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Huang X, Liao O, Jiang S, Li J, Ma X. Kinematic analysis in post-stroke patients with moderate to severe upper limb paresis and non-disabled controls. Clin Biomech (Bristol, Avon) 2024; 113:106206. [PMID: 38401320 DOI: 10.1016/j.clinbiomech.2024.106206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 12/23/2023] [Accepted: 02/13/2024] [Indexed: 02/26/2024]
Abstract
BACKGROUND Kinematic analysis has been recommended to quantify the upper limb motor function after stroke. However, previous studies have rarely reported the kinematic data of the post-stroke patients with moderate to severe upper limb paresis due to the poor accomplishment of the complex tasks. METHODS 27 post-stroke individuals and 20 non-disabled people participated in the study. The trunk and upper limb movements during the Hand-to-mouth task were captured by the motion capture system and upper extremity kinematic analysis software automatically. The subgroup analysis within stroke group were conducted layering by the Fugl-Meyer Assessment for Upper Extremity scores (severe: 16-31; moderate: 32-50). FINDINGS The paretic upper limbs in the stroke group tended to use more trunk and shoulder compensatory strategies to offset the impact of spasticity and weakness compared with non-disabled controls. The less-affected limbs in the stroke group also showed abnormal kinematic data. There were significant differences between the kinematic metrics of severe and moderate subgroups. INTERPRETATION The Hand-to-mouth task is a good and feasible option for kinematic analysis of these patients. It is essential to layer the severity of the paresis and put more emphasis on trunk movements in the future kinematic studies.
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Affiliation(s)
- Xinyun Huang
- Acupuncture Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China; Yueyang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China
| | - Ouping Liao
- Yueyang Clinical Medical College, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Traditional Chinese Medicine department, DeYang People's Hospital, Sichuan 618099, China
| | - Shuyun Jiang
- Gait and Motion Analysis Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Jing Li
- Acupuncture Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
| | - Xiaopeng Ma
- Acupuncture Center, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China; Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China.
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Nakatake J, Arakawa H, Tajima T, Miyazaki S, Chosa E. Age- and sex-related differences in upper-body joint and endpoint kinematics during a drinking task in healthy adults. PeerJ 2023; 11:e16571. [PMID: 38144196 PMCID: PMC10740664 DOI: 10.7717/peerj.16571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 11/13/2023] [Indexed: 12/26/2023] Open
Abstract
Background The objective kinematic assessments of activities of daily living are desired. However, the limited knowledge regarding age- and sex-related differences prevents the adaptation of these measurements to clinical settings and in-home exercises. Therefore, this study aimed to determine the effects of age and sex on joint and endpoint kinematics during a common activity of daily living, specifically, drinking from a glass. Methods In total, 32 healthy adults (18 males and 14 females) aged 22-77 years performed a drinking task comprising reaching for a glass, bringing it forward and sipping, returning it, and placing the hand back to the starting position, which was recorded using a three-dimensional motion-capturing system. A two-way analysis of variance was used to statistically compare joint angles at five different time points and endpoint kinematic variables in the four drinking phases between older and younger age groups and sexes. Results Wrist radial deviation was greater in older adults than in younger participants at all five different time points (F = 5.16-7.34, p ≤ 0.03, η2 = 0.14-0.21). Moreover, lesser shoulder abduction and greater shoulder internal rotation and forearm pronation when moving and returning the hand to the starting position were observed in the female group than in the male group (F = 4.21-20.03, p ≤ 0.0497, η2 = 0.13-0.41). Trunk flexion was lower in the female group than in the male group at all time points (F = 4.25-7.13, p ≤ 0.0485, η2 = 0.12-0.19). Regarding endpoint kinematics, the performance time in the reaching phase was longer in older adults than in younger individuals (F = 4.96, p = 0.03, η2 = 0.14). Furthermore, a shorter time while returning the hand to the starting position was observed in the female group than in the male group (F = 9.55, p < 0.01, η2 = 0.22). Conclusions The joint kinematics of drinking were partially characterized by an age effect, whereas endpoint kinematics were scattered in all drinking phases. Sex-related effects in most upper-body motions and postures may cause rapid motions in females. Therefore, clinicians could use this knowledge for precise assessments and to suggest feasible in-home exercises.
