Association of upper limb motor function with muscle tone changes and quality of life in the subacute phase after stroke: a prospective cohort study - Summary - MDSpire

Association of upper limb motor function with muscle tone changes and quality of life in the subacute phase after stroke: a prospective cohort study

  • By

  • Denis Moskiewicz

  • Małgorzata Kołodziej

  • Michał Mikulski

  • Iwona Sarzyńska-Długosz

  • May 25, 2026

  • 0 min

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Objective:

To evaluate associations between muscle tone changes, upper limb motor function, and quality of life in patients undergoing subacute stroke rehabilitation.

Key Findings:
  • Most changes in muscle tone were not significantly associated with improvements in upper limb motor function or quality of life.
  • Weak negative correlations were found between changes in FMA-UE total score and relaxation time of the flexor digitorum superficialis muscle (r = -0.32, p = 0.016).
  • Weak negative correlations were also observed between changes in BBT and creep parameter of the latissimus dorsi muscle (r = -0.31, p = 0.017).
Interpretation:

Upper limb motor recovery may occur largely independently of changes in muscle tone and is more closely associated with quality of life.

Limitations:
  • The study involved a small sample size of 58 patients.
  • The analysis was a secondary analysis of data from a randomized controlled trial.
Conclusion:

Rehabilitation should prioritize motor control and functional performance rather than focusing primarily on tone reduction.

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