{"title":"老年脑卒中患者运动麻痹与触觉损伤的关系","authors":"Naho Umeki , Jun Murata , Shinichirou Kubota , Haruki Kogo , Takayuki Yamaguchi , Misako Higashijima","doi":"10.1016/j.ijge.2018.03.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Human hand functions are affected by neurological disturbances. We hypothesized that the degree of somatosensory impairments after stroke may be related to the severity of motor paralysis. In order to examine this hypothesis, we investigated the relationship between the classification of the Brunnstrom stage and tactile sensation impairments in elderly stroke patients.</p></div><div><h3>Methods</h3><p>Participants were 61 elderly inpatients with hemiparesis after stroke. We measured the tactile-pressure threshold and handgrip strength in both hands and assessed motor impairments of the hand using the six Brunnstrom stages. Differences due to hemiparesis after stroke were examined using paired <em>t</em>-tests. Spearman's rank correlation was performed to elucidate the relationship between Brunnstrom stage scores and the tactile-pressure threshold or handgrip strength.</p></div><div><h3>Results</h3><p>Significant differences were observed in the tactile-pressure threshold and handgrip strength between the impaired and unimpaired sides (p < 0.01). Furthermore, the Brunnstrom stage showed a negative relationship with the tactile-pressure threshold on the impaired side (r<sub>s</sub> = −0.43, p < 0.01) and a positive relationship with handgrip strength (r<sub>s</sub> = 0.82, p < 0.01).</p></div><div><h3>Conclusion</h3><p>These results suggest that the degree of sensory impairments after stroke is related to the severity of motor paralysis classified by the Brunnstrom stage.</p></div>","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"12 4","pages":"Pages 310-313"},"PeriodicalIF":0.3000,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ijge.2018.03.002","citationCount":"9","resultStr":"{\"title\":\"Relationship Between Motor Paralysis and Impairments in Tactile Sensitivity in Elderly Stroke Patients\",\"authors\":\"Naho Umeki , Jun Murata , Shinichirou Kubota , Haruki Kogo , Takayuki Yamaguchi , Misako Higashijima\",\"doi\":\"10.1016/j.ijge.2018.03.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Human hand functions are affected by neurological disturbances. We hypothesized that the degree of somatosensory impairments after stroke may be related to the severity of motor paralysis. In order to examine this hypothesis, we investigated the relationship between the classification of the Brunnstrom stage and tactile sensation impairments in elderly stroke patients.</p></div><div><h3>Methods</h3><p>Participants were 61 elderly inpatients with hemiparesis after stroke. We measured the tactile-pressure threshold and handgrip strength in both hands and assessed motor impairments of the hand using the six Brunnstrom stages. Differences due to hemiparesis after stroke were examined using paired <em>t</em>-tests. Spearman's rank correlation was performed to elucidate the relationship between Brunnstrom stage scores and the tactile-pressure threshold or handgrip strength.</p></div><div><h3>Results</h3><p>Significant differences were observed in the tactile-pressure threshold and handgrip strength between the impaired and unimpaired sides (p < 0.01). Furthermore, the Brunnstrom stage showed a negative relationship with the tactile-pressure threshold on the impaired side (r<sub>s</sub> = −0.43, p < 0.01) and a positive relationship with handgrip strength (r<sub>s</sub> = 0.82, p < 0.01).</p></div><div><h3>Conclusion</h3><p>These results suggest that the degree of sensory impairments after stroke is related to the severity of motor paralysis classified by the Brunnstrom stage.</p></div>\",\"PeriodicalId\":50321,\"journal\":{\"name\":\"International Journal of Gerontology\",\"volume\":\"12 4\",\"pages\":\"Pages 310-313\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2018-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ijge.2018.03.002\",\"citationCount\":\"9\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Gerontology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1873959818300863\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Gerontology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1873959818300863","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 9
摘要
人类手的功能受到神经紊乱的影响。我们假设卒中后躯体感觉损伤的程度可能与运动麻痹的严重程度有关。为了验证这一假设,我们研究了老年脑卒中患者的Brunnstrom分期与触觉感觉障碍的关系。方法选取61例老年脑卒中后偏瘫住院患者。我们测量了双手的触觉压力阈值和握力,并使用六个Brunnstrom阶段评估了手的运动损伤。卒中后偏瘫的差异采用配对t检验。采用Spearman等级相关来阐明Brunnstrom阶段得分与触觉压力阈值或握力之间的关系。结果损伤侧与未损伤侧在触觉压力阈值和握力方面存在显著差异(p <0.01)。此外,Brunnstrom阶段与受损侧触觉压力阈值呈负相关(rs = - 0.43, p <0.01),与握力呈正相关(rs = 0.82, p <0.01)。结论脑卒中后感觉功能障碍的程度与运动麻痹的严重程度有关。
Relationship Between Motor Paralysis and Impairments in Tactile Sensitivity in Elderly Stroke Patients
Background
Human hand functions are affected by neurological disturbances. We hypothesized that the degree of somatosensory impairments after stroke may be related to the severity of motor paralysis. In order to examine this hypothesis, we investigated the relationship between the classification of the Brunnstrom stage and tactile sensation impairments in elderly stroke patients.
Methods
Participants were 61 elderly inpatients with hemiparesis after stroke. We measured the tactile-pressure threshold and handgrip strength in both hands and assessed motor impairments of the hand using the six Brunnstrom stages. Differences due to hemiparesis after stroke were examined using paired t-tests. Spearman's rank correlation was performed to elucidate the relationship between Brunnstrom stage scores and the tactile-pressure threshold or handgrip strength.
Results
Significant differences were observed in the tactile-pressure threshold and handgrip strength between the impaired and unimpaired sides (p < 0.01). Furthermore, the Brunnstrom stage showed a negative relationship with the tactile-pressure threshold on the impaired side (rs = −0.43, p < 0.01) and a positive relationship with handgrip strength (rs = 0.82, p < 0.01).
Conclusion
These results suggest that the degree of sensory impairments after stroke is related to the severity of motor paralysis classified by the Brunnstrom stage.
期刊介绍:
The Journal aims to publish original research and review papers on all fields of geriatrics and gerontology, including those dealing with critical care and emergency medicine.
The IJGE aims to explore and clarify the medical science and philosophy in all fields of geriatrics and gerontology, including those in the emergency and critical care medicine. The IJGE is determined not only to be a professional journal in gerontology, but also a leading source of information for the developing field of geriatric emergency and critical care medicine. It is a pioneer in Asia.
Topics in the IJGE cover the advancement of diagnosis and management in urgent, serious and chronic intractable diseases in later life, preventive medicine, long-term care of disability, ethical issues in the diseased elderly and biochemistry, cell biology, endocrinology, molecular biology, pharmacology, physiology and protein chemistry involving diseases associated with age. We did not limit the territory to only critical or emergency condition inasmuch as chronic diseases are frequently brought about by inappropriate management of acute problems.