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
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<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>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Stroke</term>
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<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>
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<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>
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<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>
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<CitationSubset>IM</CitationSubset>
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<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>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D002545">Brain Ischemia</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009119">Muscle Contraction</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016059">Range of Motion, Articular</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015203">Reproducibility of Results</DescriptorName>
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<QualifierName MajorTopicYN="N" UI="Q000175">diagnosis</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName>
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<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>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D055815">Young Adult</DescriptorName>
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