Accelerated decline in motor suppression in patients with cerebrovascular disorders: A kinetic analysis using the square-tracing task.

BACKGROUND: Patients with cerebrovascular disorders (CVDs) tend to exhibit impulsive behaviour without controlling their movements, leading to difficulty in performing activities of daily living and an increased risk of accidents. This hastiness, termed 'pacing impairment', has been studied but is n...

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Publicado en:NeuroRehabilitation Vol. 54; no. 3; pp. 383 - 391
Autores principales: Kimoto, Shoko, Naito, Yasuo, Nishikawa, Takashi
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2024
      vid: 54
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/NRE-230375
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        atl: Accelerated decline in motor suppression in patients with cerebrovascular disorders: A kinetic analysis using the square-tracing task.
      aug:
        au:
          Kimoto, Shoko
          Naito, Yasuo
          Nishikawa, Takashi
        affil: Department of Occupational Therapy, Graduate School of Rehabilitation Science, Osaka Metropolitan University, Osaka, Japan
      sug:
        subj:
          Cerebrovascular Disorders Complications
          Psychomotor Performance Evaluation
          Neuropsychological Tests Methods
          Kinetics Physiology
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Task Performance and Analysis
          Activities of Daily Living
          Volunteer Workers
          Inpatients
          Brain Physiology
          Frontal Lobe
          Impulsive Behavior
          Acceleration
          Attention
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: BACKGROUND: Patients with cerebrovascular disorders (CVDs) tend to exhibit impulsive behaviour without controlling their movements, leading to difficulty in performing activities of daily living and an increased risk of accidents. This hastiness, termed 'pacing impairment', has been studied but is not fully understood. OBJECTIVE: To experimentally examine the kinetic features of pacing impairment by focusing on changes in speed and investigating neuropsychological substrates. METHODS: We instructed 53 inpatients with CVDs, 20 orthopaedic inpatients, and 20 healthy participants to trace a 200 mm-sided square as slowly as possible for 120 seconds. We measured the tracing length and mean acceleration and examined the relationship between these measurements, neuropsychological symptoms, and lesion sites. RESULTS: Gradual acceleration in drawing, i.e., decline in motor suppression, was observed more frequently in the CVD group than in the control groups. Excessive acceleration was associated with unilateral spatial neglect, frontal lobe signs, and attention disorders but not with motor impersistence. Additionally, the incidence of excessive acceleration did not differ between left and right hemisphere lesion subgroups and was not associated with any specific lesion site. CONCLUSION: Pacing impairment can manifest as general or holistic deficits in attentional function widely distributed throughout the cerebral hemispheres.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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