Impact of Tactile Sensation on Dexterity: A Cross-Sectional Study of Patients With Impaired Hand Function After Stroke

Journal of Motor Behavior
Elena L Pavlova, Jörgen Borg

Abstract

The authors sought to explore the impact of tactile sensation on manual dexterity and the validity of the strength-dexterity test in subjects with chronic impairments after stroke in a cross-sectional study of 24 patients with impaired hand function after stroke. Dexterity was assessed by the strength-dexterity test, Box and Blocks, and Nine-Hole Peg Test, and the ABILHAND questionnaire. Sensation was measured by pinprick, cotton-wool, graphesthesia, and 2-point discrimination tests. Sensation in the paretic hand had strong association with paretic hand performance in the strength-dexterity test and Nine-Hole Peg Test and explained 13% of the variance. Sensation in the nonparetic hand was associated with the results of the ABILHAND questionnaire. Among sensory tests, 2-point discrimination had the strongest association with dexterity tests. No significant correlations between sensation, pinch force, and dexterity tests were found for the nonparetic hand. The strength-dexterity test exhibited strong correlations with the other dexterity measures and with pinch force. There is an association between tactile sensation and dexterous performance in the paretic hand; activity level performance is associated with sensation in the nonp...Continue Reading

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Citations

Mar 8, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Håkan CarlssonChristina Brogårdh
Jul 23, 2019·Disability and Rehabilitation·Christine V O MatozinhoAline Scianni
Jan 8, 2020·Stroke; a Journal of Cerebral Circulation·Gaia Valentina PennatiPåvel G Lindberg

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