An upper extremity kinematic model for evaluation of hemiparetic stroke

Quantification of rehabilitation progress is necessary for accurately assessing clinical treatments. A three-dimension (3D) upper extremity (UE) kinematic model was developed to obtain joint angles of the trunk, shoulder and elbow using a Vicon motion analysis system. Strict evaluation confirmed the...

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Veröffentlicht in:Journal of biomechanics 2006-01, Vol.39 (4), p.681-688
Hauptverfasser: Hingtgen, Brooke, McGuire, John R., Wang, Mei, Harris, Gerald F.
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container_issue 4
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container_title Journal of biomechanics
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creator Hingtgen, Brooke
McGuire, John R.
Wang, Mei
Harris, Gerald F.
description Quantification of rehabilitation progress is necessary for accurately assessing clinical treatments. A three-dimension (3D) upper extremity (UE) kinematic model was developed to obtain joint angles of the trunk, shoulder and elbow using a Vicon motion analysis system. Strict evaluation confirmed the system's accuracy and precision. As an example of application, the model was used to evaluate the upper extremity movement of eight hemiparetic stroke patients with spasticity, while completing a set of reaching tasks. Main outcome measures include kinematic variables of movement time, range of motion, peak angular velocity, and percentage of reach where peak velocity occurs. The model computed motion patterns in the affected and unaffected arms. The unaffected arm showed a larger range of motion and higher angular velocity than the affected arm. Frequency analysis (power spectrum) demonstrated lower frequency content for elbow angle and angular velocity in the affected limb when compared to the unaffected limb. The model can accurately quantify UE arm motion, which may aid in the assessment and planning of stroke rehabilitation, and help to shorten recovery time.
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subjects Adult
Aged
Biomechanical Phenomena - methods
Biomechanics
Computer Simulation
Diagnosis, Computer-Assisted - methods
Elbow
Female
Humans
Kinematics
Male
Middle Aged
Models, Biological
Movement Disorders - diagnosis
Movement Disorders - etiology
Movement Disorders - physiopathology
Paresis - diagnosis
Paresis - etiology
Paresis - physiopathology
Range of Motion, Articular
Rehabilitation
Stroke
Stroke - complications
Stroke - diagnosis
Stroke - physiopathology
Upper extremity
Upper Extremity - physiopathology
title An upper extremity kinematic model for evaluation of hemiparetic stroke
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