Abstract
AbstractThis cross-sectional study aimed to clarify the kinematic characteristics of reaching the occiput in patients with mild hemiplegia. Ten patients with post-stroke hemiplegia who attended the Department of Rehabilitation Medicine of the Jikei University Hospital and met the eligibility criteria were included. Reaching motion to the back of the head by the participants’ paralyzed and non-paralyzed upper limbs was measured using three-dimensional motion analysis, and the motor time, joint angles, and angular velocity were calculated. Multivariate analysis of covariance was performed on these data. After confirming the fit to the binomial logistic regression model, the cutoff values were calculated using the receiver operating characteristic curve. The cutoff values for the movement until the hand reached the back of the head were 1.6 s for the motor time, 55° for the maximum shoulder joint flexion angle, and 145° for the maximum elbow joint flexion angle. The cutoff values for the movement from the back of the head to the hand being returned to its original position were 1.6 s for the motor time, 145° for the maximum elbow joint flexion angle, 53°/s for the maximum angular velocity of shoulder joint abduction, and 62°/s for the maximum angular velocity of elbow joint flexion. The numbers of clusters were three, four, and four for the outward non-paralyzed side, outward and return paralyzed side, and return non-paralyzed side, respectively. The findings obtained by this study can be used for practice planning in patients with mild hemiplegia who aim to improve the reaching motion to the occiput.
Publisher
Cold Spring Harbor Laboratory
Reference62 articles.
1. World Stroke Organization. Annual Report 2020. 2020 [accessed 2021 December 1]. Available from: https://www.world-stroke.org/about-wso/annual-reports
2. Stroke rehabilitation
3. Quality of Life during the First Two Years Post Stroke: The Restore4Stroke Cohort Study
4. Post-stroke hemiplegia and ADL-performance;Scand J Rehabil Med Suppl,1980
5. Karger DW , Bayha F . Engineered work measurement: the principles, techniques and data of methods-time measurement, modern time and motion study, and related applications engineering data. 2nd ed. New York: Industrial Press, 1966.