Multi-Joint Assessment of Proprioception Impairments Post Stroke

Details

• Alternative Title:
  Arch Phys Med Rehabil
• Personal Author:
  Xu, Dali ; Kang, Sang Hoon ; Lee, Song Joo ; Oppizzi, Giovanni ; Zhang, Li-Qun
• Description:
  Objectives:
  
  To investigate shoulder, elbow and wrist proprioception impairment post stroke.
  
  Design:
  
  Proprioceptive acuity in terms of the threshold detection to passive motion at the shoulder, elbow and wrist joints was evaluated using an exoskeleton robot to the individual joints slowly in either inward or outward direction.
  
  Setting:
  
  A university research laboratory.
  
  Participants:
  
  Seventeen stroke survivors and 17 healthy controls. Inclusion criteria of stroke survivors were 1) a single stroke; 2) stroke duration <1 year; and 3) cognitive ability to follow simple instructions.
  
  Interventions:
  
  Not applicable.
  
  Main Outcome Measures:
  
  Threshold detection to passive motion and detection error at the shoulder, elbow and wrist.
  
  Results:
  
  There was significant impairment of proprioceptive acuity in stroke survivors as compared to healthy group at all three joints and in both the inward (shoulder horizontal adduction, elbow and wrist flexion, p<0.01) and outward (p<0.01) motion. Furthermore, the distal wrist joint showed more severe impairment in proprioception than the proximal shoulder and elbow joints post-stroke (p<0.01) in inward motion. Stroke survivors showed significantly larger detection error in identifying the individual joint in motion (p<0.01) and the movement direction (p<0.01) as compared to the healthy group. There were significant correlations among the proprioception acuity across the shoulder, elbow and wrist joints and two movement directions post stroke.
  
  Conclusions:
  
  There were significant proprioceptive sensory impairments across the shoulder, elbow and wrist joints post-stroke, especially at the distal wrist joint. Accurate evaluations of multi-joint proprioception deficit may help guide more focused rehabilitation.
  
  
• Subjects:
  Cognition Elbow Joint Humans Proprioception Stroke Wrist
• Keywords:
  Kinesthesia Proprioceptive Acuity Sensory Impairment Stroke
• Source:
  Arch Phys Med Rehabil. 105(3):480-486
• Pubmed ID:
  37714505
• Pubmed Central ID:
  PMC10922066
• Document Type:
  Journal Article
• Funding:
  90DP0099/ACL/ACL HHSUnited States/ ; 90REMM0001/ACL/ACL HHSUnited States/ ; P30 AG028747/AG/NIA NIH HHSUnited States/ ; R01 DP000099/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  105
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:35dd68e816f2e8605f5063d77549552efccee0ef13db662e0b5a3baee66117fb3a8f965dfe4d199f990a8534bb43ebdaf4c696525afbc385510751a4d0b065cf
• Download URL:
  https://stacks.cdc.gov/view/cdc/151623/cdc_151623_DS1.pdf
• File Type:
  [PDF - 325.10 KB ]