Comprehensive neuromechanical assessment in stroke patients: reliability and responsiveness of a protocol to measure neural and non-neural wrist properties.
Identifieur interne : 000409 ( PubMed/Checkpoint ); précédent : 000408; suivant : 000410Comprehensive neuromechanical assessment in stroke patients: reliability and responsiveness of a protocol to measure neural and non-neural wrist properties.
Auteurs : Hanneke Van Der Krogt [Pays-Bas] ; Asbj Rn Klomp [Pays-Bas] ; Jurriaan H. De Groot [Pays-Bas] ; Erwin De Vlugt [Pays-Bas] ; Frans Ct Van Der Helm [Pays-Bas] ; Carel Gm Meskers [Pays-Bas] ; J Hans Arendzen [Pays-Bas]Source :
- Journal of neuroengineering and rehabilitation [ 1743-0003 ] ; 2015.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Biomechanical Phenomena, Brain Ischemia (complications), Brain Ischemia (physiopathology), Cohort Studies, Electromyography, Female, Functional Laterality, Humans, Male, Middle Aged, Muscle Contraction, Muscle, Skeletal (physiopathology), Range of Motion, Articular, Reflex, Stretch, Reproducibility of Results, Stroke (diagnosis), Stroke (physiopathology), Wrist (innervation), Wrist (physiopathology), Wrist Joint (physiopathology), Young Adult.
- MESH :
- complications : Brain Ischemia.
- diagnosis : Stroke.
- innervation : Wrist.
- physiopathology : Brain Ischemia, Muscle, Skeletal, Stroke, Wrist, Wrist Joint.
- Adolescent, Adult, Aged, Aged, 80 and over, Biomechanical Phenomena, Cohort Studies, Electromyography, Female, Functional Laterality, Humans, Male, Middle Aged, Muscle Contraction, Range of Motion, Articular, Reflex, Stretch, Reproducibility of Results, Young Adult.
Abstract
Understanding movement disorder after stroke and providing targeted treatment for post stroke patients requires valid and reliable identification of biomechanical (passive) and neural (active and reflexive) contributors. Aim of this study was to assess test-retest reliability of passive, active and reflexive parameters and to determine clinical responsiveness in a cohort of stroke patients with upper extremity impairments and healthy volunteers.
DOI: 10.1186/s12984-015-0021-9
PubMed: 25889671
Affiliations:
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pubmed:25889671Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Comprehensive neuromechanical assessment in stroke patients: reliability and responsiveness of a protocol to measure neural and non-neural wrist properties.</title><author><name sortKey="Van Der Krogt, Hanneke" sort="Van Der Krogt, Hanneke" uniqKey="Van Der Krogt H" first="Hanneke" last="Van Der Krogt">Hanneke Van Der Krogt</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.m.van_der_krogt@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Klomp, Asbj Rn" sort="Klomp, Asbj Rn" uniqKey="Klomp A" first="Asbj Rn" last="Klomp">Asbj Rn Klomp</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. a.klomp@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="De Groot, Jurriaan H" sort="De Groot, Jurriaan H" uniqKey="De Groot J" first="Jurriaan H" last="De Groot">Jurriaan H. De Groot</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.h.de_groot@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="De Vlugt, Erwin" sort="De Vlugt, Erwin" uniqKey="De Vlugt E" first="Erwin" last="De Vlugt">Erwin De Vlugt</name><affiliation wicri:level="1"><nlm:affiliation>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands. 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wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.h.arendzen@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="doi">10.1186/s12984-015-0021-9</idno><idno type="RBID">pubmed:25889671</idno><idno type="pmid">25889671</idno><idno type="wicri:Area/PubMed/Corpus">000361</idno><idno type="wicri:Area/PubMed/Curation">000361</idno><idno 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type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Klomp, Asbj Rn" sort="Klomp, Asbj Rn" uniqKey="Klomp A" first="Asbj Rn" last="Klomp">Asbj Rn Klomp</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. a.klomp@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="De Groot, Jurriaan H" sort="De Groot, Jurriaan H" uniqKey="De Groot J" first="Jurriaan H" last="De Groot">Jurriaan H. De Groot</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.h.de_groot@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="De Vlugt, Erwin" sort="De Vlugt, Erwin" uniqKey="De Vlugt E" first="Erwin" last="De Vlugt">Erwin De Vlugt</name><affiliation wicri:level="1"><nlm:affiliation>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands. e.devlugt@tudelft.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft</wicri:regionArea><wicri:noRegion>Delft</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Helm, Frans Ct" sort="Van Der Helm, Frans Ct" uniqKey="Van Der Helm F" first="Frans Ct" last="Van Der Helm">Frans Ct Van Der Helm</name><affiliation wicri:level="1"><nlm:affiliation>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands. f.c.t.vanderhelm@tudelft.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft</wicri:regionArea><wicri:noRegion>Delft</wicri:noRegion></affiliation></author><author><name sortKey="Meskers, Carel Gm" sort="Meskers, Carel Gm" uniqKey="Meskers C" first="Carel Gm" last="Meskers">Carel Gm Meskers</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. c.meskers@vumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Arendzen, J Hans" sort="Arendzen, J Hans" uniqKey="Arendzen J" first="J Hans" last="Arendzen">J Hans Arendzen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.h.arendzen@lumc.