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