The Brief Kinesthesia test is feasible and sensitive: a study in stroke
Identifieur interne : 000058 ( Main/Exploration ); précédent : 000057; suivant : 000059The Brief Kinesthesia test is feasible and sensitive: a study in stroke
Auteurs : Alexandra Borstad [États-Unis] ; Deborah S. Nichols-Larsen [États-Unis]Source :
- Brazilian Journal of Physical Therapy [ 1413-3555 ] ; 2016.
Abstract
Clinicians lack a quantitative measure of kinesthetic sense, an important contributor to sensorimotor control of the hand and arm.
The objective here was to determine the feasibility of administering the Brief Kinesthesia Test (BKT) and begin to validate it by 1) reporting BKT scores from persons with chronic stroke and a healthy comparison group and 2) examining the relationship between the BKT scores and other valid sensory and motor measures.
Adults with stroke and mild to moderate hemiparesis (N=12) and an age-, gender-, and handedness-matched healthy comparison group (N=12) completed the BKT by reproducing three targeted reaching movements per hand with vision occluded.
the Hand Active Sensation Test (HASTe), Touch-Test(tm) monofilament aesthesiometer, 6-item Wolf Motor Function Test (Wolf), the Motor Activity Log (MAL), and the Box and Blocks Test (BBT). A paired t-test compared BKT scores between groups. Pearson product-moment correlation coefficients assessed the relationship between BKT scores and other measures.
Post-stroke participants performed more poorly on the BKT than comparison participants with their contralesional and ipsilesional upper extremity. The mean difference for the contralesional upper extremity was 3.7 cm (SE=1.1, t=3.34; p<0.008). The BKT score for the contralesional limb was strongly correlated with the MAL-how much (r=0.84, p=0.001), the MAL-how well (r=0.76, p=0.007), Wolf (r=0.69, p=0.02), and the BBT (r=0.77, p=0.006).
The BKT was feasible to administer and sensitive to differences in reaching accuracy between persons with stroke and a comparison group. With further refinement, The BKT may become a valuable clinical measure of post-stroke kinesthetic impairment.
Url:
DOI: 10.1590/bjpt-rbf.2014.0132
PubMed: 26786083
PubMed Central: 4835168
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Brief Kinesthesia test is feasible and sensitive: a study in
stroke</title><author><name sortKey="Borstad, Alexandra" sort="Borstad, Alexandra" uniqKey="Borstad A" first="Alexandra" last="Borstad">Alexandra Borstad</name><affiliation wicri:level="2"><nlm:aff id="aff1">Division of Physical Therapy, The Ohio State University, Columbus, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Physical Therapy, The Ohio State University, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Nichols Larsen, Deborah S" sort="Nichols Larsen, Deborah S" uniqKey="Nichols Larsen D" first="Deborah S." last="Nichols-Larsen">Deborah S. Nichols-Larsen</name><affiliation wicri:level="2"><nlm:aff id="aff2">School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26786083</idno><idno type="pmc">4835168</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835168</idno><idno type="RBID">PMC:4835168</idno><idno type="doi">10.1590/bjpt-rbf.2014.0132</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000464</idno><idno type="wicri:Area/Pmc/Curation">000464</idno><idno type="wicri:Area/Pmc/Checkpoint">000032</idno><idno type="wicri:Area/Ncbi/Merge">003F30</idno><idno type="wicri:Area/Ncbi/Curation">003F30</idno><idno type="wicri:Area/Ncbi/Checkpoint">003F30</idno><idno type="wicri:doubleKey">1413-3555:2016:Borstad A:the:brief:kinesthesia</idno><idno type="wicri:Area/Main/Merge">000058</idno><idno type="wicri:Area/Main/Curation">000058</idno><idno type="wicri:Area/Main/Exploration">000058</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Brief Kinesthesia test is feasible and sensitive: a study in
