Evaluating the impact of therapeutic handling on sit-to-stand movements post-stroke: Kinematic smoothness as a monitoring metric for recovery.
Therapeutic handling during sit-to-stand (STS) tasks in post-stroke subjects targets complex motor pattern modifications, however, its impact on movement smoothness and the subject-specific responses remains underexplored. This study aimed to examine the effects of therapeutic handling on the moveme...
| Published in: | Journal of Bodywork & Movement Therapies Vol. 42; pp. 620 - 629 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | research Journal Article |
| Published: |
Churchill Livingstone, Inc.
Jun2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184913334&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184913334 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13608592 8II jtl: Journal of Bodywork & Movement Therapies issn: 13608592 maglogo: N pubinfo: dt: Jun2025 vid: 42 pid: 1242 pub: Churchill Livingstone, Inc. artinfo: ui: 184913334 184913334 184913334 10.1016/j.jbmt.2025.01.040 184913334 ppf: 620 ppct: 9 formats: tig: atl: Evaluating the impact of therapeutic handling on sit-to-stand movements post-stroke: Kinematic smoothness as a monitoring metric for recovery. aug: au: Yamasaki, Hiroshi R. An, Qi Takahashi, Koji Fujii, Takanori Yang, Ningjia Itkonen, Matti Yokoyama, Moeka Alnajjar, Fady S.K. Otomune, Hironori Hattori, Noriaki Miyai, Ichiro Shimoda, Shingo affil: Department of Physical Therapy, Saitama Prefectural University, Koshigaya, Saitama, Japan sug: subj: Stroke Physiopathology Stroke Rehabilitation Sitting Standing Movement Physiology Recovery Biophysics Human Male Female Adult Middle Age Aged Kinematics Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Therapeutic handling during sit-to-stand (STS) tasks in post-stroke subjects targets complex motor pattern modifications, however, its impact on movement smoothness and the subject-specific responses remains underexplored. This study aimed to examine the effects of therapeutic handling on the movement smoothness during STS in post-stroke subjects, identifying recovery subtypes based on immediate changes in smoothness metrics and longitudinal motor functional improvements. Thirty-eight inpatient post-stroke subjects and five healthy controls participated in standardized STS, with and without therapeutic handling. Joint kinematics were recorded using a 3D mocap system, and the spectral arc length measure (SPARC) of joint angular velocity was analyzed to assess trajectory quality. Fifteen patients were re-measured after one month. Therapeutic handling significantly altered movement smoothness (direct effect). Trajectory smoothness after therapeutic handling (after-effect) was significantly correlated with the direct effect (r = 0.85, p < 0.01). The SPARC Delta, discrepancy between the direct and after-effect, negatively contributed to the improvement in FMA over time (p = 0.02). This emphasizes the importance of investigating subtypes of recovery based on the variability of smoothness response to therapeutic handling. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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