Narzędzia help

Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
first previous next last
cannonical link button


Acta of Bioengineering and Biomechanics

Tytuł artykułu

Analysis of upper limb muscle strength in the early phase of brain stroke

Autorzy Starosta, M.  Kostka, J.  Redlicka, J.  Miller, E. 
Treść / Zawartość
Warianty tytułu
Języki publikacji EN
EN Purpose: The aim of this study was to determine the muscles with the lowest strength in nonaffected (non-A) and affected upper limb (A), to assess differences between men and women and to correlate these values with age in patients after stroke. Methods: Sixty hospitalized in Neurorehabilitation Ward patients (40 male, 20 female), 1-2 weeks after stroke, were enrolled to the study. Their age ranged from 50 to 80 years with a mean (sd) of 65,5 (18,7) years. Muscle force values from upper limb muscles were measured using the MicroFet 2 hand-held dynamometer. The results are displayed in newtons [N], mean values of muscular force, effect sizes and confidence intervals displayed as Cohen’s d and 95% CI were determined. Moreover, we made the coefficients correlation for differences in muscular force versus the Rivermead Motor Assessment (RMA) arm section. Results: Strength of (A) upper limb in comparison to (non-A) was 39% weaker. The severely affected muscle groups were the shoulder flexion 41% (women) versus 46% (men); elbow flexion 39% (women) versus 31% (men); wrist extension 36% (women) versus 42% (men). No significant correlations were found between muscle strength results and RMA or age. Conclusions: Muscle force of (A) upper limb after stroke demonstrates 39% decrease. Men show more significant decrease than women (40% vs 35%). Functional assessment in RMA values show the better results in women (4,9 ± 4,1) than men (3,4 ± 3,2).
Słowa kluczowe
PL siła mięśni   kończyna górna   udar   dynamometr  
EN muscle strength   upper limb   stroke   dynamometer  
Wydawca Oficyna Wydawnicza Politechniki Wrocławskiej
Czasopismo Acta of Bioengineering and Biomechanics
Rocznik 2017
Tom Vol. 19, nr 3
Strony 85--91
Opis fizyczny Bibliogr. 29 poz.
autor Starosta, M.
  • Department of Physical Medicine, Medical University of Lodz, Lodz, Poland,
  • Neurorehabilitation Ward, III General Hospital in Lodz, Lodz, Poland.
autor Kostka, J.
  • Department of Physical Medicine, Medical University of Lodz, Lodz, Poland
autor Redlicka, J.
  • Neurorehabilitation Ward, III General Hospital in Lodz, Lodz, Poland
autor Miller, E.
[1] ADA L., O’DWYER N., O’NEILL E., Relation between spasticity, weakness and contracture of the elbow flexors and upper limb activity after stroke: an observational study, Disabil Rehabil., 2006 Jul, 15-30, 28(13-14), 891-897.
[2] AKAGI R., TAKAI Y., KATO E., FUKUDA M., WAKAHARA T., OHTA M., KANEHISA H., KAWAKAMI Y., FUKUNAGA T., Relationships between muscle strength and indices of muscle cross-sectional area determined during maximal voluntary contraction in middle-aged and elderly individuals, J Strength Cond Res., 2009 Jul, 23(4), 1258-1262.
[3] ANDREWS A. W., BOHANNON R. W., Distribution of muscle strength impairments following stroke, Clin Rehabil., 2000 Feb, 14(1), 79-87.
[4] ANDREWS A. W., THOMAS M. W., BOHANNON R. W., Normative values for isometric muscle force measurements obtained with hand-held dynamometers, Phys Ther., 1996 Mar, 76(3), 248-259.
[5] BEER R. F., GIVEN J. D., DEWALD J. P., Task-dependent weakness at the elbow in patients with hemiparesis, Arch Phys Med Rehabil., 1999 Jul, 80(7), 766-77.
[6] BOHANNON R. W., Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years Arch Phys Med Rehabil., 1997, 78(1),26-32.
[7] BOHANNON R. W., ANDREWS A. W., Limb Muscle Strength is Impaired Bilaterally after Stroke, J. Phys Ther Sci., 1995, 7, 1–7.
[8] BOHANNON R. W., SMITH M. B., Assessment of strength deficits in eight paretic upper extremity muscle groups of stroke patients with hemiplegia, Phys Ther., 1987, Apr, 67(4), 522-525.
[9] CANNING C. G., ADA L., ADAMS R., O’DWYER N., Loss of strength contributes more to physical disability after stroke than loss of dexterity, Clin Rehabil.. 2004 May, 18(3), 300-308.
