Involuntary paretic wrist/finger flexion forces and EMG increase with shoulder abduction load in individuals with chronic stroke
Identifieur interne : 002343 ( Main/Exploration ); précédent : 002342; suivant : 002344Involuntary paretic wrist/finger flexion forces and EMG increase with shoulder abduction load in individuals with chronic stroke
Auteurs : Laura C. Miller [États-Unis] ; Julius P. A. Dewald [États-Unis]Source :
- Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology [ 1388-2457 ] ; 2012.
Abstract
Clinical observations of the flexion synergy in individuals with chronic hemiparetic stroke describe coupling of shoulder, elbow, wrist, and finger joints. Yet, experimental quantification of the synergy within a shoulder abduction (SABD) loading paradigm has focused only on shoulder and elbow joints. The paretic wrist and fingers have typically been studied in isolation. Therefore, this study quantified involuntary behavior of paretic wrist and fingers during concurrent activation of shoulder and elbow.
Eight individuals with chronic moderate-to-severe hemiparesis and four controls participated. Isometric wrist/finger and thumb flexion forces and wrist/finger flexor and extensor electromyograms (EMG) were measured at two positions when lifting the arm: in front of the torso and at maximal reaching distance. The task was completed in the ACT3D robotic device with six SABD loads by paretic, non-paretic, and control limbs.
Considerable forces and EMG were generated during lifting of the paretic arm only, and they progressively increased with SABD load. Additionally, the forces were greater at the maximal reach position than at the position front of the torso.
Flexion of paretic wrist and fingers is involuntarily coupled with certain shoulder and elbow movements.
Activation of the proximal upper limb must be considered when seeking to understand, rehabilitate, or develop devices to assist the paretic hand.
Url:
DOI: 10.1016/j.clinph.2012.01.009
PubMed: 22364723
PubMed Central: 3729226
Affiliations:
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Miller</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Biomedical Engineering, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biomedical Engineering, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></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. 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Miller</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Biomedical Engineering, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biomedical Engineering, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></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><affiliation wicri:level="2"><nlm:aff id="A1">Department of Biomedical Engineering, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biomedical Engineering, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A2">Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Therapy and Human Movement Sciences, The Feinberg School of Medicine, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A3">Interdepartmental Neuroscience Program, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Interdepartmental Neuroscience Program, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="A4">Department of Physical Medicine and Rehabilitation, The Feinberg School of Medicine, Northwestern University, Chicago, IL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, The Feinberg School of Medicine, Northwestern University, Chicago, IL</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author></analytic><series><title level="j">Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</title><idno type="ISSN">1388-2457</idno><idno type="eISSN">1872-8952</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">Clinical observations of the flexion synergy in individuals with chronic hemiparetic stroke describe coupling of shoulder, elbow, wrist, and finger joints. Yet, experimental quantification of the synergy within a shoulder abduction (SABD) loading paradigm has focused only on shoulder and elbow joints. The paretic wrist and fingers have typically been studied in isolation. Therefore, this study quantified involuntary behavior of paretic wrist and fingers during concurrent activation of shoulder and elbow.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Eight individuals with chronic moderate-to-severe hemiparesis and four controls participated. Isometric wrist/finger and thumb flexion forces and wrist/finger flexor and extensor electromyograms (EMG) were measured at two positions when lifting the arm: in front of the torso and at maximal reaching distance. The task was completed in the ACT<sup>3D</sup> robotic device with six SABD loads by paretic, non-paretic, and control limbs.</p></sec><sec id="S3"><title>Results</title><p id="P3">Considerable forces and EMG were generated during lifting of the paretic arm only, and they progressively increased with SABD load. Additionally, the forces were greater at the maximal reach position than at the position front of the torso.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Flexion of paretic wrist and fingers is involuntarily coupled with certain shoulder and elbow movements.</p></sec><sec id="S5"><title>Significance</title><p id="P5">Activation of the proximal upper limb must be considered when seeking to understand, rehabilitate, or develop devices to assist the paretic hand.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Miller, Laura C" sort="Miller, Laura C" uniqKey="Miller L" first="Laura C." last="Miller">Laura C. Miller</name></region><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><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><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><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><name sortKey="Miller, Laura C" sort="Miller, Laura C" uniqKey="Miller L" first="Laura C." last="Miller">Laura C. Miller</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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