Overview
Pure sensorimotor lacunar infarction is a type of subcortical stroke characterized by isolated motor and sensory deficits without other neurological signs. These infarcts typically occur in the pons, internal capsule, or thalamus.Diagnosis
Diagnosis is primarily clinical, based on the sudden onset of isolated motor and/or sensory deficits 1.
Neuroimaging, particularly MRI, is crucial for confirming the diagnosis and identifying the location and size of the lacunar infarct 1.Management
Motor rehabilitation is a key component of management for individuals with residual motor disability after stroke 1.
Motor rehabilitation aims to enhance functioning, independence, and participation in daily life 1.
Rehabilitation involves learning- and use-dependent mechanisms, with early recovery influenced by spontaneous biological mechanisms and later improvements achieved through compensation 1.
Rehabilitation should be guided by regular assessment of motor function and activity, with goals set collaboratively with the patient and carers 1.
Patients learn to optimize and adapt motor, sensory, and cognitive functioning through appropriately dosed, repetitive, goal-oriented, progressive, task- and context-specific training 1.
The ultimate goal of motor rehabilitation is to maximize health, well-being, and quality of life 1.Special Populations
The principles of motor rehabilitation apply across different patient populations, emphasizing individualized goal setting and tailored training 1.Key Recommendations
Motor rehabilitation is defined as a process engaging individuals with stroke to benefit their motor function, activity capacity, and performance in daily life 1. (Evidence: Expert opinion)
Motor rehabilitation is necessary for individuals with residual motor disability aiming to enhance their functioning, independence, and participation 1. (Evidence: Expert opinion)
Motor rehabilitation should be guided by regular assessment of motor function and activity, with results discussed with the patient and their carers to set personal goals 1. (Evidence: Expert opinion)
During motor rehabilitation, patients learn to optimize and adapt their motor, sensory, and cognitive functioning through appropriately dosed, repetitive, goal-oriented, progressive, task- and context-specific training 1. (Evidence: Expert opinion)References
1 Kwakkel G, Stinear C, Essers B, Munoz-Novoa M, Branscheidt M, Cabanas-Valdés R et al.. Motor rehabilitation after stroke: European Stroke Organisation (ESO) consensus-based definition and guiding framework. European stroke journal 2023. link