Sensory deficits in ipsilesional upper-extremity in chronic stroke patients

• Main Author: Lima,Núbia Maria Freire Vieira
• Publication Date: 2015
• Other Authors: Menegatti,Karina Cândido, Yu,Érica, Sacomoto,Natália Yumi, Scalha,Thais Botossi, Lima,Illia Nadinne Dantas Florentino, Camara,Saionara Maria Aires da, Souza,Marcelo Cardoso de, Cacho,Roberta de Oliveira, Cacho,Enio Walker de Azevedo, Honorato,Donizeti Cesar
• Format: Article
• Language: eng
• Source: Arquivos de neuro-psiquiatria (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015001000834
• topic: stroke; tactile sensation; proprioception; ipsilesional upper extremity

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.