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Monoparesis of lower limb

MedGen UID:
605376
•Concept ID:
C0427068
•
Finding
Synonym: Leg weakness
SNOMED CT: Weakness of leg (249945007); Monoparesis of lower limb (249945007); Monoparesis of leg (249945007); Monoparesis of lower extremity (249945007)

Professional guidelines

PubMed

These legs were made for propulsion: advancing the diagnosis and treatment of post-stroke propulsion deficits.
Awad LN, Lewek MD, Kesar TM, Franz JR, Bowden MG
J Neuroeng Rehabil 2020 Oct 21;17(1):139. doi: 10.1186/s12984-020-00747-6. PMID: 33087137Free PMC Article
Exercise and sports science Australia (ESSA) position statement on exercise and spinal cord injury.
Tweedy SM, Beckman EM, Geraghty TJ, Theisen D, Perret C, Harvey LA, Vanlandewijck YC
J Sci Med Sport 2017 Feb;20(2):108-115. Epub 2016 Mar 9 doi: 10.1016/j.jsams.2016.02.001. PMID: 27185457
Neurorobotic and hybrid management of lower limb motor disorders: a review.
Moreno JC, Del Ama AJ, de Los Reyes-Guzmán A, Gil-Agudo A, Ceres R, Pons JL
Med Biol Eng Comput 2011 Oct;49(10):1119-30. Epub 2011 Aug 17 doi: 10.1007/s11517-011-0821-4. PMID: 21847596

Recent clinical studies

Etiology

Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching of the Plantar Flexors on Ankle Range of Motion and Muscle-Tendon Behavior in Children with Spastic Cerebral Palsy-A Randomized Clinical Trial.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M
Int J Environ Res Public Health 2022 Sep 15;19(18) doi: 10.3390/ijerph191811599. PMID: 36141875Free PMC Article
Eccentric training effects for patients with post-stroke hemiparesis on strength and speed gait: A randomized controlled trial.
Lattouf NA, Tomb R, Assi A, Maynard L, Mesure S
NeuroRehabilitation 2021;48(4):513-522. doi: 10.3233/NRE-201601. PMID: 33967063
Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke.
Rocha LSO, Gama GCB, Rocha RSB, Rocha LB, Dias CP, Santos LLS, Santos MCS, Montebelo MIL, Teodori RM
J Stroke Cerebrovasc Dis 2021 Jun;30(6):105774. Epub 2021 Apr 10 doi: 10.1016/j.jstrokecerebrovasdis.2021.105774. PMID: 33848906
New blocks for the same old joints.
Sinha SK, Suter S
Curr Opin Anaesthesiol 2018 Oct;31(5):630-635. doi: 10.1097/ACO.0000000000000641. PMID: 30004954
Muscle strengthening for hemiparesis after stroke: A meta-analysis.
Wist S, Clivaz J, Sattelmayer M
Ann Phys Rehabil Med 2016 Apr;59(2):114-24. Epub 2016 Mar 8 doi: 10.1016/j.rehab.2016.02.001. PMID: 26969343

