PMID- 27159891
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180222
IS  - 1945-5119 (Electronic)
IS  - 1074-9357 (Linking)
VI  - 24
IP  - 1
DP  - 2017 Jan
TI  - Ultrasonographic measurements of the metacarpal and talar cartilage thicknesses 
      in hemiplegic patients after stroke.
PG  - 1-4
AB  - BACKGROUND: Immobilization of the extremities after stroke is known to be the 
      foremost reason of articular cartilage degeneration and musculoskeletal 
      ultrasound (US) has become increasingly important in the assessment of joint 
      cartilage. To the best of our knowledge, US measurements of the metacarpal and 
      talar cartilage thicknesses in hemiplegic patients after stroke have not been 
      performed before. OBJECTIVES: The aim of the study was to explore whether 
      metacarpal and talar cartilage thicknesses were affected after stroke using US. 
      METHODS: Fifty-eight patients (33 M and 25 F) with unilateral hemiplegia after 
      stroke were enrolled between April and June 2015. Age, sex, body mass index, 
      paretic side, and underlying etiology (ischemic or hemorrhagic) were noted. 
      Modified Ashworth scale, Brunnstrom motor recovery stage (BMRS), motor functional 
      independence measure and functional ambulation category were recorded. A 5-12 MHz 
      linear array probe was used for ultrasonographic cartilage measurements at 2nd, 
      3rd, and 4th metacarpal heads and talus. RESULTS: When compared with the 
      non-paretic side, metacarpal (but not talar) cartilage thicknesses were found to 
      be less on the paretic side (significant for the 3rd and 4th ones) (both 
      p < 0.05). Subgroup analysis yielded thinner 3rd and 4th metacarpal cartilage 
      thicknesses between the groups in patients with BMRS 1-3 (p = 0.009 and 0.054, 
      respectively) but not in patients with BMRS 4-6 (p = 0.416 and 0.571, 
      respectively). CONCLUSIONS: We may conclude that metacarpal (but not talar) 
      cartilage is thinner on the paretic side of stroke patients that seems to be less 
      with better motor functioning.
FAU - Yalcin, Suha
AU  - Yalcin S
AD  - a Ankara Physical Medicine and Rehabilitation Training and Research Hospital , 
      Ankara , Turkey.
FAU - Kara, Murat
AU  - Kara M
AD  - b Department of Physical and Rehabilitation Medicine , Hacettepe University 
      Medical School , Ankara , Turkey.
FAU - Ozturk, Gokhan Tuna
AU  - Ozturk GT
AD  - a Ankara Physical Medicine and Rehabilitation Training and Research Hospital , 
      Ankara , Turkey.
FAU - Ozcakar, Levent
AU  - Ozcakar L
AD  - b Department of Physical and Rehabilitation Medicine , Hacettepe University 
      Medical School , Ankara , Turkey.
LA  - eng
PT  - Journal Article
DEP - 20160509
PL  - England
TA  - Top Stroke Rehabil
JT  - Topics in stroke rehabilitation
JID - 9439750
SB  - IM
MH  - Aged
MH  - Cartilage/*diagnostic imaging
MH  - Female
MH  - Hemiplegia/*diagnostic imaging/*etiology
MH  - Humans
MH  - Male
MH  - Metacarpal Bones/*diagnostic imaging
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Statistics as Topic
MH  - Stroke/*complications
MH  - Ultrasonography/*methods
OTO - NOTNLM
OT  - Cartilage
OT  - Metacarpal
OT  - Stroke
OT  - Talus
OT  - Ultrasound
EDAT- 2016/05/10 06:00
MHDA- 2018/02/13 06:00
CRDT- 2016/05/10 06:00
PHST- 2016/05/10 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
PHST- 2016/05/10 06:00 [entrez]
AID - 10.1080/10749357.2016.1183357 [doi]
PST - ppublish
SO  - Top Stroke Rehabil. 2017 Jan;24(1):1-4. doi: 10.1080/10749357.2016.1183357. Epub 
      2016 May 9.