TY - JOUR
T1 - Factors related to daily use of the paretic upper limb in patients with chronic hemiparetic stroke—A retrospective cross-sectional study
AU - Tashiro, Syoichi
AU - Kuroki, Miho
AU - Okuyama, Kohei
AU - Oshima, Osamu
AU - Ogura, Miho
AU - Hijikata, Nanako
AU - Nakamura, Takuya
AU - Oka, Asako
AU - Kawakami, Michiyuki
AU - Tsuji, Tetsuya
AU - Liu, Meigen
N1 - Funding Information:
This study was partially supported by a JSPS KAKENHI (B) Grant (18H03135) and KAKENHI (Wakate) Grant (20K16467) by the Ministry of Education, Culture, Sports, Science and Technology (MEXT), Japan. The former one was applied throughout this study, and the latter one was applied in the revision process.
Funding Information:
Funding:Thisstudywaspartiallysupportedbya JSPSKAKENHI(B)Grant(18H03135)and KAKENHI(Wakate)Grant(20K16467)bythe MinistryofEducation,Culture,Sports,Scienceand Technology(MEXT),Japan.Theformeronewas appliedthroughoutthisstudy,andthelatterone wasappliedintherevisionprocess.
Publisher Copyright:
© 2021 Tashiro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2021/3
Y1 - 2021/3
N2 - Aims The present study aimed to determine factors associated with the frequency of paralyzed upper extremity (UE) use in chronic stroke patients with severe UE functional deficiency. Methods We retrospectively reviewed the medical records of 138 consecutive patients, and 117 was analyzed (median age, 55 [range, 18–85] years; median stroke duration, 24.5 [range, 7–302] months) with chronic hemiparetic stroke who were admitted to our hospital for intensive upper extremity rehabilitation. The mean Fugl-Meyer Assessment (FMA) UE score was 28.6. All of them are independent in their activity of daily living (ADL) and without remarkable cognitive deficits. Amount-of-use score of Motor Activity Log-14 (MAL-AOU) was applied as the index of daily use of affected UE. The following parameters were examined as the explanatory variables: demographics, proximal and distal sub-scores of FMA UE, Modified Ashworth Scale (MAS), and sensory function scores in the Stroke Impairment Assessment Set (SIAS). Results The median MAL-AOU score was 0.57 [range, 0.28–0.80]. Ordinal regression analysis revealed that FMA proximal, FMA distal, and SIAS sensory function (touch) were associated with AOU score of MAL-14 (Pseudo R-square = 0.460). Conclusion Not only motor but also sensory function, especially tactile sensation, play a crucial role in the daily use of affected UE in chronic stroke patients with severe UE hemiparesis.
AB - Aims The present study aimed to determine factors associated with the frequency of paralyzed upper extremity (UE) use in chronic stroke patients with severe UE functional deficiency. Methods We retrospectively reviewed the medical records of 138 consecutive patients, and 117 was analyzed (median age, 55 [range, 18–85] years; median stroke duration, 24.5 [range, 7–302] months) with chronic hemiparetic stroke who were admitted to our hospital for intensive upper extremity rehabilitation. The mean Fugl-Meyer Assessment (FMA) UE score was 28.6. All of them are independent in their activity of daily living (ADL) and without remarkable cognitive deficits. Amount-of-use score of Motor Activity Log-14 (MAL-AOU) was applied as the index of daily use of affected UE. The following parameters were examined as the explanatory variables: demographics, proximal and distal sub-scores of FMA UE, Modified Ashworth Scale (MAS), and sensory function scores in the Stroke Impairment Assessment Set (SIAS). Results The median MAL-AOU score was 0.57 [range, 0.28–0.80]. Ordinal regression analysis revealed that FMA proximal, FMA distal, and SIAS sensory function (touch) were associated with AOU score of MAL-14 (Pseudo R-square = 0.460). Conclusion Not only motor but also sensory function, especially tactile sensation, play a crucial role in the daily use of affected UE in chronic stroke patients with severe UE hemiparesis.
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U2 - 10.1371/journal.pone.0247998
DO - 10.1371/journal.pone.0247998
M3 - Article
C2 - 33690690
AN - SCOPUS:85102710641
SN - 1932-6203
VL - 16
JO - PloS one
JF - PloS one
IS - 3 March
M1 - e0247998
ER -