Kinematic Analysis of the Upper Limb Motor Strategies in Stroke Patients as a Tool towards Advanced Neurorehabilitation Strategies: A Preliminary Study

Aprile, Irene; Rabuffetti, Marco; Padua, Luca; Sipio, Enrica Di; Simbolotti, Chiara; Ferrarin, Maurizio

doi:10.1155/2014/636123

Cited by 56 publications

(57 citation statements)

References 20 publications

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“…[2] This may be due to greater emphasis placed on training ambulation for early mobilization, or due to more complex and multi-joint movements required by the upper extremity to interact with the environment. [3,4] In a population with mixed severity of stroke, 78% had not reached age matched upper extremity function at three months post-stroke,[5] and in severely affected individuals, only 11.6% had complete functional recovery at six months post-stroke. [6] Specifically with regards to hand function, grasp efficiency was found to be more impaired than proximal function at one year in individuals with mild to moderate stroke, with a possible explanation that alternate descending pathways such as the ipsilateral cortical and the reticulospinal tracts cannot compensate for distal fine motor control as well as they can compensate for proximal motor control.…”

Section: Introductionmentioning

confidence: 99%

Exploring the impact of visual and movement based priming on a motor intervention in the acute phase post-stroke in persons with severe hemiparesis of the upper extremity

Patel

Qiu

Yarossi

et al. 2016

Disability and Rehabilitation

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Purpose Explore the potential benefits of using priming methods prior to an active hand task in the acute phase post-stroke in persons with severe upper extremity hemiparesis. Methods Five individuals were trained using priming techniques including virtual reality (VR) based visual mirror feedback and contralaterally controlled passive movement strategies prior to training with an active pinch force modulation task. Clinical, kinetic, and neurophysiological measurements were taken pre and post the training period. Clinical measures were taken at six months post training. Results The two priming simulations and active training were well tolerated early after stroke. Priming effects were suggested by increased maximal pinch force immediately after visual and movement based priming. Despite having no clinically observable movement distally, the subjects were able to volitionally coordinate isometric force and muscle activity (EMG) in a pinch tracing task. The Root Mean Square Error (RMSE) of force during the pinch trace task gradually decreased over the training period suggesting learning may have occurred. Changes in motor cortical neurophysiology were seen in the unaffected hemisphere using Transcranial Magnetic Stimulation (TMS) mapping. Significant improvements in motor recovery as measured by the Action Research Arm Test (ARAT) and the Upper Extremity Fugl Meyer Assessment (UEFMA) were demonstrated at six months post training by three of the five subjects. Conclusion This study suggests that an early hand-based intervention using visual and movement based priming activities and a scaled motor task allows participation by persons without the motor control required for traditionally presented rehabilitation and testing.

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Section: Introductionmentioning

confidence: 99%

Exploring the impact of visual and movement based priming on a motor intervention in the acute phase post-stroke in persons with severe hemiparesis of the upper extremity

Patel

Qiu

Yarossi

et al. 2016

Disability and Rehabilitation

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“…De plus, Timmermans et al a montré que le positionnement et la manipulation d'objets sont les tâches préférées des patients post-AVC [14]. Selon la littérature [15], [16] et les retours des professionnels, notre travail se concentre sur la tâche d'attraper, remplir et transporter un verre. Cette tâche se base sur différentes sous-tâches motrices (mouvement du bras, saisie avec la main, etc.)…”

Section: Processus De Conceptionunclassified

Etude et développement d’un verre intelligent pour le suivi d’activité à domicile des patients post-AVC

Bobin¹,

Boukallel²,

Anastassova³

et al. 2017

IdO

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RÉSUMÉ.Dans ce papier, nous présentons une plateforme de suivi d'activité continu et de guidage des patients post-AVC à domicile durant leurs activités de la vie quotidienne. La plateforme consiste en un verre intelligent qui embarque des capteurs afin de suivre l'activité du bras et de la main lors de la journée. Le verre détecte son orientation, le niveau d'eau, sa position par rapport à une cible spécifique ainsi que les tremblements. De plus, un affichage permet de guider le patient dans ses mouvements. Nous présentons également deux études cliniques prévues avec les thérapeutes et les patients. ABSTRACT. In this paper, we present a platform for continuously monitoring and guiding post-stroke patients at home during their daily activities. The platform consists of a smart cup that carries sensors to monitor the arm and hand activity during the day. The cup detects its orientation, the water level, its position relative to a specific target as well as the hand tremors. In addition, display can guide the patient in his movements. We also present two planned clinical studies with therapists and patients.

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“…Aprile et al [17] dedicated an entire study to analyse the upper limb motion in stroke patients while performing a drinking task, which included reaching for the glass, bringing it to the mouth, and putting it back on the table. Adnan et al [18] developed a low-cost DataGlove using a flexible bend sensor to recognize various human finger activities.…”

Section: Introductionmentioning

confidence: 99%

Human Hand Motion Analysis during Different Eating Activities

Hussain

Azlan

Yusof

2018

Applied Bionics and Biomechanics

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The focus of this research is to analyse both human hand motion and force, during eating, with respect to differing food characteristics and cutlery (including a fork and a spoon). A glove consisting of bend and force sensors has been used to capture the motion and contact force exerted by fingers during different eating activities. The Pearson correlation coefficient has been used to show that a significant linear relationship exists between the bending motion of the fingers and the forces exerted during eating. Analysis of variance (ANOVA) and independent samples t-tests are performed to establish whether the motion and force exerted by the fingers while eating is influenced by the different food characteristics and cutlery. The middle finger motion showed the least positive correlation with index fingertip and thumb-tip force, irrespective of the food characteristics and cutlery used. The ANOVA and t-test results revealed that bending motion of the index finger and thumb varies with respect to differing food characteristics and the type of cutlery used (fork/spoon), whereas the bending motion of the middle finger remains unaffected. Additionally, the contact forces exerted by the thumb tip and index fingertip remain unaffected with respect to differing food types and cutlery used.

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Kinematic Analysis of the Upper Limb Motor Strategies in Stroke Patients as a Tool towards Advanced Neurorehabilitation Strategies: A Preliminary Study

Cited by 56 publications

References 20 publications

Exploring the impact of visual and movement based priming on a motor intervention in the acute phase post-stroke in persons with severe hemiparesis of the upper extremity

Exploring the impact of visual and movement based priming on a motor intervention in the acute phase post-stroke in persons with severe hemiparesis of the upper extremity

Etude et développement d’un verre intelligent pour le suivi d’activité à domicile des patients post-AVC

Human Hand Motion Analysis during Different Eating Activities

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