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Can kinematic parameters of 3D reach-to-target movements be used as a proxy for clinical outcome measures in chronic stroke rehabilitation? An exploratory study
Journal of NeuroEngineering and Rehabilitation , Volume 14(106)
NARIC Accession Number: J84337. What's this?
ISSN: 1743-0003.
Author(s): Adans-Dester, Catherine ; Fasoli, Susan E. ; Fabara, Eric ; Menard, Nicolas ; Fox, Annie B. ; Severini, Giacomo ; Bonato, Paolo.
Publication Year: 2020.
Number of Pages: 13.
Abstract: Study investigated the correlation between kinematic parameters of three-dimensional (3D) reach-to-target movements and upper-extremity (UE) clinical outcomes, and examined the degree to which differences in kinematic parameters across individuals account for differences in clinical outcomes in response to robot-assisted therapy (RT). Ten chronic stroke survivors participated in a pilot RT intervention integrating cognitive skills training and a home-action program. Clinical outcome measures and kinematic parameters of 3D reach-to-target movements were collected pre- and post-intervention. The correlation between clinical outcomes and kinematic parameters was investigated both cross-sectionally and longitudinally (i.e., changes in response to the intervention). Changes in clinical outcomes and kinematic parameters were tested for significance in both group and subject-by-subject analyses. Potential associations between individual differences in kinematic parameters and differences in clinical outcomes were examined. Moderate-to-strong correlation was found between clinical measures and specific kinematic parameters when examined cross-sectionally. Weaker correlation coefficients were found longitudinally. Group analyses revealed significant changes in clinical outcome measures in response to the intervention; no significant group changes were observed in kinematic parameters. Subject-by-subject analyses revealed changes with moderate-to-large effect size in the kinematics of 3D reach-to-target movements pre- vs. post-intervention. Changes in clinical outcomes and kinematic parameters varied widely across participants. These results highlight the need to investigate the response to interventions at the individual level. This would enable the identification of clusters of individuals with common patterns of change in response to an intervention, providing an opportunity to use cluster-specific kinematic parameters as a proxy of clinical outcomes.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, LIMBS, MOTOR SKILLS, OUTCOMES, REHABILITATION, ROBOTICS, STROKE, TASK ANALYSIS.
Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00730-1.
Citation: Adans-Dester, Catherine , Fasoli, Susan E. , Fabara, Eric , Menard, Nicolas , Fox, Annie B. , Severini, Giacomo , Bonato, Paolo. (2020). Can kinematic parameters of 3D reach-to-target movements be used as a proxy for clinical outcome measures in chronic stroke rehabilitation? An exploratory study. Journal of NeuroEngineering and Rehabilitation , 14(106) Retrieved 9/19/2020, from REHABDATA database.
NARIC Accession Number: J84337. What's this?
ISSN: 1743-0003.
Author(s): Adans-Dester, Catherine ; Fasoli, Susan E. ; Fabara, Eric ; Menard, Nicolas ; Fox, Annie B. ; Severini, Giacomo ; Bonato, Paolo.
Publication Year: 2020.
Number of Pages: 13.
Abstract: Study investigated the correlation between kinematic parameters of three-dimensional (3D) reach-to-target movements and upper-extremity (UE) clinical outcomes, and examined the degree to which differences in kinematic parameters across individuals account for differences in clinical outcomes in response to robot-assisted therapy (RT). Ten chronic stroke survivors participated in a pilot RT intervention integrating cognitive skills training and a home-action program. Clinical outcome measures and kinematic parameters of 3D reach-to-target movements were collected pre- and post-intervention. The correlation between clinical outcomes and kinematic parameters was investigated both cross-sectionally and longitudinally (i.e., changes in response to the intervention). Changes in clinical outcomes and kinematic parameters were tested for significance in both group and subject-by-subject analyses. Potential associations between individual differences in kinematic parameters and differences in clinical outcomes were examined. Moderate-to-strong correlation was found between clinical measures and specific kinematic parameters when examined cross-sectionally. Weaker correlation coefficients were found longitudinally. Group analyses revealed significant changes in clinical outcome measures in response to the intervention; no significant group changes were observed in kinematic parameters. Subject-by-subject analyses revealed changes with moderate-to-large effect size in the kinematics of 3D reach-to-target movements pre- vs. post-intervention. Changes in clinical outcomes and kinematic parameters varied widely across participants. These results highlight the need to investigate the response to interventions at the individual level. This would enable the identification of clusters of individuals with common patterns of change in response to an intervention, providing an opportunity to use cluster-specific kinematic parameters as a proxy of clinical outcomes.
Descriptor Terms: BIOENGINEERING, BODY MOVEMENT, LIMBS, MOTOR SKILLS, OUTCOMES, REHABILITATION, ROBOTICS, STROKE, TASK ANALYSIS.
Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-020-00730-1.
Citation: Adans-Dester, Catherine , Fasoli, Susan E. , Fabara, Eric , Menard, Nicolas , Fox, Annie B. , Severini, Giacomo , Bonato, Paolo. (2020). Can kinematic parameters of 3D reach-to-target movements be used as a proxy for clinical outcome measures in chronic stroke rehabilitation? An exploratory study. Journal of NeuroEngineering and Rehabilitation , 14(106) Retrieved 9/19/2020, from REHABDATA database.
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