Impaired discrimination of sensory information about slip between object and skin is associated with handgrip limitation poststroke

被引:5
作者
Blennerhassett, Jannette M. [1 ,2 ,3 ]
Carey, Leeanne M. [2 ]
Matyas, Thomas A. [2 ,3 ]
机构
[1] Austin Hlth Royal Talbot Rehabil Ctr, Dept Physiotherapy, Kew, Vic 3101, Australia
[2] La Trobe Univ, Bundoora, Vic 3086, Australia
[3] Univ Melbourne, Melbourne, Vic 3010, Australia
关键词
sensation; hand strength; handgrip; cerebrovascular disorders; psychophysical tests;
D O I
10.1375/brim.9.2.114
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Impaired somatosensory processing could contribute to handgrip limitation following stroke. The aim of this study was to examine the association between somatosensory function measured by psychophysical tests and clinical measures of handgrip limitation poststroke. Forty-five people with stroke who could perform a pinch grip task were recruited from rehabilitation settings. Ability to discriminate surface friction, and to match object weight were quantified using psychophysical methods. Handgrip limitation was measured using items of the Motor Assessment Scale, Jebsen Taylor Hand Function Test and the Hand Function Survey. Impaired discrimination of surface friction was moderately to weakly associated with handgrip limitation (rs = .36 to .55). In contrast, an association between degree of impairment in matching weight and handgrip limitation poststroke was not observed (rs < .24). The findings suggest that processing of tactile cues arising between the object and skin when training handgrip ability may be beneficial for people with stroke.
引用
收藏
页码:114 / 121
页数:8
相关论文
共 44 条
[1]
[Anonymous], AHCPR PUBL
[2]
[Anonymous], 2006, Textbook of Neural Repair and Rehabillitation
[3]
Upper limb recovery after stroke: The stroke survivors' perspective [J].
Barker, RN ;
Brauer, SG .
DISABILITY AND REHABILITATION, 2005, 27 (20) :1213-1223
[4]
Tactile apraxia - Unimodal apractic disorder of tactile object exploration associated with parietal lobe lesions [J].
Binkofski, F ;
Kunesch, E ;
Classen, J ;
Seitz, RJ ;
Freund, HJ .
BRAIN, 2001, 124 :132-144
[5]
Impaired discrimination of surface friction contributes to pinch grip deficit after stroke [J].
Blennerhassett, Jannette M. ;
Matyas, Thomas A. ;
Carey, Leeanne M. .
NEUROREHABILITATION AND NEURAL REPAIR, 2007, 21 (03) :263-272
[6]
Grip force regulation during pinch grip lifts under somatosensory guidance: Comparison between people with stroke and healthy controls [J].
Blennerhassett, JM ;
Carey, LM ;
Matyas, TA .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2006, 87 (03) :418-429
[7]
BLENNERHASSETT JM, J HAND THER IN PRESS
[8]
Effectiveness of sensory and motor rehabilitation of the upper limb following the principles of neuroplasticity: Patients stable poststroke [J].
Byl, N ;
Roderick, J ;
Mohamed, F ;
Hanny, M ;
Kotler, J ;
Smith, A ;
Tang, M ;
Abrams, G .
NEUROREHABILITATION AND NEURAL REPAIR, 2003, 17 (03) :176-191
[9]
Friction, not texture, dictates grip forces used during object manipulation [J].
Cadoret, G ;
Smith, AM .
JOURNAL OF NEUROPHYSIOLOGY, 1996, 75 (05) :1963-1969
[10]
Training of somatosensory discrimination after stroke - Facilitation of stimulus generalization [J].
Carey, LM ;
Matyas, TA .
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2005, 84 (06) :428-442