Assessments DO NOTHING TOWARDS RECOVERY. NOTHING HERE GETS SURVIVORS RECOVERED! Useless!
Quantitative Assessment of Hand Function in Healthy Subjects and Post-Stroke Patients with the Action Research Arm Test
Jesus Fernando Padilla-Magaña
1,2,
* , Esteban Peña-Pitarch
1
, Isahi Sánchez-Suarez
2
and Neus Ticó-Falguera
3
1
Escola Politècnica Superior d’Enginyeria de Manresa (EPSEM), Polytechnic University of Catalonia (UPC),
08242 Manresa, Spain; esteban.pena@upc.edu
2
Department of Manufacturing Technologies, Polytechnic University of Uruapan Michoacán,
Uruapan 60210, Michoacán, Mexico; i.sanchez@upu.edu.mx
3
Physical Medicine and Rehabilitation Service, Althaia Xarxa Assistencial de Manresa, 08243 Manresa, Spain;
nico@althaia.cat
* Correspondence: jesus.fernando.padilla@upc.edu; Tel.: +34-671251375
Abstract:
The Action Research Arm Test (ARAT) can provide subjective(Until it provides an objective damage diagnosis it is completely useless! Nothing is repeatable with subjective measurements!) results due to the difficulty
assessing abnormal patterns in stroke patients. The aim of this study was to identify joint impairments
and compensatory grasping strategies in stroke patients with left (LH) and right (RH) hemiparesis.
An experimental study was carried out with 12 patients six months after a stroke (three women
and nine men, mean age: 65.2 ± 9.3 years), and 25 healthy subjects (14 women and 11 men, mean
age: 40.2 ± 18.1 years. The subjects were evaluated during the performance of the ARAT using a
data glove. Stroke patients with LH and RH showed significantly lower flexion angles in the MCP
joints of the Index and Middle fingers than the Control group. However, RH patients showed larger
flexion angles in the proximal interphalangeal (PIP) joints of the Index, Middle, Ring, and Little
fingers. In contrast, LH patients showed larger flexion angles in the PIP joints of the Middle and
Little fingers. Therefore, the results showed that RH and LH patients used compensatory strategies
involving increased flexion at the PIP joints for decreased flexion in the MCP joints. The integration
of a data glove during the performance of the ARAT allows the detection of finger joint impairments
in stroke patients that are not visible from ARAT scores. Therefore, the results presented are of
clinical relevance. (NO, THEY ARE FUCKING USELESS FOR RECOVERY! You're fired!)
Keywords: hand; stroke; rehabilitation; finger joints; data glove
More at link.
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