中风患者上下肢分级运动成分之间是否存在关联？

Does an association exist between the hierarchical motor components of upper and lower limbs in stroke?

作者信息

Arya Kamal Narayan, Pandian Shanta, Kumar Dharmendra

机构信息

Pandit Deendayal Upadhayaya Institute for the Physically Handicapped, Ministry of Social Justice and Empowerment, Govt. of India, 4 VD Marg, New Delhi 110002, India.

出版信息

J Bodyw Mov Ther. 2016 Jul;20(3):504-11. doi: 10.1016/j.jbmt.2015.11.016. Epub 2015 Dec 11.

DOI:10.1016/j.jbmt.2015.11.016

PMID:27634071

Abstract

BACKGROUND & OBJECTIVE: Abnormal synergisitic linkage exists between the upper and lower limbs. The relation may persist till the last stage of motor recovery. The objective of the present study was to analyze the relation between the motor components of the upper extremity and lower extremity in stroke subjects.

DESIGN

A cross-sectional and correlational design.

SETTING

Rehabilitation Institute.

PARTICIPANTS

Fifty-nine poststroke chronic hemiparetic subjects (39 men; Mean age = 48.81 years; Mean poststroke duration = 11.22 months and 34 right-side paresis).

INTERVENTIONS

Not-applicable.

OUTCOME MEASURES

Fugl-Meyer Assessment (FMA): upper extremity (FMA-UE) and lower extremity (FMA-LE).

RESULTS

A moderate positive correlation (r = .65, p < .001) was found between FMA-UE and FMA-LE. FMA-UE (51%) was found to be significantly inferior (p < .001; 95% CI = 6 to 17) in comparison to FMA-LE (63%).

CONCLUSION

In poststroke subjects, there is a moderate positive relation between the recovery components of affected upper limb and lower limb. Stroke rehabilitation should consider hierarchical motor components of the lower limb and upper limb simultaneously.

摘要