Three-Dimensional Motion Analysis for Occupational Therapy Upper Extremity Assessment and Rehabilitation: A Scoping Review

Hill, Stephen W; Mong, Samantha; Vo, Quyen

doi:10.15453/2168-6408.1901

Cited by 2 publications

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“…Clinical decisions can then be based on an interpretation of the complex data. The validity of scores generated by quantifying differences between mean reference data and paretic movement data has been established in the field of rehabilitation ( Jaspers et al, 2011b ; Hill, Mong & Vo, 2022 ).…”

Section: Procrustean Distance In Movement Analysismentioning

confidence: 99%

Upper extremity kinematics: development of a quantitative measure of impairment severity and dissimilarity after stroke

Zaidi,

Harris-Love

2023

PeerJ

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BackgroundStrokes are a leading cause of disability worldwide, with many survivors experiencing difficulty in recovering upper extremity movement, particularly hand function and grasping ability. There is currently no objective measure of movement quality, and without it, rehabilitative interventions remain at best informed estimations of the underlying neural structures’ response to produce movement. In this article, we utilize a novel modification to Procrustean distance to quantify curve dissimilarity and propose the Reach Severity and Dissimilarity Index (RSDI) as an objective measure of motor deficits.MethodsAll experiments took place at the Medstar National Rehabilitation Hospital; persons with stroke were recruited from the hospital patient population. Using Fugl-Meyer (FM) scores and reach capacities, stroke survivors were placed in either mild or severe impairment groups. Individuals completed sets of reach-to-target tasks to extrapolate kinematic metrics describing motor performance. The Procrustes method of statistical shape analysis was modified to identify reaching sub-movements that were congruous to able-bodied sub-movements.FindingsMovement initiation proceeds comparably to the reference curve in both two- and three-dimensional representations of mild impairment movement. There were significant effects of the location of congruent segments between subject and reference curves, mean velocities, peak roll angle, and target error. These metrics were used to calculate a preliminary RSDI score with severity and dissimilarity sub-scores, and subjects were reclassified in terms of rehabilitation goals as Speed Emphasis, Strength Emphasis, and Combined Emphasis.InterpretationThe modified Procrustes method shows promise in identifying disruptions in movement and monitoring recovery without adding to patient or clinician burden. The proposed RSDI score can be adapted and expanded to other functional movements and used as an objective clinical tool. By reducing the impact of stroke on disability, there is a significant potential to improve quality of life through individualized rehabilitation.

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Section: Procrustean Distance In Movement Analysismentioning

confidence: 99%

Upper extremity kinematics: development of a quantitative measure of impairment severity and dissimilarity after stroke

Zaidi,

Harris-Love

2023

PeerJ

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“…Moreover, a better comprehension of altered body mechanics serves to guide clinical reasoning, develop evidence-based interventions, and monitor patients’ progress through follow-up [ 16 ]. In this regard, quantifying the underlying joint movement mechanisms that contribute to these upper limb movement patterns is essential for achieving better rehabilitation outcomes.…”

Section: Introductionmentioning

confidence: 99%

Movement Component Analysis of Reaching Strategies in Individuals With Stroke: Preliminary Study

Ota,

Mukaino,

Inoue

et al. 2023

JMIR Rehabil Assist Technol

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Background Upper limb motor paresis is a major symptom of stroke, which limits activities of daily living and compromises the quality of life. Kinematic analysis offers an in-depth and objective means to evaluate poststroke upper limb paresis, with anticipation for its effective application in clinical settings. Objective This study aims to compare the movement strategies of patients with hemiparesis due to stroke and healthy individuals in forward reach and hand-to-mouth reach, using a simple methodology designed to quantify the contribution of various movement components to the reaching action. Methods A 3D motion analysis was conducted, using a simplified marker set (placed at the mandible, the seventh cervical vertebra, acromion, lateral epicondyle of the humerus, metacarpophalangeal [MP] joint of the index finger, and greater trochanter of the femur). For the forward reach task, we measured the distance the index finger’s MP joint traveled from its starting position to the forward target location on the anterior-posterior axis. For the hand-to-mouth reach task, the shortening of the vertical distance between the index finger MP joint and the position of the chin at the start of the measurement was measured. For both measurements, the contributions of relevant upper limb and trunk movements were calculated. Results A total of 20 healthy individuals and 10 patients with stroke participated in this study. In the forward reach task, the contribution of shoulder or elbow flexion was significantly smaller in participants with stroke than in healthy participants (mean 52.5%, SD 24.5% vs mean 85.2%, SD 4.5%; P<.001), whereas the contribution of trunk flexion was significantly larger in stroke participants than in healthy participants (mean 34.0%, SD 28.5% vs mean 3.0%, SD 2.8%; P<.001). In the hand-to-mouth reach task, the contribution of shoulder or elbow flexion was significantly smaller in participants with stroke than in healthy participants (mean 71.8%, SD 23.7% vs mean 90.7%, SD 11.8%; P=.009), whereas shoulder girdle elevation and shoulder abduction were significantly larger in participants with stroke than in healthy participants (mean 10.5%, SD 5.7% vs mean 6.5%, SD 3.0%; P=.02 and mean 16.5%, SD 18.7% vs mean 3.0%, SD 10.4%; P=.02, respectively). Conclusions Compared with healthy participants, participants with stroke achieved a significantly greater distance via trunk flexion in the forward reach task and shoulder abduction and shoulder girdle elevation in the hand-to-mouth reach task, both of these differences are regarded as compensatory movements. Understanding the characteristics of individual motor strategies, such as dependence on compensatory movements, may contribute to tailored goal setting in stroke rehabilitation.

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Three-Dimensional Motion Analysis for Occupational Therapy Upper Extremity Assessment and Rehabilitation: A Scoping Review

Cited by 2 publications

References 0 publications

Upper extremity kinematics: development of a quantitative measure of impairment severity and dissimilarity after stroke

Upper extremity kinematics: development of a quantitative measure of impairment severity and dissimilarity after stroke

Movement Component Analysis of Reaching Strategies in Individuals With Stroke: Preliminary Study

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