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Assessing bilateral ankle proprioceptive acuity in stroke survivors: An exploratory study
Li Pan1,2, Dongyan Xu1, Weining Wang1
1Department of Rehabilitation Medicine, Huashan Hospital Fudan University, Shanghai, China.
Frontiers in Neurology
|August 29, 2022
Summary
Stroke survivors exhibit bilateral ankle proprioception deficits, impacting balance. The Active Movement Extent Discrimination Apparatus (AMEDA) reliably assesses these deficits on both affected and unaffected sides.
Area of Science:
- Neurorehabilitation
- Biomechanics
- Motor Control
Background:
- Proprioception deficits are common in stroke survivors.
- Ankle proprioception is crucial for balance post-stroke.
- Previous evaluation methods for ankle proprioception after stroke were insufficient.
Purpose of the Study:
- To validate the Active Movement Extent Discrimination Apparatus (AMEDA) for assessing ankle proprioceptive acuity in stroke survivors.
- To investigate the presence of bilateral ankle proprioception deficits in stroke survivors.
Main Methods:
- Assessed bilateral ankle proprioception in 20 stroke survivors and 20 healthy controls using AMEDA.
- Evaluated test-retest reliability with the intraclass correlation coefficient (ICC).
Main Results:
- AMEDA demonstrated good reliability (ICC 0.713–0.74) for both affected and unaffected sides.
- Stroke survivors showed significant ankle proprioception deficits compared to controls (p=0.045).
- No significant difference in proprioception acuity was found between affected and unaffected sides in stroke survivors.
Conclusions:
- Stroke survivors present with bilateral ankle proprioceptive deficits, necessitating evaluation of both sides.
- The AMEDA is a reliable tool for assessing bilateral ankle proprioceptive acuity in stroke survivors.
- Findings support the development of targeted sensorimotor rehabilitation strategies.
