Bimanual coordination deficits in hands following stroke and their relationship with motor and functional performance

Bibliographic Details
Title: Bimanual coordination deficits in hands following stroke and their relationship with motor and functional performance
Authors: Chien-Hung Lai, Wen-Hsu Sung, Shang-Lin Chiang, Liang-Hsuan Lu, Chia-Huei Lin, Yi-Chun Tung, Chueh-Ho Lin
Source: Journal of NeuroEngineering and Rehabilitation, Vol 16, Iss 1, Pp 1-14 (2019)
Publisher Information: BMC, 2019.
Publication Year: 2019
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: Coordination control, Movement disorder, Stroke, Grip force, Hands, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Abstract Background Stroke can lead to movement disorders that affect interlimb coordination control of the bilateral upper extremities, especially the hands. However, few studies have investigated the influence of a stroke on bimanual force coordination control between the hands using a quantitative measurement tool, or the relationship of force coordination with paretic upper extremity motor and functional performance. We aimed to investigate these outcomes using a novel measurement device, and analyze the relationship of bimanual force coordination control deficits in both hands with motor and functional performances of the paretic upper extremity in stroke patients. Methods Sixteen healthy adults and 22 stroke patients were enrolled. A novel bilateral hand grip measurement device with two embedded dynamometers was used to evaluate the grip force during a bilateral hand grip-force coordination control task. The alternating time and force applied for coordination with the grip force of both hands were calculated to analyze control of bimanual grip force coordination. Motor and functional measurements included the upper-extremity portion of the Fugl-Meyer assessment (FMA-UE), Wolf Motor Function Test (WMFT), Motor Assessment Scale (MAS), and Barthel Index (BI). Results Compared with the healthy group, the alternating time from the non-paretic to the paretic hand was 27.6% shorter for stroke patients (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1743-0003
Relation: http://link.springer.com/article/10.1186/s12984-019-0570-4; https://doaj.org/toc/1743-0003
DOI: 10.1186/s12984-019-0570-4
Access URL: https://doaj.org/article/693711f0722e47069dc8d05166e79eb5
Accession Number: edsdoj.693711f0722e47069dc8d05166e79eb5
Database: Directory of Open Access Journals
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More Details
ISSN:17430003
DOI:10.1186/s12984-019-0570-4
Published in:Journal of NeuroEngineering and Rehabilitation
Language:English