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author></analytic><series><title level="j">Journal of neuroengineering and rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biomechanical Phenomena</term><term>Brain Ischemia (complications)</term><term>Brain Ischemia (physiopathology)</term><term>Cohort Studies</term><term>Electromyography</term><term>Female</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Muscle Contraction</term><term>Muscle, Skeletal (physiopathology)</term><term>Range of Motion, Articular</term><term>Reflex, Stretch</term><term>Reproducibility of Results</term><term>Stroke (diagnosis)</term><term>Stroke (physiopathology)</term><term>Wrist (innervation)</term><term>Wrist (physiopathology)</term><term>Wrist Joint (physiopathology)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Ischemia</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Wrist</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain Ischemia</term><term>Muscle, Skeletal</term><term>Stroke</term><term>Wrist</term><term>Wrist Joint</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Biomechanical Phenomena</term><term>Cohort Studies</term><term>Electromyography</term><term>Female</term><term>Functional Laterality</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Muscle Contraction</term><term>Range of Motion, Articular</term><term>Reflex, Stretch</term><term>Reproducibility of Results</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Understanding movement disorder after stroke and providing targeted treatment for post stroke patients requires valid and reliable identification of biomechanical (passive) and neural (active and reflexive) contributors. Aim of this study was to assess test-retest reliability of passive, active and reflexive parameters and to determine clinical responsiveness in a cohort of stroke patients with upper extremity impairments and healthy volunteers.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25889671</PMID><DateCreated><Year>2015</Year><Month>05</Month><Day>19</Day></DateCreated><DateCompleted><Year>2016</Year><Month>05</Month><Day>02</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>21</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1743-0003</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><PubDate><Year>2015</Year></PubDate></JournalIssue><Title>Journal of neuroengineering and rehabilitation</Title><ISOAbbreviation>J Neuroeng Rehabil</ISOAbbreviation></Journal><ArticleTitle>Comprehensive neuromechanical assessment in stroke patients: reliability and responsiveness of a protocol to measure neural and non-neural wrist properties.</ArticleTitle><Pagination><MedlinePgn>28</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12984-015-0021-9</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Understanding movement disorder after stroke and providing targeted treatment for post stroke patients requires valid and reliable identification of biomechanical (passive) and neural (active and reflexive) contributors. Aim of this study was to assess test-retest reliability of passive, active and reflexive parameters and to determine clinical responsiveness in a cohort of stroke patients with upper extremity impairments and healthy volunteers.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Thirty-two community-residing chronic stroke patients with an impairment of an upper limb and fourteen healthy volunteers were assessed with a comprehensive neuromechanical assessment protocol consisting of active and passive tasks and different stretch reflex-eliciting measuring velocities, using a haptic manipulator and surface electromyography of wrist flexor and extensor muscles (Netherlands Trial Registry number NTR1424). Intraclass correlation coefficients (ICC) and Standard Error of Measurement were calculated to establish relative and absolute test-retest reliability of passive, active and reflexive parameters. Clinical responsiveness was tested with Kruskal Wallis test for differences between groups.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">ICC of passive parameters were fair to excellent (0.45 to 0.91). ICC of active parameters were excellent (0.88-0.99). ICC of reflexive parameters were fair to good (0.50-0.74). Only the reflexive loop time of the extensor muscles performed poor (ICC 0.18). Significant differences between chronic stroke patients and healthy volunteers were found in ten out of fourteen parameters.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Passive, active and reflexive parameters can be assessed with high reliability in post-stroke patients. Parameters were responsive to clinical status. The next step is longitudinal measurement of passive, active and reflexive parameters to establish their predictive value for functional outcome after stroke.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van der Krogt</LastName><ForeName>Hanneke</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.m.van_der_krogt@lumc.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Klomp</LastName><ForeName>Asbjørn</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. a.klomp@lumc.nl.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands. a.klomp@lumc.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Groot</LastName><ForeName>Jurriaan H</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.h.de_groot@lumc.