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Affiliation(s)
- Jun Nakatake
- Rehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Miyazaki, Japan
| | - Hideki Arakawa
- Rehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Miyazaki, Japan
| | - Takuya Tajima
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
| | - Shigeaki Miyazaki
- Rehabilitation Unit, University of Miyazaki Hospital, Miyazaki, Miyazaki, Japan
| | - Etsuo Chosa
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan
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Zaidi KF, Harris-Love M. Upper extremity kinematics: development of a quantitative measure of impairment severity and dissimilarity after stroke. PeerJ 2023; 11:e16374. [PMID: 38089910 PMCID: PMC10712307 DOI: 10.7717/peerj.16374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Accepted: 10/08/2023] [Indexed: 12/18/2023] Open
Abstract
Background Strokes 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. Methods All 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. Findings Movement 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. Interpretation The 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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Affiliation(s)
- Khadija F. Zaidi
- Department of Bioengineering, George Mason University, Fairfax, United States
| | - Michelle Harris-Love
- University of Colorado, Anschutz Medical Campus, Aurora, Colorado, United States
- Medstar National Rehabilitation Hospital, Washington, District of Columbia, United States of America
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Nakatake J, Arakawa H, Shogo M, Totoribe K, Chosa E. Effect of age on upper limb, neck, and trunk kinematics during activities of daily living. Heliyon 2023; 9:e20535. [PMID: 37829804 PMCID: PMC10565693 DOI: 10.1016/j.heliyon.2023.e20535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2023] [Revised: 09/28/2023] [Accepted: 09/28/2023] [Indexed: 10/14/2023] Open
Abstract
Motion analysis during activities of daily living has been conducted in numerous studies. However, information is lacking regarding age-related differences that affect clinical assessment and treatment goals. This study aimed to examine the effect of age on kinematics during activities of daily living. Three-dimensional motions of the shoulder, elbow, neck, and trunk of 12 younger adults (age, 29.8 ± 5.4 years; 7 men and 5 women) and 10 older adults (age, 69.5 ± 4.9 years; 6 men and 4 women) were measured during the acts of reaching for a table, bringing a glass to the mouth for drinking, wiping the buttocks, tying shoelaces, washing hair, washing the axilla, reaching for a high shelf, and reaching for the floor. The ranges of motion and sequential joint angles were compared between age groups by using discrete analysis and statistical parametric mapping, respectively. The ranges of motion of all joint angles in older and younger adults were comparable in the drinking, washing hair, washing the axilla, and reaching for the floor tasks. Statistical parametric mapping indicated that older adults had significantly poorer neck extension than did younger adults during the drinking (67-92% cycle time) and tying shoelaces (64-95% cycle time) tasks. Kinematics were mostly maintained in healthy older adults during activities of daily living. However, reduced motions were confirmed later during some tasks. The results indicated that existing knowledge combined with the current findings, which take age into account, could be used in clinical settings to assess the kinematics of activities of daily living and set treatment goals.
