The upper limb movement recovery: parallels between the patients somatotypes
Abstract
Study objective: to establish the correlation between the paretic hand movement recovery in post-stroke patients in the stroke late residual period and the patients’ somatotypes.
Materials and methods. The study involved 91 people in the second period of adulthood (53 men, 38 women), somatotyping was performed according to the W.L. Rees — H. Eysenck method.
Results. Statistically significant differences in the upper paretic limb movement range recovery were found in men and women in accordance with the body type.
Conclusions. The highest percentage of normal movement range was recorded in the limbs’ proximal joints of the (shoulder) during movements around the frontal and sagittal axes. The volume of rotational movements as a percentage of the norm was less by 13–17%. The men demonstrated maximum movement recovery of shoulder extension, and this tendency is typical for mature men of asthenic and pyknic somatotypes. The women in all the examined groups demonstrated the minimal increase in the movement ranges in the shoulder and elbow joints.
About the Author
S. N. Derevtsova
V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation
Russian Federation
Svetlana N. Derevtsova, M.D., D.Sc. (Medicine), Professor, the Department of Anatomy
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022
References
1. Moldoveanu A., Ferche O.M., Moldoveanu F., Lupu R.G., Cintez D., Irimia D.C., Toader C. The TRAVEE System for a MultimodelNeuromotor Rehabilitation. IEEE Access. 2019;7:8151–8171. https://doi.org/10.1109/access.2018.2886271
2. Manna S.K., Dubey V.N. Rehabilitation strategy for post-stroke recovery using an innovative elbow exoskeleton. Proceedings of the Institution of Mechanical Engineers, Part H-Journal of Engineering in Medicine. 2019;233(6):668–680. https://doi.org/10.1177/0954411919847058
3. Schiefelbein M.L., Salazar A.P., Marchese R.R., Rech K.D., Schifino G.P., Figueiredo C.S., et al. Upper-limb movement smoothness after stroke and its relationship with measures of body function/structure and activity — A cross-sectional study. J Neurol Sci. 2019;401:75–78. https://doi.org/10.1016/j.jns.2019.04.017
4. Kinoshita S., Tamashiro H., Okamoto T., Urushidani N., Abo M. Association between imbalance of cortical brain activity and successful motor recovery in sub-acute stroke patients with upper limb hemiparesis: a functional near-infrared spectroscopy study. NeuroReport. 2019;30(12):822–827. https://doi.org/10.1097/wnr.0000000000001283
5. Borschmann K.N., Hayward K.S. Recovery of upper limb function is greatest early after stroke but does continue to improve during the chronic phase: a two-year, observational study. Physiotherapy. 2020;107:216–223. https://doi.org/10.1016/j.physio.2019.10.001
6. Abroskina M.V., Subocheva S.A., Koryagina T.D., Ilminskaya A.A., Myagkova E.G., Buslov I.A., et al. Projects of distant rehabilitation in neurology. The website of in-home rehabilitation in the territory of Krasnoyarsk region. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2019;119(8):84–88. (In Russ.). https://doi.org/10.17116/jnevro201911908184
7. Ismailova S.B., Subocheva S.A., Abroskina M.V., On¬dar V.S., Karpenkova A.D., Khramchenko M.A., et al. A randomized clinical trial on evaluation of the effectiveness of original methods for the restoration of post-stroke postural disorders. Farmateka. 2019;26(3):39–44. (In Russ.). https://doi.org/10.18565/pharmateca.2019.3.39-44
8. Shklovsky V.M., Lukashevich I.P., Gerasimova S.M., Seli¬shchev G.S., Remennik A.Yu. Prognostic criteria of rehabilitation of patients with ischemic stroke. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2015;115(5):11–14. (In Russ.). https://doi.org/10.17116/jnevro20151155111-14
9. Maksimova M.Yu., Tanashyan M.M., Smirnova I.N. Treatment of ischemic stroke. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2015;115(4):126–129. (In Russ.). https://doi.org/10.17116/jnevro201511541126-129
10. Prokopenko S.V., Rudnev V.A., Arakchaa E.M., Derevtsova S.N. The use of the proprioceptive correction principle in the res- toration of conscious movements in the patient’s paretic arm in the late restorative and residual periods of stroke. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova = S.S. Korsakov Journal of Neurology and Psychiatry. 2007;107(4):40–43. (In Russ.).
11. Rudnev V.A., Prokopenko S.V., Arakchaa E.M., Derevtsova S.N., Bugaev A.T. Device for thoracic limb motor function restoration. Patent RF № 2325895. 2005 July 22. (In Russ).
12. Derevtsova S.N., Medvedeva N.N., Zajtseva O.I. Rehabilitation of locomotor patients in late recovering and residual periods of stroke. Vestnik novykh meditsinskikh tekhnologii = Journal of New Medical Technologies. 2012;19(2):120–123. (In Russ.).
13. Nikolaev V.G., Prokopenko S.V., Zaytseva O.I. Neurorehabilitation at a syndrome of the central hemiparesis at men and women with different type of the constitution in the late residual period. Sovremennye problemy nauki i obrazovaniya = Modern problems of science and education. 2014;(5):478. (In Russ.).
14. Derevtsova S.N., Shteynerdt S.V., Achkasov E.E. Comparative evaluation of limb joints goniometric studies of men and women of different somatotypes. Sportivnaya meditsina: nauka i praktika = Sports medicine: research and practice. 2013;(4):50–54. (In Russ.).
15. Rees W.L., Eysenck H. A factorial study of some morphological and psychological aspects of human constitution. J. Mental Sci. 1945;91(386):8–21. https://doi.org/10.1192/bjp.91.382.8
Review
For citations:
Derevtsova S.N. The upper limb movement recovery: parallels between the patients somatotypes. Sports medicine: research and practice. 2020;10(3):47-53. (In Russ.)
Views:
465
Email this article 