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Effects of Somatosensory Impairment on Participation After Stroke

CAREY LM; MATYAS TA; BAUM C
AM J OCCUP THER , 2018, vol. 72, n° 3, p. 7203205100p1-7203205100p10
Doc n°: 187230
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2018.025114
Descripteurs : KB1 - TECHNIQUES D'ERGOTHERAPIE, AF21 - ACCIDENTS VASCULAIRES CEREBRAUX

Our objective was to determine the effect of loss of body sensation on
activity participation in stroke survivors. METHOD: Participants (N = 268) were
assessed at hospital admission for somatosensory and motor impairment using the
National Institutes of Health Stroke Scale. Participation was assessed using the
Activity Card Sort (ACS) in the postacute phase. Between-group differences in
activity participation were analyzed for participants with and without
somatosensory impairment and with or without paresis. RESULTS: Somatosensory
impairment was experienced in 33.6% of the sample and paresis in 42.9%. ACS
profiles were obtained at a median of 222 days poststroke. Somatosensory loss
alone (z = 1.96, p = .048) and paresis in upper and lower limbs without sensory
loss (z = 4.62, p < .001) influenced activity participation. CONCLUSION:
Somatosensory impairment is associated with reduced activity participation;
however, paresis of upper and lower limbs can mask the contribution of sensory
loss.
CI - Copyright (c) 2018 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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