Influence of the side of brain damage on postural upper-limb control including the scapula in stroke patients.

Experimental Brain Research
Johanna V G RobertsonA Roby-Brami

Abstract

Following stroke, control of both the contralesional (paretic) and ipsilesional (less affected) arms is altered. The purpose of this study was to analyse the consequences of stroke on joint rotations of both shoulder girdles, that is, glenohumeral (GH) and scapula motion. Because of hemispheric specialization, we hypothesized that changes would relate to the side of hemisphere damage. Nine stroke patients with left, and 9 with right hemisphere damage (LHD and RHD) and 9 healthy subjects were included. Reaching movements to targets positioned close, far and high in three directions were recorded using an electromagnetic system. Initial and final postures of the scapula, GH and elbow joint were evaluated. Inter-joint rotations throughout the movements were analysed using principal component analysis (PCA). The main finding was that initial and final postures of the contralesional and ipsilesional shoulders differed depending on the side of brain lesion. On the contralesional side, there was less scapula protraction and GH lateral rotation for both groups. Scapula tilt was less anterior in LHD patients, and GH elevation was greater in RHD patients. On the ipsilesional side, GH lateral rotation was reduced in both groups, and scapu...Continue Reading

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Citations

Jun 26, 2013·Archives of Physical Medicine and Rehabilitation·Julien MetrotIsabelle Laffont
Jan 30, 2013·Brain : a Journal of Neurology·Saandeep ManiRobert L Sainburg
Jan 14, 2016·Cerebral Cortex·Sanja BudisavljevicUmberto Castiello
Oct 1, 2013·Clinical Biomechanics·Alexandra RorenMarie-Martine Lefevre-Colau
Oct 30, 2015·Neurorehabilitation and Neural Repair·Mindy F LevinSigal Berman
Sep 19, 2021·Scientific Reports·Laura PellegrinoMaura Casadio

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