[10] COLEBATCH J. G., GANDEVIA S. C., SPIRA P. J., Voluntary muscle strength in hemiparesis: distribution of weakness at the elbow, J Neurol Neurosurg Psychiatry., 1986, Sep, 49(9), 1019-1024.
[11] COLEBATCH J. G., GANDEVIA S. C., The distribution of muscular weakness in upper motor neuron lesions affecting the arm, Brain., 1989 Jun, 112 (Pt 3),749–763.
[12] CZAMARA A., Moments of muscular strength of knee joint extensors and flexors during physiotherapeutic procedures following anterior cruciate ligament reconstruction in males, Acta Bioeng Biomech., 2008, 10, (3), 37-44.
[13] DEWALD J. P., BEER R .F., Abnormal joint torque patterns in the paretic upper limb of subjects with hemiparesis, Muscle Nerve., 2001 Feb, 24(2), 273-283.
[14] JAMES D., Upper motor neuron lesion, Neuroanatomy, 2007, Accessed 19 April 2016
[15] JEONG B. O., KANG H. J., BAE K. Y., KIM S. W., KIM J. M., SHIN I. S., KIM J. T., PARK M. S., CHO K. H., YOON J. S., Determinants of quality of life in the acute stage following stroke, Psychiatry Investig., 2012 Jun, 9(2),127-133.
[16] LANG C. E., BLAND M. D., BAILEY R. R., SCHAEFER S. Y., BIRKENMEIER R.L., Assessment of upper extremity impairment, function, and activity after stroke: foundations for clinical decision making, J Hand Ther., 2013, Apr-Jun, 26(2),104-114.
[17] LUM P. S., BURGAR C. G., SHOR P. C., Evidence for strength imbalances as a significant contributor to abnormal synergies in hemiparetic subjects, Muscle Nerve., 2003, Feb, 27(2), 211-221.
[18] MERCIER C., BOURBONNAIS D., Relative shoulder flexor and handgrip strength is related to upper limb function after stroke. Clin Rehabil., 2004 Mar, 18(2),215-221.
[19] PASTERNAK-MLĄDZKA I., MLĄDZKI Z., BĘDZIŃSKI R., BARAN B., Objective measurements of muscle force in a group of after-stroke patients with hemiparesis, Acta Bioeng Biomech., 2007, 9, (1), 19-23.
[20] PEROSSA D., DZIAK M., VERNON H., HAYASHITA K., The intra-examiner reliability of manual muscle testing of the hip and shoulder with a modified sphygmomanometer: a preliminary study of normal subjects, J Can Chiropr Assoc., 42, 73-82.
[21] PRADON D., ROCHE N., ENETTE L., ZORY R., Relationship between lower limb muscle strength and 6-minute walk test performance in stroke patients, J Rehabil Med., 2013, 45(1), 105-108.
[22] ROBERTS H. C., DENISON H. J., MARTIN H. J., PATEL H. P., SYDDALL H., A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing., 2011, 40, 423-429.
[23] SCHAEFER S. Y., HAALAND K. Y., SAINBURG R. L., Ipsilesional motor deficits following stroke reflect hemispheric specializations for movement control, Brain, 2007 Aug, 130(0 8), 2146-2158.
[24] SCHAUBERT K. L., BOHANNON R. W., Reliability and validity of three strength measures obtained from community-dwelling elderly persons, J Strength Cond Res., 2005, Aug, 19(3), 717-720.
[25] STARK T., WALKER B., PHILLIPS J. K., FEJER R., BECK R., Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review, PM R., 2011, May, 3(5), 472-479.
[26] SURBURG P. R., SUOMI R., POPPY W. K., Validity and Reliability of a Hand-Held Dynamometer with Two Populations, J Orthop Sports Phys Ther., 1992, Feb, 16(5), 229-234.
[27] SUZUKI M., OMORI Y., SUGIMURA S., MIYAMOTO M., SUGIMURA Y., KIRIMOTO H., YAMADA S., Predicting recovery of bilateral upper extremity muscle strength after stroke, J Rehabil Med., 2011, Oct, 43(10), 935-943.
[28] THIJS R. D., NOTERMANS N. C., WOKKE J. H., VAN DER GRAAF Y., VAN GIJN J., Distribution of muscle weakness of central and peripheral origin, J Neurol Neurosurg Psychiatry., 1998, Nov, 65(5), 794-796.
[29] WAGNER J. M., LANG C .E., SAHRMANN S .A., HU Q., BASTIAN A. J., EDWARDS D .F., DROMERICK A. W., Relationships between sensorimotor impairments and reaching deficits in acute hemiparesis, Neurorehabil Neural Repair., 2006, Sep, 20(3), 406-416.
Young Scientists Grant of Medical University of Łódź, Poland 502-03/5-127-05/502-54-173.
Kolekcja BazTech
Identyfikator YADDA bwmeta1.element.baztech-bfd765e5-6af9-4a4a-96c4-849ee45caf9d
DOI 10.5277/ABB-00649-2016-02