Multi-joint Assessment of Proprioception Impairments Poststroke.
Dali Xu, Sang Hoon Kang, Song Joo Lee and 2 others
PMID 37714505WHAT IT FOUND
Stroke survivors showed significantly worse proprioception at the shoulder, elbow, and wrist compared to healthy controls.
Wrist sensation was the most impaired, often accompanied by errors in identifying which joint moved or its direction. Four participants could not detect movement at all.
Key findings
01Stroke survivors had significantly impaired proprioceptive acuity at the shoulder, elbow, and wrist compared to healthy controls.
02Proprioceptive acuity at the wrist was significantly worse than at the shoulder or elbow in stroke survivors during inward movement.
03Four of the seventeen stroke participants had severe proprioception loss, failing to detect robot-guided movement even at maximum angles.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Small sample size of 17 stroke survivors. The study did not investigate the location of brain lesions, which may influence the pattern of sensory impairment. Participants were within one year of stroke and had stable medical conditions, so results may not apply to acute or medically unstable patients.
Declared interests
Research support from N.I.H. Extramural and Non-U.S. Gov't sources. No specific commercial conflicts declared in the provided text.
The easy way to misread this
Do not assume all stroke survivors have uniform proprioceptive deficits. The study found large variations, with some patients having minor issues and others unable to detect movement at all. Individual assessment is required before planning treatment.