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Involvement of sympathetic reflex activity in patients with acute and chronic stroke: A comparison with functional motor capacity

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dc.contributor.authorTÜRKDOĞAN, DİLŞAD
dc.contributor.authorsMuslumanoglu, L; Aki, S; Turkdogan, D; Us, O; Akyuz, G
dc.date.accessioned2022-03-12T17:17:17Z
dc.date.available2022-03-12T17:17:17Z
dc.date.issued2004
dc.description.abstractObjective: To investigate sympathetic nervous system functions in patients with acute and chronic phase of stroke by measuring sympathetic skin reflex (SSR) and the relationship between sympathetic dysfunction and motor function capacity. Design: Cross-sectional, case-control study. Setting: A physical medicine and rehabilitation department in a research hospital of a university referral center in Turkey. Participants: Fifty-six patients with stroke-13 in the acute phase and 43 in the chronic phase-and 42 age- and sex-matched healthy volunteers were included. Intervention: SSR was recorded with electric stimulation of the bilateral median nerves. Main Outcome Measures: SSR was recorded to assess sympathetic reflex activity in patients in the acute and chronic phase of stroke and in controls. Motor functions was classified using the Brunnstrom stages. Results: The mean SSR latency in the acute phase was significantly prolonged and the amplitudes were decreased compared with controls. In the chronic phase, the mean amplitudes were significantly attenuated compared with controls, whereas the mean latency did not change. The mean latency of SSR in patients in Brunnstrom groups 1 and 2 was longer, and the mean amplitude was smaller than in controls (P<.05). The mean amplitude was significantly reduced in patients classified as Brunnstrom groups 3 and 4 compared with controls (P<.05), but the mean latency was not affected. Conclusions: Depression of sympathetic reflex activity was more prominent in the acute phase of stroke and was associated with moderate or highly limited motor function capacity. Improvement of motor dysfunction may parallel recovery of sympathetic reflex activity.
dc.identifier.doi10.1016/j.apmr.2003.03.009
dc.identifier.eissn1532-821X
dc.identifier.issn0003-9993
dc.identifier.pubmed15031835
dc.identifier.urihttps://hdl.handle.net/11424/227807
dc.identifier.wosWOS:000220067800019
dc.language.isoeng
dc.publisherW B SAUNDERS CO-ELSEVIER INC
dc.relation.ispartofARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectautonomic nervous system
dc.subjectgalvanic skin response
dc.subjectrehabilitation
dc.subjectstroke
dc.subjectRR INTERVAL VARIATION
dc.subjectSKIN-RESPONSE
dc.subjectBRAIN INFARCTION
dc.subjectNERVOUS-SYSTEM
dc.subjectREPRODUCIBILITY
dc.subjectLESIONS
dc.titleInvolvement of sympathetic reflex activity in patients with acute and chronic stroke: A comparison with functional motor capacity
dc.typearticle
dspace.entity.typePublication
local.avesis.idb578b1a3-49a4-4ec9-984c-2b6109f01dd0
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.journal.numberofpages4
oaire.citation.endPage473
oaire.citation.issue3
oaire.citation.startPage470
oaire.citation.titleARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
oaire.citation.volume85
relation.isAuthorOfPublication0a1599c4-48ff-4aa9-b689-3927c986a650
relation.isAuthorOfPublication.latestForDiscovery0a1599c4-48ff-4aa9-b689-3927c986a650

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