stroke</title><author><name sortKey="Borstad, Alexandra" sort="Borstad, Alexandra" uniqKey="Borstad A" first="Alexandra" last="Borstad">Alexandra Borstad</name><affiliation wicri:level="2"><nlm:aff id="aff1">Division of Physical Therapy, The Ohio State University, Columbus, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Physical Therapy, The Ohio State University, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Nichols Larsen, Deborah S" sort="Nichols Larsen, Deborah S" uniqKey="Nichols Larsen D" first="Deborah S." last="Nichols-Larsen">Deborah S. Nichols-Larsen</name><affiliation wicri:level="2"><nlm:aff id="aff2">School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH</wicri:regionArea><placeName><region type="state">Ohio</region></placeName></affiliation></author></analytic><series><title level="j">Brazilian Journal of Physical Therapy</title><idno type="ISSN">1413-3555</idno><idno type="eISSN">1809-9246</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>BACKGROUND:</title><p> Clinicians lack a quantitative measure of kinesthetic sense, an important
contributor to sensorimotor control of the hand and arm.</p></sec><sec><title>OBJECTIVES:</title><p> The objective here was to determine the feasibility of administering the Brief
Kinesthesia Test (BKT) and begin to validate it by 1) reporting BKT scores from
persons with chronic stroke and a healthy comparison group and 2) examining the
relationship between the BKT scores and other valid sensory and motor
measures.</p></sec><sec><title>METHOD:</title><p> Adults with stroke and mild to moderate hemiparesis (N=12) and an age-, gender-,
and handedness-matched healthy comparison group (N=12) completed the BKT by
reproducing three targeted reaching movements per hand with vision occluded.</p></sec><sec><title>OTHER MEASURES:</title><p> the Hand Active Sensation Test (HASTe), Touch-Test<sup>(tm)</sup> monofilament
aesthesiometer, 6-item Wolf Motor Function Test (Wolf), the Motor Activity Log
(MAL), and the Box and Blocks Test (BBT). A paired t-test compared BKT scores
between groups. Pearson product-moment correlation coefficients assessed the
relationship between BKT scores and other measures.</p></sec><sec><title>RESULTS:</title><p> Post-stroke participants performed more poorly on the BKT than comparison
participants with their contralesional and ipsilesional upper extremity. The mean
difference for the contralesional upper extremity was 3.7 cm (SE=1.1, t=3.34;
p<0.008). The BKT score for the contralesional limb was strongly correlated
with the MAL-how much (r=0.84, p=0.001), the MAL-how well (r=0.76, p=0.007), Wolf
(r=0.69, p=0.02), and the BBT (r=0.77, p=0.006).</p></sec><sec><title>CONCLUSIONS:</title><p> The BKT was feasible to administer and sensitive to differences in reaching
accuracy between persons with stroke and a comparison group. With further
refinement, The BKT may become a valuable clinical measure of post-stroke
kinesthetic impairment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Carey, Lm" uniqKey="Carey L">LM Carey</name></author><author><name sortKey="Matyas, Ta" uniqKey="Matyas T">TA Matyas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nowak, Da" uniqKey="Nowak D">DA Nowak</name></author><author><name sortKey="Grefkes, C" uniqKey="Grefkes C">C Grefkes</name></author><author><name sortKey="Dafotakis, M" uniqKey="Dafotakis M">M Dafotakis</name></author><author><name sortKey="Kust, J" uniqKey="Kust J">J Küst</name></author><author><name sortKey="Karbe, H" uniqKey="Karbe H">H Karbe</name></author><author><name sortKey="Fink, Gr" uniqKey="Fink G">GR Fink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sommerfeld, Dk" uniqKey="Sommerfeld D">DK Sommerfeld</name></author><author><name sortKey="Von Arbin, Mh" uniqKey="Von Arbin M">MH von 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sortKey="Lima, Nm" uniqKey="Lima N">NM Lima</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Borstad, Alexandra" sort="Borstad, Alexandra" uniqKey="Borstad A" first="Alexandra" last="Borstad">Alexandra Borstad</name></region><name sortKey="Nichols Larsen, Deborah S" sort="Nichols Larsen, Deborah S" uniqKey="Nichols Larsen D" first="Deborah S." last="Nichols-Larsen">Deborah S. 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