The Impact of Cognitive Impairment on Robot-Based Upper-Limb Motor Assessment in Chronic Stroke.
Background: Chronic upper extremity motor deficits are present in up to 65% of stroke survivors, and cognitive impairment is prevalent in 46-61% of stroke survivors even 10 years after their stroke. Robot-assisted therapy programs tend to focus on motor recovery and do not include stroke patients wi...
| Publicado en: | Neurorehabilitation & Neural Repair Vol. 36; no. 9; pp. 587 - 596 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Sep2022
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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=159306642&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159306642 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15459683 IRK jtl: Neurorehabilitation & Neural Repair issn: 15459683 maglogo: Y pubinfo: dt: Sep2022 vid: 36 iid: 9 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 159306642 158705301 159306642 159306642 10.1177/15459683221110892 159306642 ppf: 587 ppct: 9 formats: tig: atl: The Impact of Cognitive Impairment on Robot-Based Upper-Limb Motor Assessment in Chronic Stroke. aug: au: Bui, Kevin D. Lyn, Breanna Roland, Matthew Wamsley, Carol A. Mendonca, Rochelle Johnson, Michelle J. affil: Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA sug: subj: Stroke Complications Cognition Disorders Robotics Utilization Upper Extremity Motor Skills Evaluation Psychomotor Performance Task Performance and Analysis Stroke Rehabilitation Human Funding Source Stroke Patients Executive Function Kinematics Brain Diseases Rehabilitation Visual Perception Spatial Perception Middle Age Linear Regression Descriptive Statistics Middle Aged: 45-64 years ab: Background: Chronic upper extremity motor deficits are present in up to 65% of stroke survivors, and cognitive impairment is prevalent in 46-61% of stroke survivors even 10 years after their stroke. Robot-assisted therapy programs tend to focus on motor recovery and do not include stroke patients with cognitive impairment. Objective: This study aims to investigate performance on the individual cognitive domains evaluated in the MoCA and their relation to upper-limb motor performance on a robotic system. Methods: Participants were recruited from the stroke population with a wide range of cognitive and motor levels to complete a trajectory tracking task using the Haptic TheraDrive rehabilitation robot system. Motor performance was evaluated against standard clinical cognitive and motor assessments. Our hypothesis is that the cognitive domains involved in the visuomotor tracking task are significant predictors of performance on the robot-based task and that impairment in these domains results in worse motor performance on the task compared to subjects with no cognitive impairment. Results: Our results support the hypothesis that visuospatial and executive function have a significant impact on motor performance, with differences emerging between different functional groups on the various robot-based metrics. We also show that the kinematic metrics from this task differentiate cognitive-motor functional groups differently. Conclusion: This study demonstrates that performance on a motor-based robotic assessment task also involves a significant visuospatial and executive function component and highlights the need to account for cognitive impairment in the assessment of motor performance. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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