Compensatory Trunk Movements in Naturalistic Reaching and Manipulation Tasks in Chronic Stroke Survivors.

Impairment of arm movements poststroke often results in the use of compensatory trunk movements to complete motor tasks. These compensatory movements have been mostly observed in tightly controlled conditions, with very few studies examining them in more naturalistic settings. In this study, the aut...

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Publicado en:Journal of Applied Biomechanics Vol. 37; no. 3; pp. 215 - 224
Autores principales: Jayasinghe, Shanie A.L., Wang, Rui, Gebara, Rani, Biswas, Subir, Ranganathan, Rajiv
Formato: pictorial research tables/charts Journal Article
Publicado: Human Kinetics Publishers, Inc. Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
      vid: 37
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      pub: Human Kinetics Publishers, Inc.
      place: Champaign, Illinois
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        10.1123/jab.2020-0090
        150444412
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        atl: Compensatory Trunk Movements in Naturalistic Reaching and Manipulation Tasks in Chronic Stroke Survivors.
      aug:
        au:
          Jayasinghe, Shanie A.L.
          Wang, Rui
          Gebara, Rani
          Biswas, Subir
          Ranganathan, Rajiv
        affil: Michigan State University
      sug:
        subj:
          Stroke Patients
          Survivors
          Chronic Disease
          Torso Physiology
          Object Manipulation
          Task Performance and Analysis
          Human
          Kinematics
          Movement Evaluation
          Rotation
          Descriptive Statistics
          Functional Status
      ab: Impairment of arm movements poststroke often results in the use of compensatory trunk movements to complete motor tasks. These compensatory movements have been mostly observed in tightly controlled conditions, with very few studies examining them in more naturalistic settings. In this study, the authors quantified the presence of compensatory movements during a set of continuous reaching and manipulation tasks performed with both the paretic and nonparetic arm (in 9 chronic stroke survivors) or the dominant arm (in 20 neurologically unimpaired control participants). Kinematic data were collected using motion capture to assess trunk and elbow movement. The authors found that trunk displacement and rotation were significantly higher when using the paretic versus nonparetic arm (P =.03). In contrast, elbow angular displacement was significantly lower in the paretic versus nonparetic arm (P =.01). The reaching tasks required significantly higher trunk compensation and elbow movement than the manipulation tasks. These results reflect increased reliance on compensatory trunk movements poststroke, even in everyday functional tasks, which may be a target for home rehabilitation programs. This study provides a novel contribution to the rehabilitation literature by examining the presence of compensatory movements in naturalistic reaching and manipulation tasks.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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