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Limb Heaviness: A Perceptual Phenomenon Associated With Poststroke Fatigue?

Kuppuswamy, A; Clark, E; Rothwell, J; Ward, NS; (2016) Limb Heaviness: A Perceptual Phenomenon Associated With Poststroke Fatigue? Neurorehabilitation & Neural Repair , 30 (4) pp. 360-362. 10.1177/1545968315597071. Green open access

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Abstract

Poststroke fatigue and limb heaviness are 2 perceptual problems that commonly occur after stroke. Previous work suggests that poststroke fatigue may be related to altered sensorimotor processing whereas limb heaviness is often considered an association of muscle weakness. To address the hypothesis that the perception of limb heaviness may also be a problem of altered sensorimotor control, we investigated whether it was more closely related to poststroke fatigue or muscle weakness. In 69 chronic stroke survivors, we found that those with high perceived limb heaviness (31 individuals) also reported significantly higher levels of fatigue (4.8/7) than those with no perceived limb heaviness (38 individuals, fatigue score = 2.68/7), but there was no difference in weakness between the 2 groups. This intriguing finding is discussed in relation to effort perception and sensory processing. The association between limb heaviness and poststroke fatigue and a dissociation from muscle weakness gives rise to the hypothesis that limb heaviness maybe a centrally arising sensorimotor disorder.

Type: Article
Title: Limb Heaviness: A Perceptual Phenomenon Associated With Poststroke Fatigue?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/1545968315597071
Publisher version: http://dx.doi.org/10.1177/1545968315597071
Language: English
Additional information: Copyright © The Author(s) 2015. Reprints and permissions: sagepub.com/journalsPermissions.nav. This is the accepted manuscript version of the article; the final published version is available from the Sage Publications website at http://nnr.sagepub.com/content/30/4/360
Keywords: limb heaviness, poststroke fatigue, stroke
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences
URI: https://discovery.ucl.ac.uk/id/eprint/1484151
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