Abstract:
BACKGROUND:Our ability to sense movement is essential for motor control; however, the impact of kinesthesia deficits on functional recovery is not well monitored in the spinal cord injury (SCI) population. One problem is the lack of accurate and reliable tools to measure kinesthesia. OBJECTIVE:The purpose of this study was to establish the validity and reliability of a quantitative robotic assessment tool to measure lower limb kinesthesia in people with SCI. METHODS:Seventeen individuals with an incomplete SCI and 17 age-matched controls completed 2 robotic-based assessments of lower limb kinesthesia sense, separated by at least 1 week. The Lokomat, a lower limb robotic exoskeleton, was used to quantify the movement detection score bilaterally for the hip and knee joints. Four passive movement speeds (0.5, 1.0, 2.0, and 4.0 deg/s) were applied in both flexion and extension directions. Participants responded via pressing a joystick button when movement was felt. RESULTS:The movement detection score was significantly greater in people with SCI compared with the control group, particularly at the slowest movement speed. The difference between groups was more pronounced among those classified as ASIA (American Spinal Injury Association) Impairment Scale B. Our measure showed high test-retest reliability and good internal consistency for the hip and knee joints. CONCLUSIONS:Our findings demonstrated that lower limb kinesthesia deficits are common in the SCI population and highlighted the importance of valid and reliable tools to monitor sensory function. Future studies need to examine changes in sensory function in response to therapy.
journal_name
Neurorehabil Neural Repairjournal_title
Neurorehabilitation and neural repairauthors
Chisholm AE,Domingo A,Jeyasurya J,Lam Tdoi
10.1177/1545968315591703subject
Has Abstractpub_date
2016-03-01 00:00:00pages
199-208issue
3eissn
1545-9683issn
1552-6844pii
1545968315591703journal_volume
30pub_type
杂志文章abstract:BACKGROUND:Motor training alone or combined with transcranial direct current stimulation (tDCS) positioned over the motor cortex (M1) improves motor function in chronic stroke. Currently, understanding of how tDCS influences the process of motor skill learning after stroke is lacking. OBJECTIVE:To assess the effects o...
journal_title:Neurorehabilitation and neural repair
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abstract:BACKGROUND:The Unified Parkinson's Disease Rating Scale (UPDRS) is the "gold standard" assessment tool for characterizing impairments in persons with Parkinson's disease (PD); however, this scale's ability to predict functional capabilities across different functional tasks has not been adequately assessed in persons w...
journal_title:Neurorehabilitation and neural repair
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abstract:BACKGROUND AND OBJECTIVE:The question of the best therapeutic window in which noninvasive brain stimulation (NIBS) could potentiate the plastic changes for motor recovery after a stroke is still unresolved. Most of the previous NIBS studies included patients in the chronic phase of recovery and very few in the subacute...
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journal_title:Neurorehabilitation and neural repair
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doi:10.1177/1545968313497103
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abstract::Background. After stroke, recovery of movement in proximal and distal upper extremity (UE) muscles appears to follow different time courses, suggesting differences in their neural substrates. Objective. We sought to determine if presence or absence of motor evoked potentials (MEPs) differentially influences recovery o...
journal_title:Neurorehabilitation and neural repair
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abstract:BACKGROUND:Confidence about balance may be an important factor affecting self-efficacy for daily activities after stroke. OBJECTIVE:The authors investigated whether confidence changes and the parameters that may predict changes in self-perceived balance within the first year of community reintegration. METHODS:In thi...
journal_title:Neurorehabilitation and neural repair
pub_type: 杂志文章
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abstract:BACKGROUND:Recovery of the sit-to-stand (StS) movement early after stroke could be improved by targeting physical therapy at the underlying movement deficits in those people likely to respond. AIM:To compare the movement characteristics of successful and failed StS movements in people early after stroke and identify w...
journal_title:Neurorehabilitation and neural repair
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
pub_type: 临床试验,杂志文章
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
pub_type: 临床试验,杂志文章
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
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journal_title:Neurorehabilitation and neural repair
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更新日期:2014-05-01 00:00:00
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