Sensory deficits in ipsilesional upper-extremity in chronic stroke patients.
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.
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Núbia Maria Freire Vieira
NM
Lima
Universidade Estadual de Campinas, Campinas, SP, BR.
Karina Cândido
KC
Menegatti
Universidade Estadual de Campinas, Campinas, SP, BR.
Érica
É
Yu
Universidade Estadual de Campinas, Campinas, SP, BR.
Natália Yumi
NY
Sacomoto
Departamento de Fisioterapia, Universidade de Sorocaba, Sorocaba, SP, BR.
Thais Botossi
TB
Scalha
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Illia Nadinne Dantas Florentino
IN
Lima
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Saionara Maria Aires da
SM
Camara
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Marcelo Cardoso de
MC
Souza
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Roberta de Oliveira
Rde O
Cacho
Departamento de Fisioterapia, Faculdade de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Santa Cruz, RN, BR.
Enio Walker de Azevedo
EW
Cacho
Departamento de Neurologia, Universidade Estadual de Campinas, Campinas, SP, BR.
Donizeti Cesar
DC
Honorato
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004812:Epidemiologic Methods; D005260:Female; D007839:Functional Laterality; D006225:Hand / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000503:physiopathology; D011597:Psychomotor Performance; D020886:Somatosensory Disorders / Q000503:physiopathology*; D020521:Stroke / Q000503:physiopathology*