Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk – A review

Peeters, Louis; Groot, I. de; Geurts, Alexander C. H.

doi:10.1016/j.gaitpost.2018.02.028

Cited by 36 publications

(22 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, detailed information is needed about pelvis, trunk and head movement in coordination with arm movements, both in healthy children and in children with NMD. However, literature on these segmental interactions is scarce (Peeters et al 2018). In our study, healthy children in the same age range as children with NMD were included to obtain insight in the interaction between upper body segmental movements, prior to studying this in children with NMD.…”

Section: Introductionmentioning

confidence: 99%

Trunk, head and pelvis interactions in healthy children when performing seated daily arm tasks

Peeters¹,

Kingma

Faber

et al. 2018

Exp Brain Res

View full text Add to dashboard Cite

Development of trunk and head supportive devices for children with neuromuscular disorders requires detailed information about pelvis, trunk and head movement in interaction with upper extremity movement, as these are crucial for daily activities when seated in a wheelchair. Twenty-five healthy subjects (6–20 years old) were included to obtain insight in the physiological interactions between these segments and to assess maturation effects. Subjects performed a maximum range of trunk and head movement tasks and several daily tasks, including forward and lateral reaching. Movements of the arms, head, pelvis, and sub-sections of the trunk were recorded with an optical motion capture system. The range of motion of each segment was calculated. Contributions of individual trunk segments to the range of trunk motion varied with movement direction and therefore with the task performed. Movement of pelvis and all trunk segments in the sagittal plane increased significantly with reaching height, distance and object weight when reaching forward and lateral. Trunk movement in reaching decreased with age. Head movement was opposite to trunk movement in the sagittal (> 50% of the subjects) and transverse planes (> 75% of the subjects) and was variable in the frontal plane in most tasks. Both trunk and head movement onsets were earlier compared to arm movement onset. These results provide insight in the role of the upper body in arm tasks in young subjects and can be used for the design of trunk and head supportive devices for children with neuromuscular disorders.

show abstract

Section: Introductionmentioning

confidence: 99%

Trunk, head and pelvis interactions in healthy children when performing seated daily arm tasks

Peeters¹,

Kingma

Faber

et al. 2018

Exp Brain Res

View full text Add to dashboard Cite

show abstract

“…Individuals with mild-tomoderate stroke have deficits in timing and spatial coordination of arm and torso movements during different parts of a reaching movement [30]. When performing the movement of reaching objects, stroke patients with limited arm movement can reach objects by using a compensatory strategy involving torso recruitment [31]. A similar strategy is observed in healthy individuals reaching for objects placed beyond the reach of the arm.…”

Section: Upper Arm Average Speedmentioning

confidence: 99%

Motor Function Assessment of Upper Limb in Stroke Patients

Pan

Huang

Jin

et al. 2021

Journal of Healthcare Engineering

View full text Add to dashboard Cite

Background. Quantitative assessment of motor function is extremely important for poststroke patients as it can be used to develop personalized treatment strategies. This study aimed to propose an evaluation method for upper limb motor function in stroke patients. Methods. Thirty-four stroke survivors and twenty-five age-matched healthy volunteers as the control group were recruited for this study. Inertial sensor data and surface electromyography (sEMG) signals were collected from the upper limb during voluntary upward reaching. Five features included max shoulder joint angle, peak and average speeds, torso balance calculated from inertial sensor data, and muscle synergy similarity extracted from sEMG data by the nonnegative matrix factorization algorithm. Meanwhile, the Fugl–Meyer score of each patient was graded by professional rehabilitation therapist. Results. Statistically significant differences were observed among severe, mild-to-moderate, and control group of five features ( p ≤ 0.001). The features varied as the level of upper limb motor function changes since these features significantly correlated with the Fugl–Meyer assessment scale ( p ≤ 0.001). Moreover, the Bland–Altman method was conducted and showed high consistency between the evaluation method of five features and Fugl–Meyer scale. Therefore, the five features proposed in this paper can quantitatively evaluate the motor function of stroke patients which is very useful in the rehabilitation process.

show abstract

“…Damage to any of the underlying systems due to a neurological disturbance results in various context‐specific instabilities 2 . Previous studies have described a frequent nonefficient neuromuscular control of trunk stability and inaccurate trunk muscle recruitment patterns of control of the spinal load in relation to a given task and posture in these patients 3–5 . This is also associated with symptoms such as asymmetric posture, abnormal body imbalance, and deficit of weight transfer 6 …”

Section: Introductionmentioning

confidence: 98%

The Effectiveness of Core Exercising for Postural Control in Patients with Stroke: A Systematic Review and Meta‐Analysis

Cabrera‐Martos

Ortíz‐Rubio

Torres‐Sánchez

et al. 2020

PM&R

View full text Add to dashboard Cite

Objective Patients with stroke frequently present postural control impairment. This review aimed to assess the effectiveness of core exercising on postural control in patients with stroke. Type Systematic review and meta‐analysis. Literature Survey Systematic review in the following databases: PubMed/MEDLINE, Web of Science, ScienceDirect, CINAHL, Scopus, and Physiotherapy Evidence Database (PEDro). Studies up to July 2019 were included. Methodology Studies were included if the sample was composed of adults with stroke, the intervention followed a core exercising approach (alone or combined with another intervention), and the study was a randomized controlled trial including at least one measurement related to posture control. Studies were independently screened for inclusion and data were extracted by two researchers, with a third researcher arbitrating any disputes. Study quality was assessed using the Downs and Black scale. Synthesis After screening of 1540 records, a total of 14 studies met the specified inclusion criteria and involved 520 participants. Two studies exhibited “excellent” quality and five exhibited “poor” quality. The meta‐analysis was performed with data from the Trunk Impairment Scale (mean difference 0.98; 95% confidence interval, 0.69 to 1.27; P < .001), Berg Balance Scale (mean difference 0.27; 95% confidence interval, −0.25 to 0.79; P = .317), and Timed Up and Go test (mean difference −0.09; 95% confidence interval, −0.49 to 0.31; P = .656). The results favored core exercising alone or in combination with proprioceptive neuromuscular facilitation when compared with conventional training or proprioceptive neuromuscular facilitation in patients with stroke. No significant differences in total values were found in the other measures. Conclusions The studies reviewed suggest that core exercising alone or in combination with other therapies had an impact on trunk performance when compared with conventional training in patients with stroke. However, total analyses did not show significant differences for the other measures related to balance ability analyzed.

show abstract

Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk – A review

Cited by 36 publications

References 51 publications

Trunk, head and pelvis interactions in healthy children when performing seated daily arm tasks

Trunk, head and pelvis interactions in healthy children when performing seated daily arm tasks

Motor Function Assessment of Upper Limb in Stroke Patients

The Effectiveness of Core Exercising for Postural Control in Patients with Stroke: A Systematic Review and Meta‐Analysis

Contact Info

Product

Resources

About