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Affiliation(s)
- Jun Nakatake
- Rehabilitation Unit, University of Miyazaki Hospital, Kiyotake-cho Kihara 5200, Miyazaki, 889-1692, Japan
| | - Hideki Arakawa
- Rehabilitation Unit, University of Miyazaki Hospital, Kiyotake-cho Kihara 5200, Miyazaki, 889-1692, Japan
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Kiyotake-cho Kihara 5200, Miyazaki, 889-1692, Japan
| | - Maeda Shogo
- Rehabilitation Unit, University of Miyazaki Hospital, Kiyotake-cho Kihara 5200, Miyazaki, 889-1692, Japan
| | - Koji Totoribe
- Department of Rehabilitation, Miyazaki City Tano Hospital, Tano-cho Minamibaru 1-6-2, Miyazaki, 889-1704, Japan
| | - Etsuo Chosa
- Rehabilitation Unit, University of Miyazaki Hospital, Kiyotake-cho Kihara 5200, Miyazaki, 889-1692, Japan
- Department of Orthopaedic Surgery, Faculty of Medicine, University of Miyazaki, Kiyotake-cho Kihara 5200, Miyazaki, 889-1692, Japan
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Sousa ASP, Moreira J, Silva C, Mesquita I, Silva A, Macedo R, Santos R. Postural control during turn on the light task assisted by functional electrical stimulation in post stroke subjects. Sci Rep 2022; 12:6999. [PMID: 35487933 PMCID: PMC9054778 DOI: 10.1038/s41598-022-10893-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 04/06/2022] [Indexed: 11/09/2022] Open
Abstract
Postural control mechanisms have a determinant role in reaching tasks and are typically impaired in post-stroke patients. Functional electrical stimulation (FES) has been demonstrated to be a promising therapy for improving upper limb (UL) function. However, according to our knowledge, no study has evaluated FES influence on postural control. This study aims to evaluate the influence of FES UL assistance, during turning on the light task, in the related postural control mechanisms. An observational study involving ten post-stroke subjects with UL dysfunction was performed. Early and anticipatory postural adjustments (EPAs and APAs, respectively), the weight shift, the center of pressure and the center of mass (CoM) displacement were analyzed during the turning on the light task with and without the FES assistance. FES parameters were adjusted to improve UL function according to a consensus between physiotherapists' and patients' perspectives. The ANOVA repeated measures, Paired sample t and McNemar tests were used to compare postural control between the assisted and non-assisted conditions. When the task was assisted by FES, the number of participants that presented APAs increased (p = 0.031). UL FES assistance during turning on the light task can improve postural control in neurological patients with UL impairments.
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Affiliation(s)
- Andreia S P Sousa
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072, Porto, Portugal.
| | - Juliana Moreira
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072, Porto, Portugal
| | - Claudia Silva
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072, Porto, Portugal
| | - Inês Mesquita
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Functional Sciences, School of Health, Polytechnic of Porto, Porto, Portugal
| | - Augusta Silva
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072, Porto, Portugal
| | - Rui Macedo
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida, 400, 4200-072, Porto, Portugal
| | - Rubim Santos
- Center for Rehabilitation Research-Human Movement System (Re)Habilitation Area, Department of Physics, School of Health, Polytechnic of Porto, Porto, Portugal
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Sousa ASP, Moreira J, Silva C, Mesquita I, Macedo R, Silva A, Santos R. Usability of Functional Electrical Stimulation in Upper Limb Rehabilitation in Post-Stroke Patients: A Narrative Review. SENSORS 2022; 22:s22041409. [PMID: 35214311 PMCID: PMC8963083 DOI: 10.3390/s22041409] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 02/09/2022] [Accepted: 02/10/2022] [Indexed: 12/10/2022]
Abstract
Stroke leads to significant impairment in upper limb (UL) function. The goal of rehabilitation is the reestablishment of pre-stroke motor stroke skills by stimulating neuroplasticity. Among several rehabilitation approaches, functional electrical stimulation (FES) is highlighted in stroke rehabilitation guidelines as a supplementary therapy alongside the standard care modalities. The aim of this study is to present a comprehensive review regarding the usability of FES in post-stroke UL rehabilitation. Specifically, the factors related to UL rehabilitation that should be considered in FES usability, as well a critical review of the outcomes used to assess FES usability, are presented. This review reinforces the FES as a promising tool to induce neuroplastic modifications in post-stroke rehabilitation by enabling the possibility of delivering intensive periods of treatment with comparatively less demand on human resources. However, the lack of studies evaluating FES usability through motor control outcomes, specifically movement quality indicators, combined with user satisfaction limits the definition of FES optimal therapeutical window for different UL functional tasks. FES systems capable of integrating postural control muscles involving other anatomic regions, such as the trunk, during reaching tasks are required to improve UL function in post-stroke patients.
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Affiliation(s)
- Andreia S. P. Sousa
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal; (J.M.); (C.S.); (R.M.); (A.S.)
