But objective would be great, make sure your therapists objectively analyze your movement problems. How else are they going to be able to document improvements?
http://nnr.sagepub.com/content/26/9/1106.abstract?etoc
Abstract
Background. Kinematic analysis is a
powerful method for an objective assessment of movements and is
increasingly used as an outcome measure
after stroke. Little is known about how the actual
movement performance measured with kinematics is related to the common
traditional assessment scales. The aim of this
study was to determine the relationships between movement kinematics
from a
drinking task and the impairment or activity
limitation level after stroke. Methods. Kinematic analysis of
movement performance in a drinking task was used to measure movement
time, smoothness, and angular
velocity of elbow and trunk displacement (TD) in 30
individuals with stroke. Sensorimotor impairment was assessed with the
Fugl-Meyer Assessment (FMA), activity capacity
limitation with the Action Research Arm Test (ARAT), and self-perceived
activity
difficulties with the ABILHAND questionnaire. Results.
Backward multiple regression revealed that the movement smoothness
(similarly to movement time) and TD together explain 67%
of the total variance in ARAT. Both variables
uniquely contributed 37% and 11%, respectively. The TD alone explained
20% of
the variance in the FMA, and movement smoothness
explained 6% of the variance in the ABILHAND. Conclusions. The
kinematic movement performance measures obtained during a drinking task
are more strongly associated with activity capacity
than with impairment. The movement smoothness and
time, possibly together with compensatory movement of the trunk, are
valid
measures of activity capacity and can be considered
as key variables in the evaluation of upper-extremity function after
stroke.
This increased knowledge is of great value for
better interpretation and application of kinematic data in clinical
studies.
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