Relationship Between Clinical Measures of Upper Limb Movement Quality and Activity Poststroke.
Background. Understanding the relationship between movement quality (impairment) and performance (activity) in poststroke patients is important for rehabilitation intervention studies. This has led to an interest in kinematic characterization of upper limb motor impairment. Since instrumented motion...
| Publicado en: | Neurorehabilitation & Neural Repair Vol. 33; no. 6; pp. 432 - 442 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137017540&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137017540 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15459683 IRK jtl: Neurorehabilitation & Neural Repair issn: 15459683 maglogo: Y pubinfo: dt: Jun2019 vid: 33 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 137017540 137017540 137017540 10.1177/1545968319847969 137017540 ppf: 432 ppct: 10 formats: tig: atl: Relationship Between Clinical Measures of Upper Limb Movement Quality and Activity Poststroke. aug: au: Levin, Mindy F. Hiengkaew, Vimonwan Nilanont, Yongchai Cheung, Donna Dai, David Shaw, Jennifer Bayley, Mark Saposnik, Gustavo affil: McGill University and Centre for Interdisciplinary Research in Rehabilitation, Montreal, Quebec, Canada sug: subj: Task Performance and Analysis Functional Assessment Kinematics Evaluation Upper Extremity Physiology Stroke Complications Movement Disorders Etiology Stroke Rehabilitation Human Cross Sectional Studies Secondary Analysis Adolescence Young Adult Adult Middle Age Aged Aged, 80 and Over Multicenter Studies Scales Multiple Regression Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: Background. Understanding the relationship between movement quality (impairment) and performance (activity) in poststroke patients is important for rehabilitation intervention studies. This has led to an interest in kinematic characterization of upper limb motor impairment. Since instrumented motion analysis is not readily clinically available, observational kinematics may be a viable alternative. Objective. To determine if upper limb movement quality during a reach-to-grasp task identified by observation could be used to describe the relationship between motor impairments and the time to perform functional tasks. Methods. Cross-sectional, secondary analysis of baseline data from 141 participants with stroke, age 18 to 85 years, who participated in a multicenter randomized controlled trial. Clinical assessment of movement quality using the Reaching Performance Scale for Stroke (RPSS–Close and Far targets) and of performance (activity) from the Wolf Motor Function Test (WMFT–7 items) was assessed. The degree to which RPSS component scores explained scores on WMFT items was determined by multivariable regression. Results. Clinically significant decreases (>2 seconds) in performance time for some of the more complex WMFT tasks involving prehension were predicted from RPSS–Close and Far target components. Trunk compensatory movements did not predict either increases or decreases in performance time for the WMFT tasks evaluated. Overall, the strength of the regression models was low. Conclusions. In lieu of kinematic analysis, observational clinical movement analysis may be a valid and accessible method to determine relationships between motor impairment, compensations and upper limb function in poststroke patients. Specific relationships are unlikely to generalize to all tasks due to kinematic redundancy and task specificity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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