Department of Occupational therapy, Pandit Deendayal Upadhyaya National Institute for Persons with Physical Disabilities, New Delhi, India.
Department of Neurology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Top Stroke Rehabil. 2024 Apr;31(3):281-292. doi: 10.1080/10749357.2023.2253629. Epub 2023 Sep 10.
Post stroke, motor paresis has usually been considered to be a crucial factor responsible for the disability; other impairments such as somatosensory deficits may also play a role.
To determine the relation between the sensory deficits (paretic and non-paretic upper limbs) and the motor recovery of the paretic upper limb and to predict the potential of motor recovery based on the sensory deficits among stroke subjects.
The study was a cross-sectional study conducted in a rehabilitation institute. Ninety-five poststroke hemiparetic subjects having sensory impairment in any of the modalities were considered for this study. Sensory deficits were assessed on both the upper limbs (paretic and non-paretic) primarily using Erasmus MC modification of the revised version of Nottingham Sensory Assessment (Em-NSA) and Nottingham Sensory Assessment (Stereognosis) (NSA-S). The motor recovery was assessed using the Fugl-Meyer assessment (FMA).
The measures of sensory deficits exhibited weak but significant correlation [the paretic (Em-NSA and NSA; = .38 to .58; < .001) and the non-paretic (Em-NSA and NSA; = .24 to .38; = .03 to .001)] with the motor recovery of the paretic upper limb as measured by FMA. The potential of favorable recovery of the paretic upper limb may be predicted using the cutoff scores of Em-NSA (30, 21, and 24) and NSA-S (5, 8, and 5) of the paretic side.
In stroke, sensory deficits relate weakly with the recovery of the paretic upper limb and can predict recovery potential of the paretic upper limb.
中风后，运动麻痹通常被认为是导致残疾的关键因素；其他损伤，如感觉缺失，也可能起作用。
确定感觉缺失（瘫痪侧和非瘫痪侧上肢）与瘫痪侧上肢运动恢复之间的关系，并根据中风患者的感觉缺失预测运动恢复的潜力。
本研究为康复机构中的横断面研究。共有 95 名上肢有感觉障碍的中风偏瘫患者符合本研究标准。主要使用 Erasmus MC 对修订后的诺丁汉感觉评估（Em-NSA）和诺丁汉感觉评估（触觉辨别）（NSA-S）进行评估，评估双侧上肢（瘫痪侧和非瘫痪侧）的感觉缺失。使用 Fugl-Meyer 评估（FMA）评估运动恢复情况。
感觉缺失的测量值与瘫痪上肢的运动恢复呈弱但有显著相关性（瘫痪侧：Em-NSA 和 NSA； = .38 至.58； < .001）和非瘫痪侧：Em-NSA 和 NSA； = .24 至.38； = .03 至.001）。使用 Em-NSA（30、21 和 24）和 NSA-S（5、8 和 5）的瘫痪侧截距评分，可以预测瘫痪上肢的良好恢复潜力。
在中风中，感觉缺失与瘫痪上肢的恢复呈弱相关，可以预测瘫痪上肢的恢复潜力。
