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Characteristics of bilateral hand function in individuals with unilateral dystonia due to perinatal stroke: sensory and motor aspects

Identifieur interne : 001A06 ( Pmc/Curation ); précédent : 001A05; suivant : 001A07

Characteristics of bilateral hand function in individuals with unilateral dystonia due to perinatal stroke: sensory and motor aspects

Auteurs : Ana Carolina De Campos ; Sahana N. Kukke ; Mark Hallett ; Katharine E. Alter ; Diane L. Damiano

Source :

RBID : PMC:4096971

Abstract

We assessed bilateral motor and sensory function in individuals with upper limb dystonia due to unilateral perinatal stroke and explored interrelationships of motor function and sensory ability. Reach kinematics and tactile sensation were measured in seven participants with dystonia and nine healthy volunteers. The dystonia group had poorer motor (hold time, reach time, shoulder/elbow correlation) and sensory (spatial discrimination, stereognosis) outcomes than the control group on the non-dominant side. On the dominant side, only sensation (spatial discrimination, stereognosis) was poorer in the dystonia group compared to the control group. In the dystonia group, although sensory and motor outcomes were uncorrelated, dystonia severity was related to poorer stereognosis, longer hold and reach times, and decreased shoulder/elbow coordination. Findings of bilateral sensory deficits in dystonia may be explained by neural reorganization. Visual compensation for somatosensory changes in the non-stroke hemisphere may explain the lack of bilateral impairments in reaching.


Url:
DOI: 10.1177/0883073813512523
PubMed: 24396131
PubMed Central: 4096971

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Ana Carolina De Campos
<affiliation>
<nlm:aff id="A1">Rehabilitation Medicine Department, National Institutes of Health Clinical Center</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health Clinical Center</wicri:noCountry>
</affiliation>
Sahana N. Kukke
<affiliation>
<nlm:aff id="A1">Rehabilitation Medicine Department, National Institutes of Health Clinical Center</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health Clinical Center</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff id="A2">Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health</wicri:noCountry>
</affiliation>
Sahana N. Kukke
<affiliation>
<nlm:aff id="A2">Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health</wicri:noCountry>
</affiliation>
Mark Hallett
<affiliation>
<nlm:aff id="A2">Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health</wicri:noCountry>
</affiliation>
Katharine E. Alter
<affiliation>
<nlm:aff id="A1">Rehabilitation Medicine Department, National Institutes of Health Clinical Center</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health Clinical Center</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:aff id="A3">Mount Washington Pediatric Hospital</nlm:aff>
</affiliation>
Diane L. Damiano
<affiliation>
<nlm:aff id="A1">Rehabilitation Medicine Department, National Institutes of Health Clinical Center</nlm:aff>
<wicri:noCountry code="subfield">National Institutes of Health Clinical Center</wicri:noCountry>
</affiliation>

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<p id="P1">We assessed bilateral motor and sensory function in individuals with upper limb dystonia due to unilateral perinatal stroke and explored interrelationships of motor function and sensory ability. Reach kinematics and tactile sensation were measured in seven participants with dystonia and nine healthy volunteers. The dystonia group had poorer motor (hold time, reach time, shoulder/elbow correlation) and sensory (spatial discrimination, stereognosis) outcomes than the control group on the non-dominant side. On the dominant side, only sensation (spatial discrimination, stereognosis) was poorer in the dystonia group compared to the control group. In the dystonia group, although sensory and motor outcomes were uncorrelated, dystonia severity was related to poorer stereognosis, longer hold and reach times, and decreased shoulder/elbow coordination. Findings of bilateral sensory deficits in dystonia may be explained by neural reorganization. Visual compensation for somatosensory changes in the non-stroke hemisphere may explain the lack of bilateral impairments in reaching.</p>
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<article-title>Characteristics of bilateral hand function in individuals with unilateral dystonia due to perinatal stroke: sensory and motor aspects</article-title>
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<contrib contrib-type="author">
<name>
<surname>de Campos</surname>
<given-names>Ana Carolina</given-names>
</name>
<degrees>PhD, P.T.</degrees>
<email>decamposa@mail.nih.gov</email>
<xref ref-type="aff" rid="A1">1</xref>
<xref rid="FN2" ref-type="author-notes">*</xref>
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<contrib contrib-type="author">
<name>
<surname>Kukke</surname>
<given-names>Sahana N.</given-names>
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<degrees>PhD</degrees>
<email>sahana.kukke@nih.gov</email>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref rid="FN2" ref-type="author-notes">*</xref>
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<name>
<surname>Hallett</surname>
<given-names>Mark</given-names>
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<degrees>MD</degrees>
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<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
<surname>Alter</surname>
<given-names>Katharine E.</given-names>
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<degrees>MD</degrees>
<email>kalter@cc.nih.gov</email>
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<xref ref-type="aff" rid="A3">3</xref>
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<contrib contrib-type="author">
<name>
<surname>Damiano</surname>
<given-names>Diane L.</given-names>
</name>
<degrees>PhD, P.T.</degrees>
<email>damianod@cc.nih.gov</email>
<xref ref-type="aff" rid="A1">1</xref>
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<aff id="A1">
<label>1</label>
Rehabilitation Medicine Department, National Institutes of Health Clinical Center</aff>
<aff id="A2">
<label>2</label>
Human Motor Control Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health</aff>
<aff id="A3">
<label>3</label>
Mount Washington Pediatric Hospital</aff>
<author-notes>
<corresp id="FN1">Corresponding author: Diane Damiano, Functional and Applied Biomechanics Lab, Rehabilitation Medicine Department, National Institutes of Health Clinical Center, 10 Center Drive, Rm 1-1469, Building 10, CRC, MSC 1604, Bethesda, MD 20892-1604, Phone: 1-301-451-7544 Fax: 1-301-451-7536</corresp>
<fn id="FN2">
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<p>co-first authors.</p>
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<day>01</day>
<month>5</month>
<year>2015</year>
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<volume>29</volume>
<issue>5</issue>
<fpage>623</fpage>
<lpage>632</lpage>
<pmc-comment>elocation-id from pubmed: 10.1177/0883073813512523</pmc-comment>
<abstract>
<p id="P1">We assessed bilateral motor and sensory function in individuals with upper limb dystonia due to unilateral perinatal stroke and explored interrelationships of motor function and sensory ability. Reach kinematics and tactile sensation were measured in seven participants with dystonia and nine healthy volunteers. The dystonia group had poorer motor (hold time, reach time, shoulder/elbow correlation) and sensory (spatial discrimination, stereognosis) outcomes than the control group on the non-dominant side. On the dominant side, only sensation (spatial discrimination, stereognosis) was poorer in the dystonia group compared to the control group. In the dystonia group, although sensory and motor outcomes were uncorrelated, dystonia severity was related to poorer stereognosis, longer hold and reach times, and decreased shoulder/elbow coordination. Findings of bilateral sensory deficits in dystonia may be explained by neural reorganization. Visual compensation for somatosensory changes in the non-stroke hemisphere may explain the lack of bilateral impairments in reaching.</p>
</abstract>
<kwd-group>
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<kwd>motor skills</kwd>
<kwd>dystonia</kwd>
<kwd>hemiplegia</kwd>
<kwd>stroke</kwd>
<kwd>cerebral palsy</kwd>
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