- Correspondence: or ; Tel.: +351-222-061-000
| | - Juliana Moreira
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal; (J.M.); (C.S.); (R.M.); (A.S.)
| | - Cláudia Silva
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal; (J.M.); (C.S.); (R.M.); (A.S.)
| | - Inês Mesquita
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Functional Sciences, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal;
| | - Rui Macedo
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal; (J.M.); (C.S.); (R.M.); (A.S.)
| | - Augusta Silva
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Physiotherapy, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal; (J.M.); (C.S.); (R.M.); (A.S.)
| | - Rubim Santos
- Center for Rehabilitation Research—Human Movement System (Re)habilitation Area, Department of Physics, School of Health, Polytechnic of Porto, Rua Dr. António Bernardino de Almeida 400, 4200-072 Porto, Portugal;
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Development of a revolute-type kinematic model for human upper limb using a matrix approach. ROBOTICA 2021. [DOI: 10.1017/s0263574721001387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractA mathematical model is proposed for a revolute joint mechanism with an n-degree of freedom (DOF). The matrix approach is used for finding the relation between two consecutive links to determine desired link parameters such as position, velocity and acceleration using the forward kinematic approach. The matrix approach was confirmed for a proposed 10 DOF revolute type (R-type) human upper limb model with servo motors at each joint. Two DOFs are considered each at shoulder, elbow and wrist joint, followed by four DOF for the fingers. Two DOFs were considered for metacarpophalangeal (mcp) and one DOF each for proximal interphalangeal (pip) and distal interphalangeal (dip) joints. MATLAB script function was used to evaluate the mathematical model for determining kinematic parameters for all the proposed human upper limb model joints. The simplified method for kinematic analysis proposed in this paper will further simplify the dynamic modeling of any mechanism for determining joint torques and hence, easy to design control system for joint movements.
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Mesquita IA, Fonseca PFPD, Borgonovo-Santos M, Ribeiro E, Pinheiro ARV, Correia MV, Silva C. Comparison of upper limb kinematics in two activities of daily living with different handling requirements. Hum Mov Sci 2020; 72:102632. [PMID: 32452388 DOI: 10.1016/j.humov.2020.102632] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 05/13/2020] [Accepted: 05/14/2020] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Recently, kinematic analysis of the drinking task (DRINK) has been recommended to assess the quality of upper limb (UL) movement after stroke, but the accomplishment of this task may become difficult for poststroke patients with hand impairment. Therefore, it is necessary to study ADLs that involve a simpler interaction with a daily life target, such as the turning on a light task (LIGHT). As the knowledge of movement performed by healthy adults becomes essential to assess the quality of movement of poststroke patients, the main goal of this article was to compare the kinematic strategies used by healthy adults in LIGHT with those that are used in DRINK. METHODS 63 adults, aged 30 to 69 years old, drank water and turned on a light, using both ULs separately, while seated. The movements of both tasks were captured by a 3D motion capture system. End-point and joint kinematics of reaching and returning phases were analysed. A multifactorial analysis of variance with repeated measures was applied to the kinematic metrics, using age, sex, body mass index and dominance as main factors. RESULTS Mean and peak velocities, index of curvature, shoulder flexion and elbow extension were lower in LIGHT, which suggests that the real hand trajectory was smaller in this task. In LIGHT, reaching was less smooth and returning was smoother than DRINK. The instant of peak velocity was similar in both tasks. There was a minimal anterior trunk displacement in LIGHT, and a greater anterior trunk displacement in DRINK. Age and sex were the main factors which exerted effect on some of the kinematics, especially in LIGHT. CONCLUSION The different target formats and hand contact in DRINK and LIGHT seem to be responsible for differences in velocity profile, efficiency, smoothness, joint angles and trunk displacement. Results suggest that the real hand trajectory was smaller in LIGHT and that interaction with the switch seems to be less demanding than with the glass. Accordingly, LIGHT could be a good option for the assessment of poststroke patients without grasping ability. Age and sex seem to be the main factors to be considered in future studies for a better match between healthy and poststroke adults.
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Affiliation(s)
- Inês Albuquerque Mesquita
- Center for Rehabilitation Research (CIR) (CIR), School of Health of Polytechnic of Porto (ESS-P.Porto), Rua Dr. António Bernardino de Almeida, 400, 4200 - 072 Porto, Portugal; Department of Functional Sciences, School of Health of Polytechnic of Porto (ESS-P.Porto), Rua Dr. António Bernardino de Almeida, 400, 4200 - 072 Porto, Portugal.
