bertrand, and D Bourbonnais Comparison of strength measurements under single-joint and multi-joint conditions in hemiparetic individuals Clinical Rehabilitation, May 1, 2005; 19(5): 523 - 530. [Abstract] [PDF]
|
|
|
|
|
|
S. A. Kautz and C. Patten Interlimb Influences on Paretic Leg Function in Poststroke Hemiparesis J Neurophysiol, May 1, 2005; 93(5): 2460 - 2473. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Hanlon, A. L.H. Buffington, and M. J. McKeown New brain networks are active after right MCA stroke when moving the ipsilesional arm Neurology, January 11, 2005; 64(1): 114 - 120. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Yarosh, D. S. Hoffman, and P. L. Strick Deficits in Movements of the Wrist Ipsilateral to a Stroke in Hemiparetic Subjects J Neurophysiol, December 1, 2004; 92(6): 3276 - 3285. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Laufer, L. Gattenio, E. Parnas, D. Sinai, Y. Sorek, and R. Dickstein Time-Related Changes in Motor Performance of the Upper Extremity Ipsilateral to the Side of the Lesion in Stroke Survivors Neurorehabil Neural Repair, September 1, 2001; 15(3): 167 - 172. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Penta, L. Tesio, C. Arnould, A. Zancan, and J.-L. Thonnard The ABILHAND Questionnaire as a Measure of Manual Ability in Chronic Stroke Patients : Rasch-Based Validation and Relationship to Upper Limb Impairment Stroke, July 1, 2001; 32(7): 1627 - 1634. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Bizzozero, D. Costato, S. D. Sala, C. Papagno, H. Spinnler, and A. Venneri Upper and lower face apraxia: role of the right hemisphere Brain, November 1, 2000; 123(11): 2213 - 2230. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Sunderland Recovery of Ipsilateral Dexterity After Stroke Stroke, February 1, 2000; 31(2): 430 - 433. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A W. Andrews and R. W Bohannon Distribution of muscle strength impairments following stroke Clinical Rehabilitation, January 1, 2000; 14(1): 79 - 87. [Abstract] [PDF]
|
|
|
|
|
|
A. Sunderland, M. P. Bowers, S.-M. Sluman, D. J. Wilcock, and M. E. Ardron Impaired Dexterity of the Ipsilateral Hand After Stroke and the Relationship to Cognitive Deficit Stroke, May 1, 1999; 30(5): 949 - 955. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Boissy, D. Bourbonnais, M. M. Carlotti, D. Gravel, and B. A Arsenault Maximal grip force in chronic stroke subjects and its relationship to global upper extremity function Clinical Rehabilitation, April 1, 1999; 13(4): 354 - 362. [Abstract] [PDF]
|
|
|
|
|
|
Y. Sato, M. Kaji, T. Tsuru, and K. Oizumi Carpal Tunnel Syndrome Involving Unaffected Limbs of Stroke Patients Stroke, February 1, 1999; 30(2): 414 - 418. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Rantanen, K. Masaki, D. Foley, G. Izmirlian, L. White, and J. M. Guralnik Grip strength changes over 27 yr in Japanese-American men J Appl Physiol, December 1, 1998; 85(6): 2047 - 2053. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Cramer, G. Nelles, J. D. Schaechter, J. D. Kaplan, and S. P. Finklestein Computerized Measurement of Motor Performance After Stroke Stroke, November 1, 1997; 28(11): 2162 - 2168. [Abstract] [Full Text]
|
|
|
|
|
|
L. M. Carey, L. E. Oke, and T. A. Matyas Impaired Touch Discrimination After Stroke: A Quantiative Test Neurorehabil Neural Repair, January 1, 1997; 11(4): 219 - 232. [Abstract] [PDF]
|
|