Augmenting clinical evaluation of hemiparetic arm movement with a laboratory-based quantitative measurement of kinematics as a function of limb loading. Export

@article{citeulike:5892883, abstract = {BACKGROUND: Kinematic and kinetic measurements used in laboratory settings can quantify upper extremity movement impairment following stroke, but their relationship to clinical methods of evaluating movement impairment is unclear. OBJECTIVE: To test whether the Arm Coordination Training 3D device (ACT3D) could provide a repeatable quantitative measurement of range of motion during upper extremity reaching along a range of functional levels of loads on the arm and correlate with clinical assessments of arm impairment. METHODS: Work area during reaching along clockwise and counterclockwise hand paths was measured under 9 limb-loading conditions ranging from no load to twice the weight of the upper extremity in 11 individuals with chronic hemiparetic stroke on 2 separate occasions. Participants were given a battery of clinical assessments that included the Fugl-Meyer Motor Assessment, Chedoke McMaster Stroke Assessment, Reaching Performance Scale, Modified Ashworth Scale, and the Stroke Impact Scale, by a physical therapist who did not know the results of the kinematic studies. RESULTS: A reproducible test-retest reduction in work area was found when participants were required to support up to and beyond the weight of their limb. Work area was correlated with most upper extremity clinical assessments, suggesting criterion validity. CONCLUSIONS: Reaching work area during various loading conditions is a robust measurement that quantifies the effect of abnormal joint torque coupling and provides useful data that can be applied in the clinical setting.}, author = {Ellis, Michael D. and Sukal, Theresa and DeMott, Tobey and Dewald, Julius P.}, citeulike-article-id = {5892883}, citeulike-linkout-0 = {http://dx.doi.org/10.1177/1545968307313509}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/18326888}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=18326888}, doi = {10.1177/1545968307313509}, issn = {1545-9683}, journal = {Neurorehabilitation and neural repair}, keywords = {rehabilitation\_robotics, robotics, stroke\_assessment}, number = {4}, pages = {321--329}, posted-at = {2009-10-05 21:15:15}, priority = {2}, title = {Augmenting clinical evaluation of hemiparetic arm movement with a laboratory-based quantitative measurement of kinematics as a function of limb loading.}, url = {http://dx.doi.org/10.1177/1545968307313509}, volume = {22}, year = {2008} }

TY - JOUR ID - citeulike:5892883 L3 - citeulike-article-id:5892883 N2 - BACKGROUND: Kinematic and kinetic measurements used in laboratory settings can quantify upper extremity movement impairment following stroke, but their relationship to clinical methods of evaluating movement impairment is unclear. OBJECTIVE: To test whether the Arm Coordination Training 3D device (ACT3D) could provide a repeatable quantitative measurement of range of motion during upper extremity reaching along a range of functional levels of loads on the arm and correlate with clinical assessments of arm impairment. METHODS: Work area during reaching along clockwise and counterclockwise hand paths was measured under 9 limb-loading conditions ranging from no load to twice the weight of the upper extremity in 11 individuals with chronic hemiparetic stroke on 2 separate occasions. Participants were given a battery of clinical assessments that included the Fugl-Meyer Motor Assessment, Chedoke McMaster Stroke Assessment, Reaching Performance Scale, Modified Ashworth Scale, and the Stroke Impact Scale, by a physical therapist who did not know the results of the kinematic studies. RESULTS: A reproducible test-retest reduction in work area was found when participants were required to support up to and beyond the weight of their limb. Work area was correlated with most upper extremity clinical assessments, suggesting criterion validity. CONCLUSIONS: Reaching work area during various loading conditions is a robust measurement that quantifies the effect of abnormal joint torque coupling and provides useful data that can be applied in the clinical setting. IS - 4 JF - Neurorehabilitation and neural repair SN - 1545-9683 EP - 329 TI - Augmenting clinical evaluation of hemiparetic arm movement with a laboratory-based quantitative measurement of kinematics as a function of limb loading. VL - 22 SP - 321 KW - rehabilitation_robotics KW - robotics KW - stroke_assessment AU - Ellis, Michael AU - Sukal, Theresa AU - DeMott, Tobey AU - Dewald, Julius PY - 2008///g UR - http://dx.doi.org/10.1177/1545968307313509 ER -