Diagnosis

Randomized comparison between pericapsular nerve group (PENG) block and suprainguinal fascia iliaca block for total hip arthroplasty.
Aliste J, Layera S, Bravo D, Jara Á, Muñoz G, Barrientos C, Wulf R, Brañez J, Finlayson RJ, Tran Q
Reg Anesth Pain Med 2021 Oct;46(10):874-878. Epub 2021 Jul 20 doi: 10.1136/rapm-2021-102997. PMID: 34290085
Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke.
Rocha LSO, Gama GCB, Rocha RSB, Rocha LB, Dias CP, Santos LLS, Santos MCS, Montebelo MIL, Teodori RM
J Stroke Cerebrovasc Dis 2021 Jun;30(6):105774. Epub 2021 Apr 10 doi: 10.1016/j.jstrokecerebrovasdis.2021.105774. PMID: 33848906
Exercise intensity affects acute neurotrophic and neurophysiological responses poststroke.
Boyne P, Meyrose C, Westover J, Whitesel D, Hatter K, Reisman DS, Cunningham D, Carl D, Jansen C, Khoury JC, Gerson M, Kissela B, Dunning K
J Appl Physiol (1985) 2019 Feb 1;126(2):431-443. Epub 2018 Dec 20 doi: 10.1152/japplphysiol.00594.2018. PMID: 30571289Free PMC Article
Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis.
Sharififar S, Shuster JJ, Bishop MD
Ann Phys Rehabil Med 2018 Sep;61(5):339-344. Epub 2018 Jun 26 doi: 10.1016/j.rehab.2018.06.005. PMID: 29958963
Paraparetic Guillain-Barré syndrome.
van den Berg B, Fokke C, Drenthen J, van Doorn PA, Jacobs BC
Neurology 2014 Jun 3;82(22):1984-9. Epub 2014 May 7 doi: 10.1212/WNL.0000000000000481. PMID: 24808021

Therapy

Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching of the Plantar Flexors on Ankle Range of Motion and Muscle-Tendon Behavior in Children with Spastic Cerebral Palsy-A Randomized Clinical Trial.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M
Int J Environ Res Public Health 2022 Sep 15;19(18) doi: 10.3390/ijerph191811599. PMID: 36141875Free PMC Article
Eccentric training effects for patients with post-stroke hemiparesis on strength and speed gait: A randomized controlled trial.
Lattouf NA, Tomb R, Assi A, Maynard L, Mesure S
NeuroRehabilitation 2021;48(4):513-522. doi: 10.3233/NRE-201601. PMID: 33967063
Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke.
Rocha LSO, Gama GCB, Rocha RSB, Rocha LB, Dias CP, Santos LLS, Santos MCS, Montebelo MIL, Teodori RM
J Stroke Cerebrovasc Dis 2021 Jun;30(6):105774. Epub 2021 Apr 10 doi: 10.1016/j.jstrokecerebrovasdis.2021.105774. PMID: 33848906
Exercise intensity affects acute neurotrophic and neurophysiological responses poststroke.
Boyne P, Meyrose C, Westover J, Whitesel D, Hatter K, Reisman DS, Cunningham D, Carl D, Jansen C, Khoury JC, Gerson M, Kissela B, Dunning K
J Appl Physiol (1985) 2019 Feb 1;126(2):431-443. Epub 2018 Dec 20 doi: 10.1152/japplphysiol.00594.2018. PMID: 30571289Free PMC Article
Muscle strengthening for hemiparesis after stroke: A meta-analysis.
Wist S, Clivaz J, Sattelmayer M
Ann Phys Rehabil Med 2016 Apr;59(2):114-24. Epub 2016 Mar 8 doi: 10.1016/j.rehab.2016.02.001. PMID: 26969343

Prognosis

Functional connectivity of proximal and distal lower limb muscles and impact on gait variability in stroke.
Lim H, Cleland B, Madhavan S
Gait Posture 2023 Jan;99:20-23. Epub 2022 Oct 21 doi: 10.1016/j.gaitpost.2022.10.013. PMID: 36327534Free PMC Article
Post-polio syndrome. Cases report and review of literature.
Pastuszak Ż, Stępień A, Tomczykiewicz K, Piusińska-Macoch R, Galbarczyk D, Rolewska A
Neurol Neurochir Pol 2017 Mar-Apr;51(2):140-145. Epub 2017 Feb 3 doi: 10.1016/j.pjnns.2017.01.009. PMID: 28209439
Epidemiology of venous thromboembolism.
Heit JA
Nat Rev Cardiol 2015 Aug;12(8):464-74. Epub 2015 Jun 16 doi: 10.1038/nrcardio.2015.83. PMID: 26076949Free PMC Article
Paraparetic Guillain-Barré syndrome.
van den Berg B, Fokke C, Drenthen J, van Doorn PA, Jacobs BC
Neurology 2014 Jun 3;82(22):1984-9. Epub 2014 May 7 doi: 10.1212/WNL.0000000000000481. PMID: 24808021
Pure motor monoparesis due to ischemic stroke.
Hiraga A
Neurologist 2011 Nov;17(6):301-8. doi: 10.1097/NRL.0b013e318220c690. PMID: 22045279

