Effects of task instructions and target location on reaching kinematics in people with and without cerebrovascular accident: a study of the less-affected limb.

OBJECTIVE: We investigated how verbal instructions and target location interacted to influence reaching movement of the less-affected limb in participants with and without unilateral cerebrovascular accidents (CVAs). METHOD: Using a counterbalanced repeated-measures design, 26 people with CVA and 24...

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Publicado en:American Journal of Occupational Therapy Vol. 62; no. 4; pp. 456 - 466
Autores principales: Lin K, Wu C, Chang C
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2008
      vid: 62
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Effects of task instructions and target location on reaching kinematics in people with and without cerebrovascular accident: a study of the less-affected limb.
      aug:
        au:
          Lin K
          Wu C
          Chang C
        affil: Associate Professor and Chair, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
      sug:
        subj:
          Movement
          Stroke
          Task Performance and Analysis
          Adult
          Aged
          Aged, 80 and Over
          Analysis of Variance
          Data Analysis Software
          Data Collection Methods
          Descriptive Statistics
          Effect Size
          Female
          Funding Source
          Left Brain Hemisphere
          Male
          Middle Age
          Repeated Measures
          Right Brain Hemisphere
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: We investigated how verbal instructions and target location interacted to influence reaching movement of the less-affected limb in participants with and without unilateral cerebrovascular accidents (CVAs). METHOD: Using a counterbalanced repeated-measures design, 26 people with CVA and 24 age-matched healthy people performed the reaching tasks under 4 conditions formed by the crossing of verbal instructions (speed and accuracy emphasis) and target locations (ipsilateral and contralateral to the performing hand). RESULTS: In the control groups, speeded instructions and ipsilateral reaches elicited significantly more preprogrammed movements than did accuracy instruction and contralateral reaches, respectively. Similar patterns of performance in response to task constraints were found in the CVA groups except for movement initiation in the right CVA group. CONCLUSION: Instruction and locations interacted to constrain reaching movements in both control and CVA groups. The combination of speeded instruction and ipsilateral reach may optimize movement performance of the less-affected limb in stroke patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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