Estimation of Motor Impairment and Usage of Upper Extremities during Daily Living Activities in Poststroke Hemiparesis Patients by Observation of Time Required to Accomplish Hand Dexterity Tasks.

Aim. This study evaluated whether specific actual performance could accurately predict body function levels and upper limb use in the real-life functioning of poststroke hemiparesis patients to aid in choosing the most appropriate rehabilitation exercises. Methods. We measured the time taken for pos...

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Publicado en:BioMed Research International pp. 1 - 9
Autores principales: Tanaka, Tomoko, Hamaguchi, Toyohiro, Suzuki, Makoto, Sakamoto, Daigo, Shikano, Junpei, Nakaya, Naoki, Abo, Masahiro
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 11/7/19
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/7/19
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/9471921
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        atl: Estimation of Motor Impairment and Usage of Upper Extremities during Daily Living Activities in Poststroke Hemiparesis Patients by Observation of Time Required to Accomplish Hand Dexterity Tasks.
      aug:
        au:
          Tanaka, Tomoko
          Hamaguchi, Toyohiro
          Suzuki, Makoto
          Sakamoto, Daigo
          Shikano, Junpei
          Nakaya, Naoki
          Abo, Masahiro
        affil: Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, Japan
      sug:
        subj:
          Motor Skills
          Functional Status
          Hand Physiology
          Activities of Daily Living
          Hemiplegia
          Agility
          Task Performance and Analysis
          Recovery
          Stroke Rehabilitation
          Human
          Stroke Patients
          Rehabilitation
          Time
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Linear Regression
          Clinical Assessment Tools
          Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Aim. This study evaluated whether specific actual performance could accurately predict body function levels and upper limb use in the real-life functioning of poststroke hemiparesis patients to aid in choosing the most appropriate rehabilitation exercises. Methods. We measured the time taken for poststroke patients to move small objects with the paralyzed hand and investigated how the measurement could estimate upper extremity motor impairment and hand usage during activities of daily living (ADL). We examined 86 stroke patients (age 66 ± 16 years) whose upper extremity motor paralysis was measured using the Fugl-Meyer assessment (FMA) and Southampton Hand Assessment Procedure (SHAP), and patient-reported ADL was investigated using the Jikei Assessment Scale for Motor Impairment in Daily Living (JASMID). To identify the time required to perform each SHAP item, we employed a linear regression analysis. The prediction formula was used in the linear regression analysis, and the coefficient of determination (R2) was applied to compare each component item score that was obtained with the predicted values derived from the linear regression analysis. Results. The most easily accomplished task was Heavy Power in the SHAP. The R2 between the SHAP Heavy Power item score and the FMA scores was moderate (R2 = 0.344, P<0.0001), whereas the R2 with the JASMID score was low (R2 = 0.126, P<0.001). Conclusions. By measuring the time it takes for poststroke hemiparesis patients to hold and move an object, we developed a prediction formula for upper extremity motor function and hand dexterity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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