Clinical prediction guides

Acute Effects of Static and Proprioceptive Neuromuscular Facilitation Stretching of the Plantar Flexors on Ankle Range of Motion and Muscle-Tendon Behavior in Children with Spastic Cerebral Palsy-A Randomized Clinical Trial.
Kruse A, Habersack A, Jaspers RT, Schrapf N, Weide G, Svehlik M, Tilp M
Int J Environ Res Public Health 2022 Sep 15;19(18) doi: 10.3390/ijerph191811599. PMID: 36141875Free PMC Article
Eccentric training effects for patients with post-stroke hemiparesis on strength and speed gait: A randomized controlled trial.
Lattouf NA, Tomb R, Assi A, Maynard L, Mesure S
NeuroRehabilitation 2021;48(4):513-522. doi: 10.3233/NRE-201601. PMID: 33967063
Constraint Induced Movement Therapy Increases Functionality and Quality of Life after Stroke.
Rocha LSO, Gama GCB, Rocha RSB, Rocha LB, Dias CP, Santos LLS, Santos MCS, Montebelo MIL, Teodori RM
J Stroke Cerebrovasc Dis 2021 Jun;30(6):105774. Epub 2021 Apr 10 doi: 10.1016/j.jstrokecerebrovasdis.2021.105774. PMID: 33848906
Muscle strengthening for hemiparesis after stroke: A meta-analysis.
Wist S, Clivaz J, Sattelmayer M
Ann Phys Rehabil Med 2016 Apr;59(2):114-24. Epub 2016 Mar 8 doi: 10.1016/j.rehab.2016.02.001. PMID: 26969343
Epidemiology of venous thromboembolism.
Heit JA
Nat Rev Cardiol 2015 Aug;12(8):464-74. Epub 2015 Jun 16 doi: 10.1038/nrcardio.2015.83. PMID: 26076949Free PMC Article

Recent systematic reviews

Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis.
Sharififar S, Shuster JJ, Bishop MD
Ann Phys Rehabil Med 2018 Sep;61(5):339-344. Epub 2018 Jun 26 doi: 10.1016/j.rehab.2018.06.005. PMID: 29958963
Systematic review of the effectiveness of pharmacological interventions in the treatment of spasticity of the hemiparetic lower extremity more than six months post stroke.
McIntyre A, Lee T, Janzen S, Mays R, Mehta S, Teasell R
Top Stroke Rehabil 2012 Nov-Dec;19(6):479-90. doi: 10.1310/tsr1906-479. PMID: 23192713
Loss of skeletal muscle mass after stroke: a systematic review.
English C, McLennan H, Thoirs K, Coates A, Bernhardt J
Int J Stroke 2010 Oct;5(5):395-402. doi: 10.1111/j.1747-4949.2010.00467.x. PMID: 20854624
Evaluation of functional outcome measures for the hemiparetic upper limb: a systematic review.
Ashford S, Slade M, Malaprade F, Turner-Stokes L
J Rehabil Med 2008 Nov;40(10):787-95. doi: 10.2340/16501977-0276. PMID: 19242614
Effects of robot-assisted therapy on upper limb recovery after stroke: a systematic review.
Kwakkel G, Kollen BJ, Krebs HI
Neurorehabil Neural Repair 2008 Mar-Apr;22(2):111-21. Epub 2007 Sep 17 doi: 10.1177/1545968307305457. PMID: 17876068Free PMC Article

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