Augmenting Clinical Evaluation of Hemiparetic Arm Movement With a Laboratory-Based Quantitative Measurement of Kinematics as a Function of Limb Loading
Identifieur interne : 000E85 ( Pmc/Curation ); précédent : 000E84; suivant : 000E86Augmenting Clinical Evaluation of Hemiparetic Arm Movement With a Laboratory-Based Quantitative Measurement of Kinematics as a Function of Limb Loading
Auteurs : Michael D. Ellis ; Theresa Sukal ; Tobey Demott ; Julius P. A. DewaldSource :
- Neurorehabilitation and neural repair [ 1545-9683 ] ; 2008.
Abstract
Kinematic and kinetic measurements used in laboratory settings can quantify upper extremity movement impairment following stroke, but their relationship to clinical methods of evaluating movement impairment is unclear.
To test whether the Arm Coordination Training 3D device (ACT3D) could provide a repeatable quantitative measurement of range of motion during upper extremity reaching along a range of functional levels of loads on the arm and correlate with clinical assessments of arm impairment.
Work area during reaching along clockwise and counterclockwise hand paths was measured under 9 limb-loading conditions ranging from no load to twice the weight of the upper extremity in 11 individuals with chronic hemiparetic stroke on 2 separate occasions. Participants were given a battery of clinical assessments that included the Fugl-Meyer Motor Assessment, Chedoke McMaster Stroke Assessment, Reaching Performance Scale, Modified Ashworth Scale, and the Stroke Impact Scale, by a physical therapist who did not know the results of the kinematic studies.
A reproducible test-retest reduction in work area was found when participants were required to support up to and beyond the weight of their limb. Work area was correlated with most upper extremity clinical assessments, suggesting criterion validity.
Reaching work area during various loading conditions is a robust measurement that quantifies the effect of abnormal joint torque coupling and provides useful data that can be applied in the clinical setting.
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DOI: 10.1177/1545968307313509
PubMed: 18326888
PubMed Central: 2826208
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Augmenting Clinical Evaluation of Hemiparetic Arm Movement With a Laboratory-Based Quantitative Measurement of Kinematics as a Function of Limb Loading</title><author><name sortKey="Ellis, Michael D" sort="Ellis, Michael D" uniqKey="Ellis M" first="Michael D." last="Ellis">Michael D. Ellis</name></author><author><name sortKey="Sukal, Theresa" sort="Sukal, Theresa" uniqKey="Sukal T" first="Theresa" last="Sukal">Theresa Sukal</name></author><author><name sortKey="Demott, Tobey" sort="Demott, Tobey" uniqKey="Demott T" first="Tobey" last="Demott">Tobey Demott</name></author><author><name sortKey="Dewald, Julius P A" sort="Dewald, Julius P A" uniqKey="Dewald J" first="Julius P. A." last="Dewald">Julius P. A. Dewald</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18326888</idno><idno type="pmc">2826208</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2826208</idno><idno type="RBID">PMC:2826208</idno><idno type="doi">10.1177/1545968307313509</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000E85</idno><idno type="wicri:Area/Pmc/Curation">000E85</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Augmenting Clinical Evaluation of Hemiparetic Arm Movement With a Laboratory-Based Quantitative Measurement of Kinematics as a Function of Limb Loading</title><author><name sortKey="Ellis, Michael D" sort="Ellis, Michael D" uniqKey="Ellis M" first="Michael D." last="Ellis">Michael D. Ellis</name></author><author><name sortKey="Sukal, Theresa" sort="Sukal, Theresa" uniqKey="Sukal T" first="Theresa" last="Sukal">Theresa Sukal</name></author><author><name sortKey="Demott, Tobey" sort="Demott, Tobey" uniqKey="Demott T" first="Tobey" last="Demott">Tobey Demott</name></author><author><name sortKey="Dewald, Julius P A" sort="Dewald, Julius P A" uniqKey="Dewald J" first="Julius P. A." last="Dewald">Julius P. A. Dewald</name></author></analytic><series><title level="j">Neurorehabilitation and neural repair</title><idno type="ISSN">1545-9683</idno><idno type="eISSN">1552-6844</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P2">Kinematic and kinetic measurements used in laboratory settings can quantify upper extremity movement impairment following stroke, but their relationship to clinical methods of evaluating movement impairment is unclear.</p></sec><sec id="S2"><title>Objective</title><p id="P3">To test whether the Arm Coordination Training 3D device (ACT<sup>3D</sup>) could provide a repeatable quantitative measurement of range of motion during upper extremity reaching along a range of functional levels of loads on the arm and correlate with clinical assessments of arm impairment.</p></sec><sec sec-type="methods" id="S3"><title>Methods</title><p id="P4">Work area during reaching along clockwise and counterclockwise hand paths was measured under 9 limb-loading conditions ranging from no load to twice the weight of the upper extremity in 11 individuals with chronic hemiparetic stroke on 2 separate occasions. Participants were given a battery of clinical assessments that included the Fugl-Meyer Motor Assessment, Chedoke McMaster Stroke Assessment, Reaching Performance Scale, Modified Ashworth Scale, and the Stroke Impact Scale, by a physical therapist who did not know the results of the kinematic studies.