I consider 'assessments' COMPLETELY FUCKING WORTHLESS WITHOUT PROTOCOLS THAT FOLLOW THAT DELIVER RECOVERY!
Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? No excuses are allowed! You're medically trained; it should be simple to precisely refute all my points with NO EXCUSES!! And what is your definition of competence in stroke? Swearing at me is allowed, I'll return the favor. Don't even attempt to use the excuse that brain research is hard.
Quantitative Assessment of Hand Function in Healthy Subjects and Post-Stroke Patients with the Action Research Arm Test
1 Escola Politècnica Superior d’Enginyeria de Manresa (EPSEM), Polytechnic University of Catalonia (UPC), 08242 Manresa, Spain
2 Department of Manufacturing Technologies, Polytechnic University of Uruapan Michoacán, Uruapan 60210, Michoacán, Mexico
3 Physical Medicine and Rehabilitation Service, Althaia Xarxa Assistencial de Manresa, 08243 Manresa, Spain
*
Author to whom correspondence should be addressed.
Sensors 2022, 22(10), 3604; https://doi.org/10.3390/s22103604
Submission received: 30 March 2022
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Revised: 22 April 2022
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Accepted: 2 May 2022
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Published: 10 May 2022
(This article belongs to the Special Issue Wearable Sensors for Human Motion Analysis)
Abstract
The Action Research Arm Test (ARAT) can
provide subjective(Objective results are needed if you want to have any hope of making your recovery protocols repeatable!) 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.
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