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Therapist recognition of impaired muscle groups in simulated multi-joint hypertonia

Identifieur interne : 001784 ( Pmc/Curation ); précédent : 001783; suivant : 001785

Therapist recognition of impaired muscle groups in simulated multi-joint hypertonia

Auteurs : A. Melendez-Calderon ; D. Piovesan ; F. A. Mussa-Ivaldi

Source :

RBID : PMC:4498568

Abstract

It is common in today’s clinical practice for a therapist to physically manipulate patients’ limbs to assess hypertonic conditions (e.g. spasticity, rigidity, dystonia, among others). We present a study that evaluates the capabilities of expert therapists to correctly identify the location of a hypertonic impairment of an arm through standard manipulation. Therapists interacted with a hypertonic virtual arms rendered on a robotic device. Our results show that testing joints independently can cause misjudgment of the mechanical contributions of pluri-articular muscles to multi-joint impairment.


Url:
DOI: 10.1109/ICORR.2013.6650425
PubMed: 24187243
PubMed Central: 4498568

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PMC:4498568

Le document en format XML

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<name sortKey="Piovesan, D" sort="Piovesan, D" uniqKey="Piovesan D" first="D." last="Piovesan">D. Piovesan</name>
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<name sortKey="Mussa Ivaldi, F A" sort="Mussa Ivaldi, F A" uniqKey="Mussa Ivaldi F" first="F. A." last="Mussa-Ivaldi">F. A. Mussa-Ivaldi</name>
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<p id="P1">It is common in today’s clinical practice for a therapist to physically manipulate patients’ limbs to assess hypertonic conditions (e.g. spasticity, rigidity, dystonia, among others). We present a study that evaluates the capabilities of expert therapists to correctly identify the location of a hypertonic impairment of an arm through standard manipulation. Therapists interacted with a hypertonic virtual arms rendered on a robotic device. Our results show that testing joints independently can cause misjudgment of the mechanical contributions of pluri-articular muscles to multi-joint impairment.</p>
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<surname>Melendez-Calderon</surname>
<given-names>A.</given-names>
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<email>alejandro.melendez@northwestern.edu</email>
<role>IEEE Member</role>
<xref rid="FN1" ref-type="author-notes"></xref>
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<contrib contrib-type="author">
<name>
<surname>Piovesan</surname>
<given-names>D.</given-names>
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<email>d-piovesan@northwestern.edu</email>
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<aff id="A1">Sensory Motor Performance Program at the Rehabilitation Institute of Chicago, Illinois, U.S.A</aff>
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<p>indicates equal contribution.</p>
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<day>7</day>
<month>7</month>
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<pub-date pub-type="ppub">
<month>6</month>
<year>2013</year>
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<month>7</month>
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<abstract>
<p id="P1">It is common in today’s clinical practice for a therapist to physically manipulate patients’ limbs to assess hypertonic conditions (e.g. spasticity, rigidity, dystonia, among others). We present a study that evaluates the capabilities of expert therapists to correctly identify the location of a hypertonic impairment of an arm through standard manipulation. Therapists interacted with a hypertonic virtual arms rendered on a robotic device. Our results show that testing joints independently can cause misjudgment of the mechanical contributions of pluri-articular muscles to multi-joint impairment.</p>
</abstract>
<kwd-group>
<title>Index Terms</title>
<kwd>hypertonia</kwd>
<kwd>spasticity</kwd>
<kwd>rigidity</kwd>
<kwd>assessment</kwd>
<kwd>haptic discrimination</kwd>
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