</p></sec><sec id="S4"><title>Results</title><p id="P5">A reproducible test-retest reduction in work area was found when participants were required to support up to and beyond the weight of their limb. Work area was correlated with most upper extremity clinical assessments, suggesting criterion validity.</p></sec><sec id="S5"><title>Conclusions</title><p id="P6">Reaching work area during various loading conditions is a robust measurement that quantifies the effect of abnormal joint torque coupling and provides useful data that can be applied in the clinical setting.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100892086</journal-id><journal-id journal-id-type="pubmed-jr-id">22207</journal-id><journal-id journal-id-type="nlm-ta">Neurorehabil Neural Repair</journal-id><journal-title>Neurorehabilitation and neural repair</journal-title><issn pub-type="ppub">1545-9683</issn><issn pub-type="epub">1552-6844</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18326888</article-id><article-id pub-id-type="pmc">2826208</article-id><article-id pub-id-type="doi">10.1177/1545968307313509</article-id><article-id pub-id-type="manuscript">NIHMS175833</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Augmenting Clinical Evaluation of Hemiparetic Arm Movement With a Laboratory-Based Quantitative Measurement of Kinematics as a Function of Limb Loading</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ellis</surname><given-names>Michael D.</given-names></name><degrees>PT, DPT</degrees></contrib><contrib contrib-type="author"><name><surname>Sukal</surname><given-names>Theresa</given-names></name><degrees>BBE, SPT</degrees></contrib><contrib contrib-type="author"><name><surname>DeMott</surname><given-names>Tobey</given-names></name><degrees>MSPT</degrees></contrib><contrib contrib-type="author"><name><surname>Dewald</surname><given-names>Julius P. A.</given-names></name><degrees>PT, PhD</degrees></contrib><aff id="A1">Departments of Physical Therapy and Human Movement Sciences (MDE, TS, TD, JPAD), Physical Medicine & Rehabilitation (JPAD), and Biomedical Engineering (JPAD), Northwestern University, Chicago, IL.</aff></contrib-group><author-notes><corresp id="CR1">Address correspondence to Michael D. Ellis, PT, DPT, Northwestern University, Department of Physical Therapy & Human Movement Sciences, 645 N. Michigan Ave, Suite 1100, Room 1159, Chicago, IL 60611. <email>m-ellis@northwestern.edu</email>.</corresp><fn id="FN1"><p id="P1">Ellis MD, Sukal T, DeMott T, Dewald JPA. Augmenting clinical evaluation of hemiparetic arm movement with a laboratory-based quantitative measurement of kinematics as a function of limb loading.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>17</day><month>2</month><year>2010</year></pub-date><pub-date pub-type="epub"><day>8</day><month>3</month><year>2008</year></pub-date><pub-date pub-type="ppub"><season>Jul–Aug</season><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>22</day><month>2</month><year>2010</year></pub-date><volume>22</volume><issue>4</issue><fpage>321</fpage><lpage>329</lpage><permissions><copyright-statement>© 2008 The American Society of Neurorehabilitation. All rights reserved.</copyright-statement><copyright-year>2008</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P2">Kinematic and kinetic measurements used in laboratory settings can quantify upper extremity movement impairment following stroke, but their relationship to clinical methods of evaluating movement impairment is unclear.</p></sec><sec id="S2"><title>Objective</title><p id="P3">To test whether the Arm Coordination Training 3D device (ACT<sup>3D</sup>) could provide a repeatable quantitative measurement of range of motion during upper extremity reaching along a range of functional levels of loads on the arm and correlate with clinical assessments of arm impairment.</p></sec><sec sec-type="methods" id="S3"><title>Methods</title><p id="P4">Work area during reaching along clockwise and counterclockwise hand paths was measured under 9 limb-loading conditions ranging from no load to twice the weight of the upper extremity in 11 individuals with chronic hemiparetic stroke on 2 separate occasions. Participants were given a battery of clinical assessments that included the Fugl-Meyer Motor Assessment, Chedoke McMaster Stroke Assessment, Reaching Performance Scale, Modified Ashworth Scale, and the Stroke Impact Scale, by a physical therapist who did not know the results of the kinematic studies.</p></sec><sec id="S4"><title>Results</title><p id="P5">A reproducible test-retest reduction in work area was found when participants were required to support up to and beyond the weight of their limb. Work area was correlated with most upper extremity clinical assessments, suggesting criterion validity.</p></sec><sec id="S5"><title>Conclusions</title><p id="P6">Reaching work area during various loading conditions is a robust measurement that quantifies the effect of abnormal joint torque coupling and provides useful data that can be applied in the clinical setting.</p></sec></abstract><kwd-group><kwd>Stroke</kwd><kwd>Arm</kwd><kwd>Kinematics</kwd><kwd>Rehabilitation evaluation</kwd><kwd>Haptic</kwd><kwd>Robotics</kwd></kwd-group><contract-num rid="HD1">R01 HD039343-06A1
||HD</contract-num><contract-sponsor id="HD1">National Institute of Child Health & Human Development : NICHD</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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