Postural Control and Fine Motor Skills in People With Stroke
Biomechanical Assessment of the Relationship Between Postural Control and Fine Motor Skills in People With Stroke
調査の概要
詳細な説明
Current stroke rehabilitation practice guidelines support an interprofessional approach which integrates discipline-specific goals into a comprehensive plan of care. However, there has been a failure to implement interprofessional guidelines into today's stroke rehabilitation clinical practice. Instead it is common that one discipline focuses on recovery of posture, while another discipline focuses on recovery of fine motor skills. The investigators argue that control of the hand is not independent from postural control. In fact, treating them separately ignores the kinematic and muscular linkages connecting the trunk to the hand via the scapula and proximal arm. It also ignores evidence that postural and hand muscles have overlapping cortical representations thus likely have similar neural control networks. Hence, the overall goal of this project is to demonstrate the relationship of posture and fine motor skills to advance stroke rehabilitation.
The study will include two groups, stroke survivors and neurologically healthy controls, and both will perform a tracing task while seated on a backless bench. The task will be performed twice, at baseline and after giving participants cues to improve their posture. Both task repetitions will be performed in a single session on the same day. Kinetic and kinematic data will be collected to evaluate posture, postural stability and fine motor performance. Data collected at baseline will be used to examine the relationship between postural impairments and fine motor deficits. Additionally, we will evaluate the effects of postural cues on body segment alignment, stability and fine motor performance.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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South Carolina
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Charleston、South Carolina、アメリカ、29425
- Medical University of South Carolina
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Stroke survivors:
Inclusion Criteria:
- experienced uni-hemispheric ischemic or hemorrhagic stroke 3 mo - 7 yrs prior
- ability to grasp and hold a stylus for the duration of the experiments
- passive motion throughout the paretic UE within 20° of normal
- dominant side affected
Exclusion Criteria:
- lesion in brainstem or cerebellum
- presence of other neuro-disease impairing motor skills
- unable to understand 3-step directions
- pain, orthopedic condition or impaired corrected vision that would alter reaching
Healthy Controls:
Inclusion Criteria:
- no history of stroke or incomplete spinal cord injury
- no medical, orthopedic, neurological, or uncorrected visual condition that would limit the ability to participate in upper extremity testing
Exclusion Criteria:
- none
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
---|---|
Stroke survivors
Individuals that experienced uni-hemispheric ischemic or hemorrhagic stroke
|
A therapist will provide verbal/physical cues to improve the participants posture
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Controls
Healthy controls with no history of stroke
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A therapist will provide verbal/physical cues to improve the participants posture
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Change in tracing smoothness from baseline to after postural counseling
時間枠:Within 24 hours
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Change in the average jerk of the hand trajectory during a tracing task
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Within 24 hours
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Change in center of pressure displacement from baseline to after postural counseling
時間枠:Within 24 hours
|
Change in the maximum center of pressure displacement during a tracing task
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Within 24 hours
|
協力者と研究者
捜査官
- 主任研究者:Christian Finetto, PhD、Medical University of South Carolina
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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