Structural Magnetic Resonance Imaging Correlated with Motor Function of Upper Extremity in Patients with Chronic Stroke

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Dalia Maher Samy ◽  
Mohamed Mahmoud Mostafa ◽  
Eman Mahmoud ◽  
Ahmed Mohamed Hazzou ◽  
Mohamed Khaled Ahmed Elewa ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Motor Function ◽  
Cross Sectional Study ◽  
Chronic Stroke ◽  
Neurological Dysfunction ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Function Impairment ◽  
Cerebrovascular Stroke ◽  
The Brain

Abstract Background Ischemic cerebrovascular stroke is defined as an acute neurological dysfunction caused by focal cerebral infarction after decrease in the blood supply of the brain either by stenosis or occlusion leading to gross physical impairment or disability lasting more than 24 hours. Objective To assess correlation between site of infarction and upper extremity ( UE) function in chronic stroke patients. Methodology A cross sectional study with (30) Patients with chronic ischemic stroke ( >3 months) suffering from persistent UE motor function impairment, MRI brain done to assess the site of infarction. UE motor function assessment using the Fugl Meyer Assessment (FMA-UE) Scale. Results The current study found that no significant correlation between the site of infarction and UE motor function. Conclusion We concluded that the site of infarction not correlated with UE motor function in chronic stroke patients.

scholarly journals Factors related to daily use of the paretic upper limb in patients with chronic hemiparetic stroke–A retrospective cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247998
Author(s):  
Syoichi Tashiro ◽  
Miho Kuroki ◽  
Kohei Okuyama ◽  
Osamu Oshima ◽  
Miho Ogura ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Cross Sectional Study ◽  
Chronic Stroke ◽  
Sensory Function ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Hemiparetic Stroke ◽  
Upper Extremity Rehabilitation ◽  
Chronic Hemiparetic Stroke

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.

Dry eye in chronic stroke patients with hemiplegia: A cross-sectional study

2020 ◽  
Vol 27 (8) ◽  
pp. 630-635
Author(s):  
Esin Benli Küçük ◽  
Erkut Küçük ◽  
Ercan Kaydok ◽  
Kürsad Ramazan Zor ◽  
Gamze Yıldırım Biçer
Keyword(s):  
Dry Eye ◽  
Cross Sectional Study ◽  
Chronic Stroke ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

scholarly journals An explorative, cross-sectional study into abnormal muscular coupling during reach in chronic stroke patients

2010 ◽  
Vol 7 (1) ◽  
Author(s):  
Gerdienke B Prange ◽  
Michiel JA Jannink ◽  
Arno HA Stienen ◽  
Herman van der Kooij ◽  
Maarten J IJzerman ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Chronic Stroke ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

scholarly journals Associations between Upper Extremity Motor Function and Aphasia after Stroke: A Multicenter Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Shuo Xu ◽  
Zhijie Yan ◽  
Yongquan Pan ◽  
Qing Yang ◽  
Zhilan Liu ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Upper Extremity ◽  
Motor Function ◽  
Motor Performance ◽  
Linear Regression Analysis ◽  
Spontaneous Speech ◽  
Cross Sectional Study ◽  
Language Function ◽  
Sectional Study ◽  
Cross Sectional

Background and Purpose. Poststroke aphasia (PSA) often coexists with upper extremity (UE) motor dysfunction. However, whether the presence of PSA affects UE motor performance, and if language function associates with UE motor performance, are unclear. This study is aimed at (1) comparing the motor status of UE between patients with PSA and without PSA and (2) investigating the association between language function and UE motor status in patients with PSA. Methods. Patients with stroke were compared and correlated from overall and three periods (1-3 months, 4-6 months, and >6 months). Fugl-Meyer assessment for the upper extremity (FMA-UE) and action research and arm test (ARAT) were used to compare the UE motor status between patients with PSA and without PSA through a cross-sectional study among 435 patients. Then, the correlations between the evaluation scale scores of UE motor status and language function of patients with PSA were analyzed in various dimensions, and the language subfunction most closely related to UE motor function was analyzed by multiple linear regression analysis. Results. We found that the scores of FMA-UE and ARAT in patients with PSA were 14 points ((CI) 10 to 18, p < 0.001 ) and 11 points lower ((CI) 8 to 13, p < 0.001 ), respectively, than those without PSA. Their FMA-UE ( r = 0.70 , p < 0.001 ) and ARAT ( r = 0.62 , p < 0.001 ) scores were positively correlated with language function. Regression analysis demonstrated that spontaneous speech ability may account for UE motor function ( R 2 = 0.51 , p < 0.001 ; R 2 = 0.42 , p < 0.001 ). Consistent results were also obtained from the analyses within the three time subgroups. Conclusion. Stroke patients with PSA have worse UE motor performance. UE motor status and language function showed positive correlations, in which spontaneous speech ability significantly accounts for the associations.

scholarly journals Auditory Hallucinations in Acute Stroke

2005 ◽  
Vol 16 (4) ◽  
pp. 211-216 ◽  
Author(s):  
Yair Lampl ◽  
Mordechai Lorberboym ◽  
Ronit Gilad ◽  
Mona Boaz ◽  
Menachem Sadeh
Keyword(s):  
Acute Stroke ◽  
Cross Sectional Study ◽  
Auditory Hallucinations ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Ischemic Lesion ◽  
Cortical Stroke ◽  
The Right ◽  
The Brain