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>de Vlugt</LastName><ForeName>Erwin</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands. e.devlugt@tudelft.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van der Helm</LastName><ForeName>Frans Ct</ForeName><Initials>FC</Initials><AffiliationInfo><Affiliation>Laboratory for Neuromuscular Control, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands. f.c.t.vanderhelm@tudelft.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Meskers</LastName><ForeName>Carel Gm</ForeName><Initials>CG</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. c.meskers@vumc.nl.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Current address: Department of Rehabilitation Medicine, VU Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, the Netherlands. c.meskers@vumc.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Arendzen</LastName><ForeName>J Hans</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, Leiden University Medical Center, Postzone B0-Q, P.O. box 9600, 2300 RC, Leiden, the Netherlands. j.h.arendzen@lumc.nl.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D023361">Validation Studies</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>03</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Neuroeng Rehabil</MedlineTA><NlmUniqueID>101232233</NlmUniqueID><ISSNLinking>1743-0003</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Biol Cybern. 2002 Jul;87(1):10-26</RefSource><PMID Version="1">12111265</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Neurosci Methods. 2002 Sep 15;119(1):1-14</RefSource><PMID 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Rehabil Med. 2010 Sep;46(3):411-21</RefSource><PMID Version="1">20927007</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Phys Med Rehabil. 2012 Sep;91(9):814-20</RefSource><PMID Version="1">22760104</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Neuroeng Rehabil. 2012;9:61</RefSource><PMID Version="1">22925463</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Arch Phys Med Rehabil. 2000 Mar;81(3):269-78</RefSource><PMID Version="1">10724069</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Sports Med. 2000 Jul;30(1):1-15</RefSource><PMID Version="1">10907753</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>IEEE Trans Biomed Eng. 2000 Nov;47(11):1413-21</RefSource><PMID Version="1">11077734</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000293">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001696">Biomechanical Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002545">Brain Ischemia</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015331">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004576">Electromyography</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007839">Functional Laterality</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009119">Muscle Contraction</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D018482">Muscle, Skeletal</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016059">Range of Motion, Articular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012026">Reflex, Stretch</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015203">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020521">Stroke</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014953">Wrist</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000294">innervation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014955">Wrist Joint</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D055815">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC4436851</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>8</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>2</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2015</Year><Month>3</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>4</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>4</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>5</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1186/s12984-015-0021-9</ArticleId><ArticleId IdType="pii">10.1186/s12984-015-0021-9</ArticleId><ArticleId IdType="pubmed">25889671</ArticleId><ArticleId IdType="pmc">PMC4436851</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Méridionale</li></region><settlement><li>Leyde</li></settlement></list><tree><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Van Der Krogt, Hanneke" sort="Van Der Krogt, Hanneke" uniqKey="Van Der Krogt H" first="Hanneke" last="Van Der Krogt">Hanneke Van Der Krogt</name></region><name sortKey="Arendzen, J Hans" sort="Arendzen, J Hans" uniqKey="Arendzen J" first="J Hans" last="Arendzen">J Hans Arendzen</name><name sortKey="De Groot, Jurriaan H" sort="De Groot, Jurriaan H" uniqKey="De Groot J" first="Jurriaan H" last="De Groot">Jurriaan H. De Groot</name><name sortKey="De Vlugt, Erwin" sort="De Vlugt, Erwin" uniqKey="De Vlugt E" first="Erwin" last="De Vlugt">Erwin De Vlugt</name><name sortKey="Klomp, Asbj Rn" sort="Klomp, Asbj Rn" uniqKey="Klomp A" first="Asbj Rn" last="Klomp">Asbj Rn Klomp</name><name sortKey="Meskers, Carel Gm" sort="Meskers, Carel Gm" uniqKey="Meskers C" first="Carel Gm" last="Meskers">Carel Gm Meskers</name><name sortKey="Van Der Helm, Frans Ct" sort="Van Der Helm, Frans Ct" uniqKey="Van Der Helm F" first="Frans Ct" last="Van Der Helm">Frans Ct Van Der Helm</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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