I might have recovered my bad arm/hand by now if I had been challenged with this drinking game.
http://nnr.sagepub.com/content/27/9/844.abstract?etoc
- Margit Alt Murphy, MSc1
- Carin Willén, PhD1
- Katharina S. Sunnerhagen, PhD, MD1
- Margit Alt Murphy, Rehabilitation Medicine, Institute of Neuroscience and Physiology, University of Gothenburg, Per Dubbsgatan 14, 3tr, 41345 Göteborg, Sweden. Email: margit.alt-murphy@neuro.gu.se
Abstract
Background. Kinematic movement analysis is
increasingly used as an outcome measure in evaluation of upper
extremity function after stroke.
Little is known, however, about what observed
longitudinal changes in kinematics mean in the context of an
individual’s functioning.
In this study, the responsiveness and expected
change in kinematic measures associated with clinically meaningful
improvement
in the upper extremity were evaluated. Methods.
Kinematic movement analysis of a drinking task and Action Research Arm
Test (ARAT) were performed early (9 days poststroke)
and at 3 months after stroke in 51 subjects. The
receiver-operating characteristic curve and linear regression analyses
were
used to evaluate responsiveness of kinematic
parameters. Results. Movement time, smoothness, and trunk
displacement discriminated those subjects demonstrating clinically
meaningful improvements.
Significant associations of 31% to 36% were found
between the change in ARAT and kinematic measures. A real clinical
improvement
in kinematics lies in the range of 2.5 to 5
seconds, 3 to 7 units, and 2 to 5 cm in movement time, smoothness, and
trunk displacement,
respectively. Conclusions. All kinematic
measures reported in this study are responsive measures for capturing
improvements in the upper extremity
during the first 3 months after stroke. Approximate
estimates for the expected change in kinematics associated with
clinically
meaningful improvement in upper extremity activity
capacity illustrate the usefulness of the linear regression analysis for
assessing responsiveness. This knowledge
facilitates the selection of kinematic measures for clinical and
movement analysis
research as well as for technology-based devices.
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