Auditory hallucinations are uncommon phenomena which can be directly caused by acute stroke, mostly described after lesions of the brain stem, very rarely reported after cortical strokes. The purpose of this study is to determine the frequency of this phenomenon. In a cross sectional study, 641 stroke patients were followed in the period between 1996–2000. Each patient underwent comprehensive investigation and follow-up. Four patients were found to have post cortical stroke auditory hallucinations. All of them occurred after an ischemic lesion of the right temporal lobe. After no more than four months, all patients were symptom-free and without therapy. The fact the auditory hallucinations may be of cortical origin must be taken into consideration in the treatment of stroke patients. The phenomenon may be completely reversible after a couple of months.

scholarly journals The Association of Plasma Fractalkine and Inflammation After Ischemic Stroke

2016 ◽  
Vol 8 (2) ◽  
pp. 109
Author(s):  
Lucia Herminawati ◽  
Andi Wijaya ◽  
Mansyur Arief ◽  
Suryani As'ad
Keyword(s):  
Ischemic Stroke ◽  
Tissue Injury ◽  
Cross Sectional Study ◽  
Stroke Onset ◽  
C Reactive Protein ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Reactive Protein ◽  
The Brain ◽  
Sensitive Marker

BACKGROUND: Inflammation affects the brain after stroke with main functions to rapidly eliminate the source of the disturbance, remove damaged tissue and then restore tissue homeostasis. High sensitive C-reactive protein (hsCRP) is a sensitive marker of inflammation and tissue injury in the arterial wall, while fractalkine is a distinct chemokine that promotes inflammatory signaling after neuronal death on ischemic stroke. We aim to investigate the association of fractalkine with hsCRP as a marker of inflammation in ischemic stroke patients.METHODS: This study was designed as a cross-sectional study. Soon after patients with ischemic stroke admitted to hospital, plasma fractalkine and hsCRP concentrations were assesed. Subjects had to be at least 30 years old and maximum 30 days of stroke onset. High inflammation was defined as hsCRP value >3 mg/L.RESULTS: High fractalkine levels were found on 24 ischemic stroke patients (49%) and mean of fractalkine 0.719 ng/mL on patients with stroke onset <7 days was higher than patients with stroke onset 7-30 days. Low fractalkine levels (<0.527 ng/mL) were found on ischemic stroke patients with onset 7-30 days accompanied by high inflammation (hsCRP >3 mg/L), but no significant correlation between fractalkine and hsCRP (p=0.613).CONCLUSION: High inflammation and low plasma fractalkine profile was found after 7 days of onset in ischemic stroke patients. No significant correlation between fractalkine and hsCRP in ischemic stroke patients.KEYWORDS: CRP, fractalkine, inflammation, ischemic stroke

scholarly journals Effect of Trunk Support on Upper Extremity Function in People With Chronic Stroke and People Who Are Healthy

2015 ◽  
Vol 95 (8) ◽  
pp. 1163-1171 ◽  
Author(s):  
Seng Kwee Wee ◽  
Ann-Marie Hughes ◽  
Martin B. Warner ◽  
Simon Brown ◽  
Andy Cranny ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Cross Sectional Study ◽  
Chronic Stroke ◽  
External Support ◽  
Trunk Control ◽  
Cross Sectional ◽  
Lower Trunk ◽  
Lumbar Stabilization ◽  
Wolf Motor Function Test ◽  
Performance Times

Background Trunk control is thought to contribute to upper extremity (UE) function. However, this common assumption in neurorehabilitation has not been validated in clinical trials. Objective The study objectives were to investigate the effect of providing external trunk support on trunk control and UE function and to examine the relationship between trunk control and UE function in people with chronic stroke and people who were healthy. Design A cross-sectional study was conducted. Methods Twenty-five people with chronic stroke and 34 people who were healthy and matched for age and sex were recruited. Trunk control was assessed with the Trunk Impairment Scale (TIS), and UE impairment and UE function were assessed with the UE subsection of the Fugl-Meyer Assessment (FMA-UE) and the Streamlined Wolf Motor Function Test (SWMFT), respectively. The TIS and SWMFT were evaluated, with and without external trunk support; the FMA-UE was evaluated without trunk support. Results With trunk support, people with stroke showed improvement from 18 to 20 points on the TIS, a reduction in SWMFT performance times from 37.20 seconds to 35.37 seconds for the affected UE, and improvement from 3.3 points to 3.4 points on the SWMFT Functional Ability Scale for the function of the affected UE. With trunk support, the SWMFT performance time for people who were healthy was reduced from 1.61 seconds to 1.48 seconds for the dominant UE and from 1.71 seconds to 1.59 seconds for the nondominant UE. A significant moderate correlation was found between the TIS and the FMA-UE (r=.53) for people with stroke. Limitations The limitations included a nonmasked assessor and a standardized height of the external trunk support. Conclusions External trunk support improved trunk control in people with chronic stroke and had a statistically significant effect on UE function in both people with chronic stroke and people who were healthy. The findings suggest an association between trunk control and the UE when external trunk support was provided and support the hypothesis that lower trunk and lumbar stabilization provided by external support enables an improvement in the ability to use the UE for functional activities.

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