Frequency of discriminative sensory loss in the hand after XXXX in a rehabilitation setting.

@entity1 @entity73 @entity393 @entity64
OBJECTIVE: @entity393 following @entity64 is common, with negative consequences for functional outcome. However, existing studies typically do not include quantitative measures of discriminative sensibility. The aim of this study was to quantify the proportion of @entity64 @entity1 presenting with discriminative sensory loss of the hand in the post-acute rehabilitation phase. DESIGN: Prospective cohort study of @entity64 survivors presenting for rehabilitation. @entity1 : Fifty-one consecutive @entity1 admitted to a metropolitan rehabilitation centre over a continuous 12-month period who met selection criteria. METHODS: Quantitative measures of touch discrimination and limb position sense, with high re-test reliability, good discriminative test properties and objective criteria of abnormality, were employed. Both upper limbs were tested, in counterbalanced order. RESULTS: Impaired touch discrimination was identified in the hand contralateral to the lesion in 47% of @entity1 , and in the ipsilesional hand in 16%. Forty-nine percent showed @entity73 sense in the contralesional limb and 20% in the ipsilesional limb. Sixty-seven percent demonstrated impairment of at least one modality in the contralesional limb. Ipsilesional impairment was less severe. CONCLUSION: Discriminative sensory impairment was quantified in the contralesional hand in approximately half of @entity64 @entity1 presenting for rehabilitation. A clinically significant number also experienced @entity73 "unaffected" hand.
