Objective
Interlimb coupling between impaired and non-impaired limbs after stroke has been a common observation. The aim of this study was to examine interlimb interactions in force production in responses to altered visual gain in hemiparetic stroke survivors.
Design
prospective clinical study
Methods
A convenient sample of 7 hemiparetic stroke subjects (3 females and 4 males; mean 56.0 ± 12.8 years of age; history of stroke: mean 61.6 ± 53.3 months) participated in the study. Subjects performed bilateral elbow flexion to varying total force targets from 3% to 60% MVC with normal visual gain (1:1) and to a 10% MVC target with altered visual gains (1/8, ¼, ½, 2, 4, and 8) for the force of the less-impaired, ipsilesional side.
Results
Across all conditions, the forces produced by both impaired and non-impaired limb changed proportionally to their MVC force, such that relative contributions of each limb’s force to the total force remained unchanged. In conditions with altered visual gain, high and low, the total force showed errors in the direction of undershooting.
Conclusion
Our findings indicate that there is a strong interlimb force coupling in hemiparetic stroke, resistant to distorted visual feedback. It may reflect a default sharing pattern dominant after stroke.