Lima Núbia Maria Freire Vieira, Menegatti Karina Cândido, Yu Érica, Sacomoto Natália Yumi, Scalha Thais Botossi, Lima Illia Nadinne Dantas Florentino, Camara Saionara Maria Aires da, Souza Marcelo Cardoso de, Cacho Roberta de Oliveira, Cacho Enio Walker de Azevedo, Honorato Donizeti Cesar
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Universidade Estadual de Campinas, Campinas, SP, BR.
Arq Neuropsiquiatr. 2015 Oct;73(10):834-9. doi: 10.1590/0004-282X20150128. Epub 2015 Sep 1.
Objective To investigate somatosensory deficits in the ipsilesional wrist and hand in chronic stroke patients and correlate these deficits with contralesional sensorimotor dysfunctions, functional testing, laterality and handedness.Methods Fifty subjects (twenty-two healthy volunteers and twenty-eight stroke patients) underwent evaluation with Semmes-Weinstein monofilaments, the sensory and motor Fugl-Meyer Assessment, the Nottingham Sensory Assessment in both wrists and hands and functional tests.Results Twenty-five patients had sensory changes in the wrist and hand contralateral to the stroke, and eighteen patients (64%) had sensory deficits in the ipsilesional wrist and hand. The most significant ipsilesional sensory loss was observed in the left-handed patients. We found that the patients with brain damage in the right hemisphere had better scores for ipsilesional tactile sensation.Conclusions A reduction in ipsilesional conscious proprioception, tactile or thermal sensation was found in stroke subjects. Right hemisphere damage and right-handed subjects had better scores in ipsilesional tactile sensation.
目的 研究慢性卒中患者患侧手腕和手部的体感缺陷，并将这些缺陷与对侧感觉运动功能障碍、功能测试、偏侧性和利手性相关联。方法 五十名受试者（二十二名健康志愿者和二十八名卒中患者）接受了Semmes-Weinstein单丝检查、感觉和运动Fugl-Meyer评估、双侧手腕和手部的诺丁汉感觉评估以及功能测试。结果 二十五名患者在卒中对侧的手腕和手部有感觉变化，十八名患者（64%）患侧手腕和手部有感觉缺陷。在左利手患者中观察到最明显的患侧感觉丧失。我们发现，右半球脑损伤的患者患侧触觉感觉得分更高。结论 在卒中患者中发现患侧有意识本体感觉、触觉或热感觉降低。右半球损伤和右利手受试者在患侧触觉感觉方面得分更高。
