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Cervical spine movements in hemiparetic patients
Brain Injury
|September 1, 1996
Summary
Severe hemiparetic patients show minimal cervical spine movement limitations, primarily in lateral bending towards the unaffected side. These limitations become more pronounced with longer durations of hemiparesis.
Area of Science:
- Neurology
- Orthopedics
- Rehabilitation Medicine
Background:
- Cerebral vascular accidents (CVAs) can lead to hemiparesis, affecting motor function.
- Cervical spine mobility is crucial for overall functional independence.
- Limited research exists on long-term cervical spine movement in hemiparetic individuals post-rehabilitation.
Purpose of the Study:
- To compare maximal cervical spine rotation and lateral bending between the plegic and sound sides in severe hemiparetic patients.
- To assess differences in cervical spine movements in hemiparetic patients compared to a healthy control group.
- To investigate the influence of hemiparesis duration on cervical spine mobility.
Main Methods:
- Quantitative measurement of cervical spine movements (rotation, lateral bending) using a spherical compass and protractor.
- Study included 38 severe hemiparetic patients (≥6 months post-CVA) and 29 orthopedic controls.
- Measurements were taken after completion of rehabilitation programs.
Main Results:
- Hemiparetic patients exhibited minimal limitations in cervical spine movements.
- A statistically significant limitation was observed in lateral bending towards the sound side (p = 0.042).
- This limitation was more pronounced in patients with hemiparesis lasting one year or longer (p = 0.013).
- No significant differences in cervical spine movements were found between sides in the control group.
Conclusions:
- Cervical spine mobility is largely preserved in severe hemiparetic patients.
- A subtle but significant deficit in lateral bending towards the sound side exists, potentially worsening over time.
- These findings highlight the need for continued assessment of cervical spine function in stroke survivors.
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