Support-specific modulation of grip force in individuals with hemiparesis.

Abstract:

OBJECTIVE:To investigate whether use of auxiliary sensory input will result in modulated grip force. DESIGN:Case-control study. SETTING:Free-standing acute inpatient rehabilitation hospital. PARTICIPANTS:Six people with unilateral hemiparesis due to unilateral stroke and 6 control subjects without neurologic disorders. INTERVENTIONS:Seated subjects lifted and transported the same object under 3 different conditions: with no support, with the target arm positioned on a freely moving skateboard, and with a finger from the subject's contralateral hand lightly touching the wrist of the target arm. MAIN OUTCOME MEASURES:Peak grip force and temporal coupling between the grip force and lift-off of the object. RESULTS:All subjects were able to better regulate grip force when provided with additional sensory input. Light finger touch resulted in decreased grip force, as did skateboard use ( P <.05). Subjects with hemiparesis showed 2 times longer latency between grip-force application and lift-off of the object ( P <.05). CONCLUSIONS:Statistically significant grip-force reduction was noted with both support aids. These findings could have implications in clinical and rehabilitative areas.

journal_name

Arch Phys Med Rehabil

authors

Aruin AS

doi

10.1016/j.apmr.2004.06.070

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

768-75

issue

4

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(04)01172-4

journal_volume

86

pub_type

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