Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study
Introduction: Stroke globally cause permanent disability, often impairing upper and lower limb function. Poststroke rehabilitation focuses on enhancing functional outcomes, but limb recovery differs and has various contributing factors. Understanding these differences and their clinical and demograp...
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JCDR Research and Publications Private Limited
2025-01-01
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| author | Rathinasabapathy Sampath Pulimoot CKV Bhuvaneswari Annadurai Kabilan |
| author_facet | Rathinasabapathy Sampath Pulimoot CKV Bhuvaneswari Annadurai Kabilan |
| author_sort | Rathinasabapathy Sampath Pulimoot |
| collection | DOAJ |
| description | Introduction: Stroke globally cause permanent disability, often impairing upper and lower limb function. Poststroke rehabilitation focuses on enhancing functional outcomes, but limb recovery differs and has various contributing factors. Understanding these differences and their clinical and demographic relationships helps develop comprehensive or individualised rehabilitation plans for better outcomes.
Aim: To compare the motor recovery of paretic upper and lower extremities in poststroke patients and analyse their relationship with demographic and clinical factors.
Materials and Methods: This cross-sectional study was conducted at the Department of Physiotherapy, Government Medical College and Hospital, Annamalai Nagar, Chidambaram, Tamil Nadu, India. A total of 41 stroke participants were recruited through purposive sampling. The Fugl-Meyer Assessment (FMA) scale was used to evaluate both Upper Limb (FMA-UL) and Lower Limb (FMA-LL) motor recovery. Statistical tools such as t-tests and Chi-square tests were used for data analysis.
Results: The mean age of the participants was 52.15±13.51 years, with a mean stroke duration of 21.17±16.96 months. Most participants were males (63.41%) with right-sided involvement (75.6%), and the most common subtype was ischaemic stroke (78%). The mean FMA-LL score was 23.88±5.13 (70.2%), which was significantly higher than the FMA-UL mean score of 28.07±11.13 (42.5%), indicating better motor recovery in the lower extremity. Most patients had moderate to severe strokes, with 14.6% experiencing very severe impairment. Gender differences were statistically significant for lower-limb recovery (p-value =0.024), with males showing a mean score of 24.73±5.59, indicating greater recovery. Differences in stroke type were also statistically significant for lower-limb recovery (p-value <0.001), with ischaemic stroke patients having a mean score of 25.50±3.90, demonstrating greater improvements. No significant relationship was observed between age and duration of stroke with recovery patterns.
Conclusion: Lower extremity demonstrated better motor recovery than upper extremity in poststroke patients. Ischaemic and male stroke subjects showed better lower extremity recovery than haemorrhagic and female stroke survivors respectively. The results indicate the implications for customised therapeutic plans in poststroke rehabilitation. |
| format | Article |
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| publishDate | 2025-01-01 |
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| spelling | doaj-art-151e5c1d1ba54cdb8bc955ba6d1bd38c2025-01-07T12:10:00ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901010510.7860/JCDR/2025/75309.20431Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical StudyRathinasabapathy Sampath Pulimoot0CKV Bhuvaneswari1Annadurai Kabilan2Lecturer, Division of Physical Medicine and Rehabilitation, Government Cuddalore Medical College (RMMCH), Annamalai University, Chidambaram, Tamil Nadu, India.Assistant Professor, Division of Physical Medicine and Rehabilitation, Government Cuddalore Medical College (RMMCH), Annamalai University, Chidambaram, Tamil Nadu, India.Assistant Professor, Department of Public Health, The Apollo University, Chittoor, Andhra Pradesh, India.Introduction: Stroke globally cause permanent disability, often impairing upper and lower limb function. Poststroke rehabilitation focuses on enhancing functional outcomes, but limb recovery differs and has various contributing factors. Understanding these differences and their clinical and demographic relationships helps develop comprehensive or individualised rehabilitation plans for better outcomes. Aim: To compare the motor recovery of paretic upper and lower extremities in poststroke patients and analyse their relationship with demographic and clinical factors. Materials and Methods: This cross-sectional study was conducted at the Department of Physiotherapy, Government Medical College and Hospital, Annamalai Nagar, Chidambaram, Tamil Nadu, India. A total of 41 stroke participants were recruited through purposive sampling. The Fugl-Meyer Assessment (FMA) scale was used to evaluate both Upper Limb (FMA-UL) and Lower Limb (FMA-LL) motor recovery. Statistical tools such as t-tests and Chi-square tests were used for data analysis. Results: The mean age of the participants was 52.15±13.51 years, with a mean stroke duration of 21.17±16.96 months. Most participants were males (63.41%) with right-sided involvement (75.6%), and the most common subtype was ischaemic stroke (78%). The mean FMA-LL score was 23.88±5.13 (70.2%), which was significantly higher than the FMA-UL mean score of 28.07±11.13 (42.5%), indicating better motor recovery in the lower extremity. Most patients had moderate to severe strokes, with 14.6% experiencing very severe impairment. Gender differences were statistically significant for lower-limb recovery (p-value =0.024), with males showing a mean score of 24.73±5.59, indicating greater recovery. Differences in stroke type were also statistically significant for lower-limb recovery (p-value <0.001), with ischaemic stroke patients having a mean score of 25.50±3.90, demonstrating greater improvements. No significant relationship was observed between age and duration of stroke with recovery patterns. Conclusion: Lower extremity demonstrated better motor recovery than upper extremity in poststroke patients. Ischaemic and male stroke subjects showed better lower extremity recovery than haemorrhagic and female stroke survivors respectively. The results indicate the implications for customised therapeutic plans in poststroke rehabilitation.https://www.jcdr.net/articles/PDF/20431/75309_CE(Ra1)_F(Sh)_QC(PS_OM)_PF1(AG_IS)_PFA(IS)_PN(IS).pdfcerebral haemorrhagegender factorshemiplegiaischaemic stroketreatment outcome |
| spellingShingle | Rathinasabapathy Sampath Pulimoot CKV Bhuvaneswari Annadurai Kabilan Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study Journal of Clinical and Diagnostic Research cerebral haemorrhage gender factors hemiplegia ischaemic stroke treatment outcome |
| title | Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study |
| title_full | Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study |
| title_fullStr | Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study |
| title_full_unstemmed | Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study |
| title_short | Exploring Motor Recovery Differences in Paretic Upper and Lower Extremity after Stroke: A Cross-sectional Analytical Study |
| title_sort | exploring motor recovery differences in paretic upper and lower extremity after stroke a cross sectional analytical study |
| topic | cerebral haemorrhage gender factors hemiplegia ischaemic stroke treatment outcome |
| url | https://www.jcdr.net/articles/PDF/20431/75309_CE(Ra1)_F(Sh)_QC(PS_OM)_PF1(AG_IS)_PFA(IS)_PN(IS).pdf |
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