ArticleJournal of neuroengineering and rehabilitation2019
Vision does not always help stroke survivors compensate for impaired limb position sense.
Article in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 48 citations in OpenAlex.
- Effects of a robot-aided somatosensory training on proprioception and motor function in stroke survivors.Journal of neuroengineering and rehabilitation · 2021Trial
- Characterizing visual compensation for proprioceptive impairments during the subacute phase of stroke.Journal of neuroengineering and rehabilitation · 2026Article
- A pilot study for self-guided, active robotic training of proprioception of the upper limb in chronic stroke.Journal of neuroengineering and rehabilitation · 2025Article
- Assessing age-related proprioceptive changes through active and passive tasks: implications for stroke assessment.Journal of neural engineering · 2025Article
- Relearning Upper Limb Proprioception After Stroke Through Robotic Therapy: A Feasibility Analysis.Journal of clinical medicine · 2025Article
- The Role of Sensory Impairments on Recovery and Rehabilitation After Stroke.Current neurology and neuroscience reports · 2025Review
- Optimality of multisensory integration while compensating for uncertain visual target information with artificial vibrotactile cues during reach planning.Journal of neuroengineering and rehabilitation · 2024Article
- Can We Target Close Therapeutic Goals in the Gait Re-Education Algorithm for Stroke Patients at the Beginning of the Rehabilitation Process?Sensors (Basel, Switzerland) · 2024Article
- The independence of impairments in proprioception and visuomotor adaptation after stroke.Journal of neuroengineering and rehabilitation · 2024Article
- Impaired proprioception and magnified scaling of proprioceptive error responses in chronic stroke.Journal of neuroengineering and rehabilitation · 2024Article
- Virtual reality assessment of reaching accuracy in patients with recent cerebellar stroke.BMC digital health · 2024Article
- Perceptual-Cognitive Integration for Goal-Directed Action in Naturalistic Environments.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023Review
- Aging increases proprioceptive error for a broad range of movement speed and distance estimates in the upper limb.Frontiers in human neuroscience · 2023Article
- Influence of proprioceptive training based on ankle-foot robot on improving lower limbs function in patients after a stroke.Frontiers in neurorobotics · 2022Article
- Relative independence of upper limb position sense and reaching in children with hemiparetic perinatal stroke.Journal of neuroengineering and rehabilitation · 2021Article
- Multisensory Integration in Stroke Patients: A Theoretical Approach to Reinterpret Upper-Limb Proprioceptive Deficits and Visual Compensation.Frontiers in neuroscience · 2021Article
- Visuomotor Integration for Coupled Hand Movements in Healthy Subjects and Patients With Stroke.Frontiers in bioengineering and biotechnology · 2020Article
- Article
- Goal-directed upper limb movement patterns and hand grip forces in multiple sclerosis.Multiple sclerosis journal - experimental, translational and clinicalArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPosition sense is commonly impaired after stroke. Traditional rehabilitation methods instruct patients to visualize their limbs to compensate for impaired position sense.
objectiveOur goal was to evaluate how the use of vision influences impaired position sense.
methodsWe examined 177 stroke survivors, an average of 12.7 days (+/- 10 days (SD)) post-stroke, and 133 neurologically-intact controls with a robotic assessment of position sense. The robot positioned one limb (affected) and subjects attempted to mirror-match the position using the opposite limb (unaffected). Subjects completed the test without, then with vision of their limbs. We examined three measures of position sense: variability (Var), contraction/expansion (C/E) and systematic shift (Shift). We classified stroke survivors as having full compensation if they performed the robotic task abnormally without vision but corrected performance within the range of normal with vision. Stroke survivors were deemed to have partial compensation if they performed the task outside the range of normal without and with vision, but improved significantly with vision. Those with absent compensation performed the task abnormally in both conditions and did not improve with vision.
resultsMany stroke survivors demonstrated impaired position sense with vision occluded [Var: 116 (66%), C/E: 91 (51%), Shift: 52 (29%)]. Of those stroke survivors with impaired position sense, some exhibited full compensation with vision [Var: 23 (20%), C/E: 42 (46%), Shift: 32 (62%)], others showed partial compensation [Var: 37 (32%), C/E: 8 (9%), Shift: 3 (6%)] and many displayed absent compensation (Var: 56 (48%), C/E: 41 (45%), Shift: 17 (33%)]. Stroke survivors with an affected left arm, visuospatial neglect and/or visual field defects were less likely to compensate for impaired position sense using vision.
conclusionsOur results indicate that vision does not help many stroke survivors compensate for impaired position sense, at least within the current paradigm. This contrasts with historical reports that vision helps compensate for proprioceptive loss following neurologic injuries.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.