TY - JOUR
T1 - Relationships between sensorimotor impairments and reaching deficits in acute hemiparesis
AU - Wagner, Joanne M.
AU - Lang, Catherine E.
AU - Sahrmann, Shirley A.
AU - Hu, Qungli
AU - Bastian, Amy J.
AU - Edwards, Dorothy F.
AU - Dromerick, Alexander W.
PY - 2006/8
Y1 - 2006/8
N2 - Objective. To determine the relationships between sensorimotor impairments and upper extremity reaching performance during the acute phase of stroke and to determine which, if any, measures of sensorimotor impairment can predict variance in reaching performance during this phase. Methods. Sensorimotor impairments of upper extremity (UE) strength, active range of motion, isolated movement control, light touch sensation, joint position sense, spasticity, and shoulder pain were evaluated in a group of 46 individuals with acute hemiparesis (mean time since insult = 9.2 days). Subjects performed a reaching task to a target placed on their affected side. Three-dimensional kinematic analyses were used to assess reaching speed, accuracy, and efficiency. Forward stepwise multiple linear regression analyses were used to determine which impairment was the best predictor of variance in reaching performance. Results. Measures of UE strength predicted the largest proportion of variance in the speed, accuracy, and efficiency of forward reaching. Isolated movement control, somatosensory deficits, and elbow spasticity predicted smaller amounts of variance in reaching performance. Conclusions. The authors' data show that deficits in strength appear to be the most influential sensorimotor impairment associated with limited reaching performance in subjects with acute hemiparesis.
AB - Objective. To determine the relationships between sensorimotor impairments and upper extremity reaching performance during the acute phase of stroke and to determine which, if any, measures of sensorimotor impairment can predict variance in reaching performance during this phase. Methods. Sensorimotor impairments of upper extremity (UE) strength, active range of motion, isolated movement control, light touch sensation, joint position sense, spasticity, and shoulder pain were evaluated in a group of 46 individuals with acute hemiparesis (mean time since insult = 9.2 days). Subjects performed a reaching task to a target placed on their affected side. Three-dimensional kinematic analyses were used to assess reaching speed, accuracy, and efficiency. Forward stepwise multiple linear regression analyses were used to determine which impairment was the best predictor of variance in reaching performance. Results. Measures of UE strength predicted the largest proportion of variance in the speed, accuracy, and efficiency of forward reaching. Isolated movement control, somatosensory deficits, and elbow spasticity predicted smaller amounts of variance in reaching performance. Conclusions. The authors' data show that deficits in strength appear to be the most influential sensorimotor impairment associated with limited reaching performance in subjects with acute hemiparesis.
KW - Hemiparesis
KW - Movement
KW - Stroke Reaching
KW - Upper extremity
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U2 - 10.1177/1545968306286957
DO - 10.1177/1545968306286957
M3 - Article
C2 - 16885427
AN - SCOPUS:33746632987
SN - 1545-9683
VL - 20
SP - 406
EP - 416
JO - Neurorehabilitation and neural repair
JF - Neurorehabilitation and neural repair
IS - 3
ER -