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Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
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Mismatch between observed and perceived upper limb function: an eye-catching phenomenon after stroke.

Bea Essers1, Sarah Meyer1, Nele De Bruyn1

  • 1a Department of Rehabilitation Sciences , KU Leuven , Leuven , Belgium.

Disability and Rehabilitation
|March 23, 2018
PubMed
Summary

In chronic stroke survivors, observed and perceived upper limb function are strongly related, but 19% showed a mismatch with good observed but poor perceived function.

Keywords:
Strokeobjective outcomeobserved functionperceived functionsubjective outcomeupper limb function

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Clinical Neurology

Background:

  • Stroke frequently leads to upper limb motor deficits.
  • Assessing both observed and perceived motor function is crucial for effective rehabilitation.

Purpose of the Study:

  • To examine the relationship between observed and perceived upper limb motor function in chronic stroke patients.
  • To identify patient groups based on their observed and perceived function levels.

Main Methods:

  • 32 chronic stroke patients were assessed using the Fugl-Meyer Assessment (observed) and the Stroke Impact Scale (perceived).
  • Spearman correlation, scatterplot, and hierarchical clustering were employed to analyze the data.

Main Results:

  • A strong positive correlation (r=0.84) was found between observed and perceived upper limb function.
  • Three distinct groups emerged: low match (34%), good match (47%), and a significant mismatch group (19%) with good observed but low perceived function.

Conclusions:

  • A notable proportion of chronic stroke patients exhibit a mismatch between their actual and perceived upper limb function.
  • Tailored rehabilitation strategies addressing perceived deficits are recommended for patients with good observed but low perceived function.