I don't understand. Ipsilesional : the symptoms occur on the same side of the body as the lesion.Are they trying to say the good side has recovery problems? I don't remember doing any rehab on the 'good' arm. Amy?
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J67512&phrase=no&rec=123278
NARIC Accession Number: J67512. What's this?
ISSN: 0003-9993.
Author(s): Metrot, Julien; Froger, Jerome; Hauret, Isabelle; Mottet, Denis; van Dokkum, Liesjet; Laffont, Isabelle.
Publication Year: 2013.
Number of Pages: 8.
Abstract: Study investigated the time-related
changes in motor performance of the ipsilesional upper limb in subacute
poststroke patients by using clinical and kinematic assessments.
Nineteen stroke patients were included in the study less than 30 days
after a first unilateral ischemic/hemorrhagic stroke. The control group
was composed of age-matched, healthy volunteers. Clinical and kinematic
assessments were conducted once a week during 6 weeks and 3 months after
inclusion. Clinical measures consisted of the Fugl-Meyer Assessment,
the Box and Block Test (BBT), the Nine-Hole Peg Test (9HPT), and the
Barthel Index. A 3-dimensional motion recording system was used during a
reach-to-grasp task to analyze movement smoothness, movement time, and
peak velocity of the hand. Healthy controls performed both clinical (BBT
and 9HPT) and kinematic evaluations within a single session. Results
indicated that recovery of ipsilesional upper arm capacities increased
over time and leveled off after a 6-week period of rehabilitation,
corresponding to 9 weeks poststroke. At study discharge, patients
demonstrated similar ipsilesional clinical scores to controls but
exhibited less smooth reaching movements. No effect was found of the
hemispheric side of the lesion on ipsilesional motor deficits. The
findings provide evidence that ipsilesional motor capacities remain
impaired at least 3 months after stroke, even if clinical tests fail to
detect the impairment.
I've never heard of the word ipsilesional. Maybe a much smarter than me neuro PT would have heard of it.
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