| | | | - Márcio Borgonovo-Santos
- LABIOMEP: Porto Biomechanics Laboratory, University of Porto. R. Dr. Plácido da Costa, 4200-450 Porto, Portugal
| | - Edgar Ribeiro
- Center for Rehabilitation Research (CIR) (CIR), School of Health of Polytechnic of Porto (ESS-P.Porto), Rua Dr. António Bernardino de Almeida, 400, 4200 - 072 Porto, Portugal
| | - Ana Rita Vieira Pinheiro
- Center for Rehabilitation Research (CIR) (CIR), School of Health of Polytechnic of Porto (ESS-P.Porto), Rua Dr. António Bernardino de Almeida, 400, 4200 - 072 Porto, Portugal; School of Health Sciences, University of Aveiro, Edifício 30, Agras do Crasto - Campus Universitário de Santiago, 3810-193 Aveiro, Portugal
| | - Miguel Velhote Correia
- Department of Electrical and Computer Engineering, Faculty of Engineering of the University of Porto (FEUP), R. Dr. Roberto Frias, 4200-465 Porto, Portugal; Institute for Systems and Computer Engineering, Technology and Science (INESC TEC), R. Dr. Roberto Frias, 4200-465 Porto, Portugal
| | - Cláudia Silva
- Center for Rehabilitation Research (CIR) (CIR), School of Health of Polytechnic of Porto (ESS-P.Porto), Rua Dr. António Bernardino de Almeida, 400, 4200 - 072 Porto, Portugal; Department of Physiotherapy, School of Health of Polytechnic of Porto (ESS-P.Porto), Rua Dr. António Bernardino de Almeida, 400, 4200 - 072 Porto, Portugal
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Mesquita IA, Fonseca PFPD, Pinheiro ARV, Velhote Correia MFP, Silva CICD. Methodological considerations for kinematic analysis of upper limbs in healthy and poststroke adults Part II: a systematic review of motion capture systems and kinematic metrics. Top Stroke Rehabil 2019; 26:464-472. [PMID: 31064281 DOI: 10.1080/10749357.2019.1611221] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Background and purpose: To review the methods used to analyze the kinematics of upper limbs (ULs) of healthy and poststroke adults, namely the motion capture systems and kinematic metrics. Summary of review: A database of articles published in the last decade was compiled using the following search terms combinations: ("upper extremity" OR "upper limb" OR arm) AND (kinematic OR motion OR movement) AND (analysis OR assessment OR measurement). The articles included in this review: (1) had the purpose to analyze objectively three-dimension kinematics of ULs, (2) studied functional movements or activities of daily living involving ULs, and (3) studied healthy and/or poststroke adults. Fourteen articles were included (four studied a healthy sample, three analyzed poststroke patients, and seven examined both poststroke and healthy participants). Conclusion: Most articles used optoelectronic systems with markers; however, the presentation of laboratory and task-specific errors is missing. Markerless systems, used in some studies, seem to be promising alternatives for implementation of kinematic analysis in hospitals and clinics, but the literature proving their validity is scarce. Most articles analyzed "joint kinematics" and "end-point kinematics," mainly related with reaching. The different stroke locations of the samples were not considered in their analysis and only three articles described their psychometric properties. Implication of key findings: Future research should validate portable motion capture systems, document their specific error at the acquisition place and for the studied task, include grasping and manipulation analysis, and describe psychometric properties.
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Affiliation(s)
- Inês Albuquerque Mesquita
- a Department of Functional Sciences and Center for Rehabilitation Research (CIR), School of Health of Polytechnic Institute of Porto (ESS-P.Porto) , Porto , Portugal
| | | | - Ana Rita Vieira Pinheiro
- c School of Health Sciences, University of Aveiro , Aveiro , Portugal.,d Department of Physiotherapy and Center for Rehabilitation Research (CIR), School of Health of Polytechnic Institute of Porto (ESS-P.Porto) , Porto , Portugal
| | - Miguel Fernando Paiva Velhote Correia
- e Department of Electrical and Computer Engineering, Faculty of Engineering of the University of Porto (FEUP) , Porto , Portugal.,f Institute for Systems and Computer Engineering, Technology and Science (INESC TEC) , Porto , Portugal
| | - Cláudia Isabel Costa da Silva
- d Department of Physiotherapy and Center for Rehabilitation Research (CIR), School of Health of Polytechnic Institute of Porto (ESS-P.Porto) , Porto , Portugal
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