Kitsos Gemma H, Hubbard Isobel J, Kitsos Alex R, Parsons Mark W
Stroke Research, Neurology Department, John Hunter Hospital, Hunter New England Local Health District, Locked Bag 1, Hunter Regional Mail Centre, NSW 2310, Australia.
School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
ScientificWorldJournal. 2013 Nov 26;2013:684860. doi: 10.1155/2013/684860.
Neurological dysfunction commonly occurs in the upper limb contralateral to the hemisphere of the brain in which stroke occurs; however, the impact of stroke on function of the ipsilesional upper limb is not well understood. This study aims to systematically review the literature relating to the function of the ipsilesional upper limb following stroke and answer the following research question: Is the ipsilesional upper limb affected by stroke?
A systematic review was carried out in Medline, Embase, and PubMed.
All studies investigating the ipsilesional upper limb following stroke were included and analysed for important characteristics. Outcomes were extracted and summarised. Results. This review captured 27 articles that met the inclusion criteria. All studies provided evidence that the ipsilesional upper limb can be affected following stroke.
These findings demonstrate that clinicians should consider ipsilesional upper limb deficits in rehabilitation and address this reduced functional capacity. Furthermore, the ipsilesional upper limb should not be used as a "control" measure of recovery for the contralateral upper limb.
神经功能障碍通常发生在脑卒中所累及大脑半球对侧的上肢;然而,脑卒中对患侧上肢功能的影响尚未得到充分了解。本研究旨在系统回顾与脑卒中后患侧上肢功能相关的文献,并回答以下研究问题:患侧上肢是否受到脑卒中的影响?
在Medline、Embase和PubMed数据库中进行了系统回顾。
纳入所有调查脑卒中后患侧上肢的研究,并分析其重要特征。提取并总结结果。结果。本综述纳入了27篇符合纳入标准的文章。所有研究均提供证据表明,脑卒中后患侧上肢会受到影响。
这些研究结果表明,临床医生在康复过程中应考虑患侧上肢的功能缺损,并解决这种功能能力下降的问题。此外,患侧上肢不应作为对侧上肢恢复情况的“对照”指标。