Structural muscular adaptations in upper limb after stroke: a systematic review

Topics in Stroke Rehabilitation
Fernanda Maria FaturiThiago L Russo

Abstract

Stroke is a leading cause of disability in the adult population, impairing upper limb (UL) movements affecting activities of daily living. Muscle weakness has been associated to disabilities in this population, but much attention is given to central nervous system alterations and less to skeletal muscles. The objective of this review is to carry out a systematic literature review to identify structural muscle alterations in the UL of poststroke individuals. The search was performed in December, 2017. MEDLINE, PubMed, SCOPUS, CINAHL, and Science Direct were used as electronic databases. There was no restriction regarding language and publication dates. Studies conducted on poststroke subjects and results on UL skeletal muscle alterations identified by imaging tests were included. Seven studies were included. The sample size and the variables varied among the studies. All the studies compared the paretic UL with the nonparetic UL and one of the studies also compared healthy subjects. Ultrasonography was the most used measurement tool to assess muscle adaptation. This review demonstrated little evidence with poor to fair quality on the structural muscle adaptations in the poststroke subjects, showing muscle atrophy, a higher stiff...Continue Reading

Associated Clinical Trials

Jun 18, 2020·Olga Politikou

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Citations

Nov 14, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·F Z YangM Y C Pang
Feb 18, 2021·American Journal of Physical Medicine & Rehabilitation·Michelle B KahnRoss A Clark
Jul 30, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Luisa Fernanda García-SalazarThiago Luiz Russo

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