Factors Related to Daily Use of the Paretic Upper Limb in Patients with Chronic Hemiparetic Stroke-A Retrospective Cross-sectional Study

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2021 Mar 10

PMID 33690690

Citations 7

Authors

Syoichi Tashiro

Miho Kuroki

Kohei Okuyama

Osamu Oshima

Miho Ogura

Nanako Hijikata

Takuya Nakamura

Asako Oka

Michiyuki Kawakami

Tetsuya Tsuji

Meigen Liu

Affiliations

Soon will be listed here.

Abstract

Aims: The present study aimed to determine factors associated with the frequency of paralyzed upper extremity (UE) use in chronic stroke patients with severe UE functional deficiency.

Methods: We retrospectively reviewed the medical records of 138 consecutive patients, and 117 was analyzed (median age, 55 [range, 18-85] years; median stroke duration, 24.5 [range, 7-302] months) with chronic hemiparetic stroke who were admitted to our hospital for intensive upper extremity rehabilitation. The mean Fugl-Meyer Assessment (FMA) UE score was 28.6. All of them are independent in their activity of daily living (ADL) and without remarkable cognitive deficits. Amount-of-use score of Motor Activity Log-14 (MAL-AOU) was applied as the index of daily use of affected UE. The following parameters were examined as the explanatory variables: demographics, proximal and distal sub-scores of FMA UE, Modified Ashworth Scale (MAS), and sensory function scores in the Stroke Impairment Assessment Set (SIAS).

Results: The median MAL-AOU score was 0.57 [range, 0.28-0.80]. Ordinal regression analysis revealed that FMA proximal, FMA distal, and SIAS sensory function (touch) were associated with AOU score of MAL-14 (Pseudo R-square = 0.460).

Conclusion: Not only motor but also sensory function, especially tactile sensation, play a crucial role in the daily use of affected UE in chronic stroke patients with severe UE hemiparesis.

Citing Articles

Somatosensory-Evoked Potentials and Clinical Assessments of Sensory Function Over Time in Patients With Subacute Stroke.

Fuseya H, Tashiro S, Takahashi O, Kobayashi Y, Tsuji T, Mizuno K Neural Plast. 2025; 2025():7939662.

PMID: 39822763 PMC: 11735060. DOI: 10.1155/np/7939662.

Synchronized application of closed-loop NMES and precision tACS in post-stroke hand rehabilitation: a protocol of neurorehabilitation trial.

Tashiro S, Takemi M, Yamada S, Tsuji T Ther Adv Chronic Dis. 2024; 15:20406223241297397.

PMID: 39575381 PMC: 11580065. DOI: 10.1177/20406223241297397.

Facilitation of imitative movement in patients with chronic hemiplegia triggered by illusory ownership.

Aizu N, Sudo T, Oouchida Y, Izumi S Sci Rep. 2023; 13(1):16143.

PMID: 37752335 PMC: 10522677. DOI: 10.1038/s41598-023-43410-5.

Which sites better represent the sensory function of hands in convalescent stroke patients? A study based on electrophysiological examination.

Liu Y, Ma J, Li H, Shi W, Xiao Z, Yang Q Front Neurosci. 2023; 16:1065629.

PMID: 36711129 PMC: 9875544. DOI: 10.3389/fnins.2022.1065629.

Mediating Effect of Upper Limb Use on the Relationship Between Upper Limb Performance and Activities of Daily Living: A Longitudinal Mediation Analysis.

Hiraga Y, Hayashi T Cureus. 2022; 14(10):e30849.

PMID: 36465773 PMC: 9709589. DOI: 10.7759/cureus.30849.

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