Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11205
Title: Frequency of discriminative sensory loss in the hand after stroke in a rehabilitation setting.
Authors: Carey, Leeanne M;Matyas, Thomas A
Affiliation: lcarey@nsri.org.au
Division of Neuro-rehabilitation and Recovery, National Stroke Research Institute, Florey Neuroscience Institutes, Level 2, Neurosciences Building, Heidelberg Repatriation Hospital, Austin Health, 300 Waterdale Road, Heidelberg Heights, Victoria, 3081, Australia
Issue Date: 1-Feb-2011
Citation: Journal of Rehabilitation Medicine; 43(3): 257-63
Abstract: Somatosensory loss following stroke is common, with negative consequences for functional outcome. However, existing studies typically do not include quantitative measures of discriminative sensibility. The aim of this study was to quantify the proportion of stroke patients presenting with discriminative sensory loss of the hand in the post-acute rehabilitation phase.Prospective cohort study of stroke survivors presenting for rehabilitation.Fifty-one consecutive patients admitted to a metropolitan rehabilitation centre over a continuous 12-month period who met selection criteria.Quantitative measures of touch discrimination and limb position sense, with high re-test reliability, good discriminative test properties and objective criteria of abnormality, were employed. Both upper limbs were tested, in counterbalanced order.Impaired touch discrimination was identified in the hand contralateral to the lesion in 47% of patients, and in the ipsilesional hand in 16%. Forty-nine percent showed impaired limb position sense in the contralesional limb and 20% in the ipsilesional limb. Sixty-seven percent demonstrated impairment of at least one modality in the contralesional limb. Ipsilesional impairment was less severe.Discriminative sensory impairment was quantified in the contralesional hand in approximately half of stroke patients presenting for rehabilitation. A clinically significant number also experienced impairment in the ipsilesional "unaffected" hand.
Internal ID Number: 21305243
URI: http://ahro.austin.org.au/austinjspui/handle/1/11205
DOI: 10.2340/16501977-0662
URL: http://www.ncbi.nlm.nih.gov/pubmed/21305243
Type: Journal Article
Subjects: Adult
Aged
Cohort Studies
Discrimination (Psychology).physiology
Female
Hand.physiopathology
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Proprioception.physiology
Prospective Studies
Somatosensory Disorders.etiology.physiopathology.rehabilitation
Stroke.complications.physiopathology.rehabilitation
Touch.physiology
Appears in Collections:Journal articles

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