Impact of internal capsule lesions on outcome of motor hand function at one year post-stroke

Schiemanck S, Kwakkel G, Post M, Kappelle J, Prevo A,

This study aimed to investigate the association between damage to different levels of the cortico-fugal tract and long term hand motor recovery. Hand motor function was assessed in 75 stroke patients using the Fugl Meyer Motor Assessment Scale at 1 year post stroke.  Assessment of the cortico-fugal tract was achieved using MRI imaging.

Involvement of all 3 layers of the cortico-fugal tract and partial involvement of the internal capsule were associated with poor recovery of hand function.  This study recommends that as hand function is important for regaining a functional upper limb, these patients need to be identified early post stroke.

Journal of Rehabilitation Medicine, 2008, 40(2), 96-101

Link to Abstract

Shoulder Assessment

Review shoulder examination with this online course that covers orthopaedic special tests, the types and implications of shoulder pain and relevant outcome measures and diagnostic imaging.