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Proprioception deficits in chronic stroke-Upper extremity function and daily living.
1Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Plos One
|March 31, 2018
Summary
Proprioception deficits after stroke significantly impair upper extremity function and daily living independence. Early assessment of proprioception is crucial for stroke survivors to improve outcomes.
Area of Science:
- Neurorehabilitation
- Stroke Recovery
- Sensory-Motor Integration
Background:
- Proprioception deficits are prevalent post-stroke and linked to poor functional recovery.
- The impact of proprioception deficits on chronic stroke survivors' upper extremity function and daily activities remains unclear.
Purpose of the Study:
- To characterize proprioception deficits in chronic stroke.
- To determine the correlation between proprioception deficits and upper extremity motor/functional abilities.
- To compare daily living independence and upper extremity function between stroke survivors with and without proprioception deficits.
Main Methods:
- A cross-sectional study involving 102 adults with chronic stroke.
- Assessment of proprioception, upper extremity motor (Fugl-Meyer Motor Assessment) and functional ability (Action Research Arm Test, Box and Block Test), grip strength, and daily use (Motor Activity Log).
- Evaluation of independence in basic and instrumental activities of daily living (BADL, IADL).
Main Results:
- 31% of participants exhibited mild-moderate proprioception deficits.
- Significant negative correlations were observed between proprioception deficit severity and upper extremity motor ability (FMA, r=-.41), functional ability (ARAT, r=-.48), dexterity (BBT, r=-.43), grip strength (r=-.41), and daily use (MAL, r=-.55 to -.54).
- Individuals with proprioception deficits showed significantly lower BADL, IADL, and upper extremity function.
Conclusions:
- Proprioception deficits in chronic stroke are associated with reduced upper extremity motor and functional abilities, as well as decreased independence in daily living.
- Assessment of proprioception is recommended in the chronic stage post-stroke to guide rehabilitation strategies.
- Addressing proprioception deficits may enhance functional recovery and independence in stroke survivors.
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