Arya Kamal Narayan, Pandian Shanta, Kumar Dharmendra
Pandit Deendayal Upadhayaya Institute for the Physically Handicapped, Ministry of Social Justice and Empowerment, Govt. of India, 4 VD Marg, New Delhi 110002, India.
Pandit Deendayal Upadhayaya Institute for the Physically Handicapped, Ministry of Social Justice and Empowerment, Govt. of India, 4 VD Marg, New Delhi 110002, India.
J Bodyw Mov Ther. 2016 Jul;20(3):504-11. doi: 10.1016/j.jbmt.2015.11.016. Epub 2015 Dec 11.
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.
A cross-sectional and correlational design.
Rehabilitation Institute.
Fifty-nine poststroke chronic hemiparetic subjects (39 men; Mean age = 48.81 years; Mean poststroke duration = 11.22 months and 34 right-side paresis).
Not-applicable.
Fugl-Meyer Assessment (FMA): upper extremity (FMA-UE) and lower extremity (FMA-LE).
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%).
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.
上肢和下肢之间存在异常的协同联系。这种关系可能会持续到运动恢复的最后阶段。本研究的目的是分析中风患者上肢和下肢运动成分之间的关系。
横断面相关性设计。
康复研究所。
59例中风后慢性偏瘫患者（39例男性；平均年龄=48.81岁；平均中风后病程=11.22个月，34例右侧偏瘫）。
不适用。
Fugl-Meyer评估（FMA）：上肢（FMA-UE）和下肢（FMA-LE）。
FMA-UE与FMA-LE之间存在中度正相关（r = 0.65，p < 0.001）。与FMA-LE（63%）相比，FMA-UE（51%）明显更低（p < 0.001；95%CI = 6至17）。
在中风患者中，受影响的上肢和下肢恢复成分之间存在中度正相关。中风康复应同时考虑下肢和上肢的分级运动成分。
