Relationships between sensorimotor impairments and reaching deficits in acute hemiparesis

Joanne M. Wagner, Catherine E. Lang, Shirley A. Sahrmann, Qungli Hu, Amy J. Bastian, Dorothy F. Edwards, Alexander W. Dromerick

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)406-416
Number of pages11
JournalNeurorehabilitation and neural repair
Volume20
Issue number3
DOIs
StatePublished - Aug 1 2006

Keywords

  • Hemiparesis
  • Movement
  • Stroke Reaching
  • Upper extremity

ASJC Scopus subject areas

  • Rehabilitation
  • Neurology
  • Clinical Neurology

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