The effects of anxiety and dual-task on upper limb motor control of chronic stroke survivors

Hejazi-Shirmard, Mahnaz; Lajevardi, Laleh; Rassafiani, Mehdi; Taghizadeh, Ghorban

doi:10.1038/s41598-020-71845-7

Cited by 11 publications

(18 citation statements)

References 50 publications

(59 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, when considering motor control rather than gaze a study using 100 older adults found that a group with high task-specific anxiety of falling demonstrated a higher stride length, a higher stride time variability and lower gait velocity compared to those with a low task-specific anxiety of falling [29]. Furthermore, stroke patients with high generalised anxiety showed distinctly different reach-and-grasp movements compared to those with low generalised anxiety (longer normalised movement time, lower and earlier peak velocity and delayed hand opening) [30]. This collection of studies, with many more not reported here, demonstrate a clear relationship between anxiety levels and characteristic of gaze behaviour and movement behaviour in older adults.…”

Section: The Influence Of Anxiety On Movementmentioning

confidence: 99%

Moving With Confidence: How Does Anxiety Impede Performance in Individuals With Developmental Coordination Disorder (DCD)?

Harris

Purcell

Wilmut

2022

Curr Dev Disord Rep

View full text Add to dashboard Cite

Purpose of Review It is well-established that anxiety levels are higher among people with developmental coordination disorder (DCD) compared to their peers. However, it is unclear whether this anxiety influences movement and behaviour. The purpose of this paper is to review studies demonstrating the influence of anxiety on movement and/or behaviour in non-DCD and DCD populations. Recent Findings When considering non-DCD literature, many studies have illustrated the influence of anxiety on movement. Only two papers were found which explicitly aimed to consider the influence of anxiety on movement in a DCD population. These findings are described and explored against a backdrop of the wider research field. Summary This paper has highlighted the potential role of anxiety in constraining movement patterns in DCD. While a great deal more evidence is needed before definitive conclusions, there is emerging evidence that motor behaviour may be related to task-specific anxiety in children with DCD.

show abstract

Section: The Influence Of Anxiety On Movementmentioning

confidence: 99%

Moving With Confidence: How Does Anxiety Impede Performance in Individuals With Developmental Coordination Disorder (DCD)?

Harris

Purcell

Wilmut

2022

Curr Dev Disord Rep

View full text Add to dashboard Cite

show abstract

“…One explanation for this could be that real-world hand tasks such as carrying a cup of water to the table or pouring laundry detergent into the washer increase the motor and attentional demands of the task. The literature on dual tasks demonstrates that increased motor and cognitive demands decrease UE performance time and motor control in individuals with stroke compared to healthy populations [ 46 , 47 ], so it is not surprising that tasks completed at home with increased hazards and decreased safety would be a deterrent to use the affected side.…”

Section: Discussionmentioning

confidence: 99%

Perceived Facilitators and Barriers for Actual Arm Use during Everyday Activities in Community Dwelling Individuals with Chronic Stroke

Lebovich

Rand

2022

IJERPH

View full text Add to dashboard Cite

Background: Our aim was to gain a deeper understanding of perceived predictors for actual arm use during daily functional activities. Methods: Qualitative study. Semi-structured interview data collected from individuals with chronic stroke living in the community. Codebook thematic analysis used for the data analysis. Results: Six participants 5–18 years post stroke with moderate to severe UE impairment. Three domains were identified: Person, Context, and Task. Themes for the Person domain included mental (cognitive effort, lack of acceptance), behavioral (routines/habits, self-evaluation), and physical (stiffness/fatigue). Themes for the Context domain included social environment (being in public, presence, and actions of others) and time constraints (being in a hurry). Themes for the task domain included necessity to complete bilateral and unilateral tasks, and safety (increased risk of accidents). Conclusion: Actual arm use is a complex construct related to the characteristics of the person, contextual environment, and the nature of the task. Facilitators included cognitive effort, routines/habits, self-evaluation, and the perceived necessity. Barriers included in lack of acceptance, stiffness/fatigue, being in public, being in a hurry, and risk of ac-cidents. Social support was both a facilitator and a barrier. Our results support the growing call to adopt a broader biopsychosocial framework into rehabilitation delivery.

show abstract

“…Under the effect of such drivers, we cannot exclude that motor performance might increase, comparing to our protocol including reaching movements at natural speed. It was also demonstrated with kinematic assessment that performing a well-learned upper limb movement with concurrent cognitive task leads to decreased efficiency of motor control in chronic stroke survivors ( 39 ).…”

Section: Discussionmentioning

confidence: 99%

Biomechanical assessment of the ipsilesional upper limb in post-stroke patients during multi-joint reaching tasks: A quantitative study

Scano¹,

Guanziroli²,

Mira³

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

In hemiplegic patients with stroke, investigating the ipsilesional limb may shed light on the upper limb motor control, impairments and mechanisms of functional recovery. Usually investigation of motor impairment and rehabilitative interventions in patients are performed only based on the contralesional limb. Previous studies found that also the ipsilesional limb presents motor deficits, mostly evaluated with clinical scales which could lack of sensibility. To quantitatively evaluate the performance of the ipsilesional limb in patient with stroke, we conducted an observational study in which 49 hemiplegic patients were enrolled, divided in subgroups based on the severity of impairment of the contralesional limb, and assessed with a kinematic, dynamic and motor control evaluation protocol on their ipsilesional upper limb during reaching movements. Measurements were repeated in the acute and subacute phases and compared to healthy controls. Our results showed that the ipsilesional limb presented lower kinematic and dynamic performances with respect to the healthy controls. Patients performed the movements slower and with a reduced range of motion, indicating a difficulty in controlling the motion of the arm. The energy and the power outputs were lower in both shoulder and elbow joint with a high significance level, confirming the limitation found in kinematics. Moreover, we showed that motor deficits were higher in the acute phase with respect to the subacute one and we found higher significant differences in the group with a more severe contralesional limb impairment. Ipsilesional upper limb biomechanics adds significant and more sensible measures for assessments based on multi-joints dynamics, providing a better insight on the upper limb motor control after stroke. These results could have clinical implications while evaluating and treating ipsilesional and contralesional upper limb impairments and dysfunctions in patients with stroke.

show abstract

The effects of anxiety and dual-task on upper limb motor control of chronic stroke survivors

Cited by 11 publications

References 50 publications

Moving With Confidence: How Does Anxiety Impede Performance in Individuals With Developmental Coordination Disorder (DCD)?

Moving With Confidence: How Does Anxiety Impede Performance in Individuals With Developmental Coordination Disorder (DCD)?

Perceived Facilitators and Barriers for Actual Arm Use during Everyday Activities in Community Dwelling Individuals with Chronic Stroke

Biomechanical assessment of the ipsilesional upper limb in post-stroke patients during multi-joint reaching tasks: A quantitative study

Contact Info

Product

Resources

About