ArticlePhysiotherapy research international : the journal for researchers and clinicians in physical therapy2025
Proprioception After Unilateral Stroke: Changes in the Affected and Unaffected Lower Limbs Over Time.
Article in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Targeted ankle proprioceptive training improves balance, gait, and functional mobility in chronic stroke survivors: a multicenter randomized controlled trial with longitudinal follow-up.Journal of neuroengineering and rehabilitation · 2026Trial
- Muscle Spindle Alterations Following Ischemic Stroke and Peripheral Denervation in Murine Models.International journal of molecular sciences · 2026Article
- It is time to rethink proprioception: From biological feedback to integrable augmentation.Journal of sport and health science · 2026Article
- Targeting CX3CR1 Signaling Dynamics: A Critical Determinant in the Temporal Regulation of Post-Stroke Neurorepair.Brain sciences · 2025Review
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8 authors.
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Abstract
backgroundProprioceptive deficits are common among stroke survivors and can negatively impact their balance and postural control. However, there has been little evaluation of the change in proprioceptive deficits in the lower limbs over time after stroke. This study aimed to examine proprioceptive deficits over time after stroke in both the affected and "unaffected" lower limbs.
methodsThis cross-sectional study included sixty first-time unilateral stroke survivors and twenty age-matched healthy individuals. Participants after stroke were divided into three subgroups based on different time points after stroke. The generally accepted clinical time points after stroke are the first 4 weeks-the acute stage; 5-24 weeks-the subacute stage; over 24 weeks-the chronic stage. The active movement extent discrimination apparatus (AMEDA) was used to quantify ankle proprioception in plantarflexion and inversion directions, on both the affected and "unaffected" sides.
resultsLower limb proprioception scores decreased linearly over time after stroke on both the affected and "unaffected" sides (p < 0.001). Overall, proprioception scores for the stroke groups were significantly lower than those for the healthy age-matched group (p < 0.01), with the only exception being ankle plantarflexion and inversion scores on the unaffected side in the acute stroke group, which were not significantly different from their healthy counterparts.
conclusionAnkle proprioception in both lower limbs decreased over time after a unilateral stroke, with proprioceptive acuity on the "unaffected" side diminishing linearly in the same way as that on the affected side. These observed continuing deficits in lower limb proprioception among stroke survivors raise implications for clinical neurorehabilitation.
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