Functional Assessment of Sympathetic Nervous System in Patients with Unilateral Stroke.
- Author:
Seung Wook CHEON
1
;
Ji Hoon KIM
;
Hyeong Lyong IM
;
So Young LEE
;
In Sung CHOI
;
Jae Hyung KIM
;
Sam Gyu LEE
Author Information
1. Department of Physical Medicine & Rehabilitation, Chonnam National University Medical School & Hospital, Korea. sam91@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Sympathetic skin response;
Stroke;
Motor function
- MeSH:
Activities of Daily Living;
Hand;
Humans;
Hypotension;
Skin;
Stroke*;
Sympathetic Nervous System*
- From:Journal of the Korean Academy of Rehabilitation Medicine
2006;30(3):207-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To investigate the function of sympathetic nervous system in patients with first-ever unilateral stroke by measuring hand sympathetic skin response (SSR) and the relationship between sympathetic dysfunction and motor function. METHOD: Eighteen patients with first-ever unilateral stroke and eighteen normal controls were recruited. The differences of hand SSR amplitude and latency between affected and unaffected side were investigated. Motor function was classified according to the Brunnstrom stage and activities of daily living were evaluated by modified Barthel Index (MBI) and Functional Independence Measure (FIM). Orthoestatic hypotension (OH) was evaluated and graded. RESULTS: The difference of the amplitude of hand SSR between affected and unaffected side was increased in stroke patient group (p<0.05). There was significant correlation between Brunnstrom stage and the difference of hand SSR amplitude (p<0.05). There were significant correlations between MBI, FIM and the difference of hand SSR amplitude (p<0.05). There was significant correlation between OH and the difference of hand SSR amplitude (p<0.05). CONCLUSION: Evaluation of hand SSR could be useful methods to evaluate central autonomic dysfunction and motor dysfunction.
