2026-05-17T09:45:50Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/2455-5487.000004 2014-08-22 PTZ.JNPPR:VOL1

Loss of upper Extremity Motor Control and Function affect Women more than Men Gad Alon<p><strong>Background</strong>: Loss of functional ability and motor control following stroke appears to affect women more severely than men in general. However, little attention has been paid specifically to the upper extremity.</p><p><strong>Objective</strong>: To quantify loss of upper extremity control, comparing men to women that survived ischemic stroke. A secondary purpose was to report gender differences in residual deficits (RD) of the paretic upper extremity following 12 weeks of rehabilitation.&nbsp;</p><p><strong>Design</strong>: A retrospective data analyses from women (n=21) and men (n=24) that received task-specific (control) or task-specific + functional electrical stimulation (FES) training to the paretic upper extremity.</p><p><strong>Methods</strong>: Participants performed a modified Fugl-Meyer (mF-M), the Box &amp; Blocks and the Jebsen-Taylor light object lift tests. Baseline and post 12-week training data of women and men were compared statistically (p=0.05). RD was calculated as= (1-(paretic/non-paretic))*100.&nbsp;</p><p><strong>Results</strong>: Females had significantly greater loss of upper extremity control compared to male subjects (9.3±8.6 vs. 14.8±12.0 mF-M score; 0.7±1.9 vs. 4.5±6.6 transferred blocks; and 60±0 vs. 49.9±18.3 sec completing the Jebsen-Taylor test). Females’ RD were significantly higher performing the mF-M and Box &amp; Blocks than the males’ RD. The Jebsen-Taylor test’s RD did not differ statistically between the genders.</p><p><strong>Limitations</strong>: The study was not based on prospective analysis of data where gender is considered a factor in the original experimental design.&nbsp;</p><p><strong>Conclusion</strong>: Loss of upper extremity control is considerably more evident in females following first-time ischemic stroke. The recovery rate associated with task-specific rehabilitation with or without FES appears similar in a sub-group with good prognosis. The deficits of motor control and hand function of females with poor prognosis remain significantly higher than the deficits of males with similar prognosis.&nbsp;</p> Journal of Novel Physiotherapy and Physical Rehabilitation - Peertechz Publications 2014-08-22 Research Article https://doi.org/10.17352/2455-5487.000004 en Copyright © Gad Alon et al.