Improved kinematics and motor control in a longitudinal study of a complex therapy movement in chronic stroke

Journal article


Hesam-Shariati, Negin, Trinh, Terry, Thompson-Butel, Angelica G., Shiner, Christine T., Redmond, Stephen J. and McNulty, Penelope A.. (2019). Improved kinematics and motor control in a longitudinal study of a complex therapy movement in chronic stroke. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 27(4), pp. 682-691. https://doi.org/10.1109/TNSRE.2019.2895018
AuthorsHesam-Shariati, Negin, Trinh, Terry, Thompson-Butel, Angelica G., Shiner, Christine T., Redmond, Stephen J. and McNulty, Penelope A.
Abstract

Impaired motor control post-stroke is typically measured using clinical assessments employing categorical and subjective scoring. We investigated quantitative kinematic parameters of a complex movement with therapy in chronic stroke. Tri-axial accelerometry of the more-affected arm of 24 patients was recorded during early- (day 2-3) and late- (days 12-14) therapy, and for 13 patients at 6-month follow-up. Clinical assessments included the classification of motor-function as low, moderate, or high. Kinematic parameters were measured during Wii-baseball swings to assess the effect of time and the level of motor-function. Clinical tests improved over time (all p <; 0.01). Increased acceleration magnitude over time was significant only at proximal sensors (p <; 0.05), and there was an effect of motor-function at distal sensors (p <; 0.05). Normalized velocity decreased (p <; 0.05) at all sensors over time. Peak acceleration and peak deceleration increased over time, predominately at proximal sensors. Kinematic parameters provide an objective and quantitative measure of change in motor-function that is not possible with clinical assessments. The complex patterns of change were not consistent between and within levels of motor-function but reflected improved motor control that was sustained over time. These data emphasize the potential for ongoing improvements in motor capacity in chronic stroke with additional rehabilitation.

Keywordsacceleration; deceleration; kinematics; rehabilitation; upper-limb
Year2019
JournalIEEE Transactions on Neural Systems and Rehabilitation Engineering
Journal citation27 (4), pp. 682-691
PublisherIEEE Xplore
ISSN1534-4320
Digital Object Identifier (DOI)https://doi.org/10.1109/TNSRE.2019.2895018
Scopus EID2-s2.0-85064603358
Research or scholarlyResearch
Page range682-691
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online31 Jan 2019
Publication process dates
Deposited03 Jun 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w25w/improved-kinematics-and-motor-control-in-a-longitudinal-study-of-a-complex-therapy-movement-in-chronic-stroke

Restricted files

Publisher's version

  • 70
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Effect of exercise on brain-derived neurotrophic factor in stroke survivors : A systematic review and meta-analysis
Ashcroft, Sarah K., Ironside, Daniel D., Johnson, Liam, Kuys, Suzanne S. and Thompson-Butel, Angelica G.. (2022). Effect of exercise on brain-derived neurotrophic factor in stroke survivors : A systematic review and meta-analysis. Stroke. 53(12), pp. 3706-3716. https://doi.org/10.1161/STROKEAHA.122.039919
Revisiting poststroke upper limb stratification : Resilience in a larger cohort
Varley, Benjamin J., Shiner, Christine T., Johnson, Liam, McNulty, Penelope A. and Thompson Butel, A.. (2021). Revisiting poststroke upper limb stratification : Resilience in a larger cohort. Neurorehabilitation and Neural Repair. 35(3), pp. 280-289. https://doi.org/10.1177/1545968321992048
Partnerships in collaborative care : Role of the exercise physiologist
Smith, Sheree M. S., Isenring, Liz, Rice, Vanessa J., Baker, Michael K., Thompson-Butel, Angelica G., Mitchell, Geoffrey, Bissett, Michelle, Zakrzewski, Leearne, Lenson, Shane, Gallego, Gisselle, Wright, Anthony, Hughes, Mark, Gallagher, Hillary and Kenny, Belinda. (2018). Partnerships in collaborative care : Role of the exercise physiologist. In In Chang, Ester and Johnson, Amanda (Ed.). Living with chronic illness and disability : Principles for nursing practice pp. 20-25 Elsevier Australia.
Who teaches medical billing? A national cross-sectional survey of Australian medical education stakeholders
Faux, Margaret, Wardle, Jonathan, Thompson-Butel, Angelica G. and Adams, Jon. (2018). Who teaches medical billing? A national cross-sectional survey of Australian medical education stakeholders. BMJ Open. 8(7), p. e020712. https://doi.org/10.1136/bmjopen-2017-020712
The Role of Personalized Virtual Reality in Education for Patients Post Stroke: A Qualitative Case Series
Angelica Thompson-Butel, Christine T Shiner, John McGhee, Benjamin John Bailey, Pascal Bou-Haidar, Michael McCorriston and Steven Faux. (2018). The Role of Personalized Virtual Reality in Education for Patients Post Stroke: A Qualitative Case Series. Journal of Stroke and Cerebrovascular Diseases. 28(2), pp. 450-457. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.018
Rehabilitation and education are underutilized for mild stroke and TIA sufferers
Faux, Steven G., Arora, Pooja, Shiner, Christine T., Thompson-Butel, Angelica and Klein, Linda A.. (2018). Rehabilitation and education are underutilized for mild stroke and TIA sufferers. Disability and Rehabilitation. 40(12), pp. 1480 - 1484. https://doi.org/10.1080/09638288.2017.1295473
A Longitudinal Electromyography Study of Complex Movements in Poststroke Therapy. 1: Heterogeneous Changes Despite Consistent Improvements in Clinical Assessments
Negin Hesam-Shariati, Terry Trinh, Angelica Thompson Butel, Christine T Shiner and Penelope A McNulty. (2017). A Longitudinal Electromyography Study of Complex Movements in Poststroke Therapy. 1: Heterogeneous Changes Despite Consistent Improvements in Clinical Assessments. Frontiers in Neurology. 8, pp. 1-12.
Improving motor activation patterns after stroke with wii-based movement therapy
Thompson Butel, Angelica, Scheuer, Sarah and McNulty, Penelope. (2013). Improving motor activation patterns after stroke with wii-based movement therapy. In In P M Pilowsky, M M J Farnham and A Y Fong (Ed.). Stimulation and Inhibition of Neurons pp. 301 - 314 Humana Press. https://doi.org/10.1007/978-1-62703-233-9