Motor Recovery of the Ipsilesional Upper Limb in Subacute Stroke

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Presentation transcript:

Motor Recovery of the Ipsilesional Upper Limb in Subacute Stroke Julien Metrot, MSc, Jerome Froger, MD, Isabelle Hauret, MD, Denis Mottet, MD, PhD, Liesjet van Dokkum, MSc, Isabelle Laffont, MD, PhD Archives of Physical Medicine and Rehabilitation Volume 94, Issue 11, Pages 2283-2290 (November 2013) DOI: 10.1016/j.apmr.2013.05.024 Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Evolution of ipsilesional scores over the course of the study on the BBT (A) and on the 9HPT (B). Patients were separated a posteriori within 2 subgroups depending on the impairment level (expressed by FMA). Overall mean is represented by the black curve (with SDs), moderately to mildly impaired patients in dark gray, and severely impaired patients in light gray. The performance of the control group is shown by the dotted line. Archives of Physical Medicine and Rehabilitation 2013 94, 2283-2290DOI: (10.1016/j.apmr.2013.05.024) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Illustration of typical velocity peak curves during ipsilesional reaching performed by patients (P5) at W0 and W12, and by controls (C3). Dotted vertical lines delimit the reaching phase of the movement. The gray points on velocity profiles indicate the location of velocity peaks. Archives of Physical Medicine and Rehabilitation 2013 94, 2283-2290DOI: (10.1016/j.apmr.2013.05.024) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Evolution over time of the ipsilesional UL impairment. Impairment is measured by 9HPT, BBT, and NVP as the percentage of difference from the control group (ie, full recovery means that impairment is 0). 9HPT and BBT outcomes are presented in gray bars and NVP in white bars. Archives of Physical Medicine and Rehabilitation 2013 94, 2283-2290DOI: (10.1016/j.apmr.2013.05.024) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 Correlation between contralesional BBT and ipsilesional BBT in patients with moderate to mild impairment (n=10) at W0 (A), at W6 (B), and at W12 (C) and in the control group (n=9) (D). The vertical scales reveal the amplitude of the asymmetry between the 2 hands in the patient group. Archives of Physical Medicine and Rehabilitation 2013 94, 2283-2290DOI: (10.1016/j.apmr.2013.05.024) Copyright © 2013 American Congress of Rehabilitation Medicine Terms and Conditions