Mismatch between observed and perceived upper limb function: an eye-catching phenomenon after stroke.

CONCLUSIONS: In our chronic sample, one in five patients showed good upper limb observed but low perceived function. Measuring both observed and perceived arm and hand function seems warranted together with considering a differential therapy approach for the distinct groups. Implications for rehabilitation A considerable group of patients in the chronic phase post-stroke have good motor function in their affected upper limb, but nevertheless perceive a restricted ability. In order to identify a mismatch in people with chronic stroke, both observed and perceived upper limb motor function should be assessed. Besides common measurement tools for observed function like the Fugl-Meyer Assessment, perceived function can be evaluated by means of the hand function section of the Stroke Impact Scale. For patients with good observed but low perceived function, an additional rehabilitation strategy should be considered, potentially including awareness of ability and a self-efficacy approach.
PMID: 29564912 [PubMed - as supplied by publisher]

Source: Disability and Rehabilitation - March 22, 2018 Category: Rehabilitation Authors: Essers B, Meyer S, De Bruyn N, Van Gils A, Boccuni L, Tedesco Triccas L, Peeters A, Thijs V, Feys H, Verheyden G Tags: Disabil Rehabil Source Type: research