The impact of hemiparalysis on the expression of osteoarthritis.
Primary generalized osteoarthritis (OA), the most prevalent joint disease, is usually symmetric.
Sporadic case reports mention decreased OA manifestations in limbs in which there are neurologic deficits, but no systematic research has been published.
The aim of the present study was to examine these observations in a planned and controlled survey in a group of patients with OA.
Seventy-five geriatric patients with a history of stroke and hemiparalysis were studied clinically and radiographically (hand radiographs ; graded according to a modified Altman method) for the presence and the degree of OA in the hands.
Detailed clinical and radiologic scores were calculated for each hand.
Demographic, occupational, and neurologic data were collected.
Patients with other joint or neurologic conditions were excluded.
A group of 55 elderly patients without stroke were similarly studied (controls).
Scores in the paralyzed hand were compared with those in the nonparalyzed hand in the stroke patients and subgroups (by Student's paired t-test and Wilcoxon test).
Scores in the dominant hands were compared with those in the nondominant hands in stroke patients and control subjects (by Student's paired t-test and Mann-Whitney test).
Correlation between the degree of neurologic damage and OA asymmetry (Pearson's correlation coefficient) was also sought.
Mots-clés Pascal : Accident cérébrovasculaire, Association, Personne âgée, Homme, Hémiplégie, Exploration clinique, Asymétrie, Arthrose, Main, Prévalence, Epidémiologie, Radiographie, Membre supérieur, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Trouble neurologique, Trouble moteur, Système ostéoarticulaire pathologie, Arthropathie, Maladie dégénérative, Main pathologie, Radiodiagnostic
Mots-clés Pascal anglais : Stroke, Association, Elderly, Human, Hemiplegia, Clinical investigation, Asymmetry, Osteoarthritis, Hand, Prevalence, Epidemiology, Radiography, Upper limb, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Neurological disorder, Motor system disorder, Diseases of the osteoarticular system, Arthropathy, Degenerative disease, Disease of the hand, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0091336
Code Inist : 002B15E. Création : 31/05/1999.