Gait Recovery in Patients with Stroke with Severe Motor Damage: The Prognostic Role of Sensory Pathway Preservation.
Background: The role of sensory pathways in gait recovery remains unclear. We hypothesized that preservation of the somatosensory pathway may play a key role in gait recovery in patients with stroke and severe motor pathway impairment. Objective: This study aimed to investigate the impact of preserv...
| Publicado en: | NeuroRehabilitation Vol. 57; no. 2; pp. 264 - 275 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187888727&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187888727 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: Sep2025 vid: 57 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 187888727 186183120 187888727 187888727 10.1177/10538135251336921 187888727 ppf: 264 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Gait Recovery in Patients with Stroke with Severe Motor Damage: The Prognostic Role of Sensory Pathway Preservation. aug: au: Ju, Yeonwoo Yoo, Yeun Jie Yoon, Mi-Jeong Hong, Bo Young Lee, Jong In Lim, Seong Hoon affil: Department of Rehabilitation Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea sug: subj: Stroke Patients Stroke Rehabilitation Gait Recovery Severity of Injury Motor Skills Evoked Potentials, Somatosensory Cerebral Cortex Stroke Prognosis Sensory Motor Integration Neural Pathways Thalamus Human Retrospective Design Cross Sectional Studies Magnetic Resonance Imaging Multiple Logistic Regression Functional Status South Korea Physical Therapy Young Adult Adult Male Female Fisher's Exact Test Chi Square Test T-Tests Wilcoxon Rank Sum Test Univariate Statistics Multivariate Statistics Odds Ratio Confidence Intervals Data Analysis Software Funding Source Adult: 19-44 years Male Female ab: Background: The role of sensory pathways in gait recovery remains unclear. We hypothesized that preservation of the somatosensory pathway may play a key role in gait recovery in patients with stroke and severe motor pathway impairment. Objective: This study aimed to investigate the impact of preserving the somatosensory pathway, spinothalamic tract (STT), and superior thalamic radiation (STR) on gait recovery in patients with chronic stroke and severe damage to motor pathways. Methods: This retrospective cross-sectional study included 85 patients and investigated the association between functional ambulation categories and the integrity of sensory pathways, as represented by fractional anisotropy values. Diffusion tensor imaging was performed to assess the integrity of the corticospinal tract (CST), cortico-ponto-cerebellar tract, STT, and STR 6 months after stroke. Results: Multivariable logistic regression analysis revealed that severe damage to the CST with the STT preserved yielded an odds ratio of 8.49 (p = 0.030) for functional gait, compared to when both tracts were damaged. Conclusions: Somatosensory pathways may play a critical role in gait recovery for patients with chronic stroke and severe motor tract damage. Preserving the somatosensory pathway could facilitate gait recovery in patients with severe motor pathway damage, offering valuable insights for future stroke rehabilitation strategies. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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