The gap between clinical gaze and systematic assessment of movement disorders after stroke.
J Neuroeng Rehabil
; 9: 61, 2012 Aug 27.
Article
en En
| MEDLINE
| ID: mdl-22925463
ABSTRACT
BACKGROUND:
Movement disorders after stroke are still captured by clinical gaze and translated to ordinal scores of low resolution. There is a clear need for objective quantification, with outcome measures related to pathophysiological background. Neural and non-neural contributors to joint behavior should be separated using different measurement conditions (tasks) and standardized input signals (force, position and velocity).METHODS:
We reviewed recent literature for the application of biomechanical and/or elektromyographical (EMG) outcome measures under various measurement conditions in clinical research.RESULTS:
Since 2005, 36 articles described the use of biomechanical and/or EMG outcome measures to quantify post-stroke movement disorder. Nineteen of the articles strived to separate neural and non-neural components. Only 6 of the articles measured biomechanical and EMG outcome measures simultaneously, while applying active and passive tasks and multiple velocities.CONCLUSION:
The distinction between neural and non-neural components to separately assess paresis, stiffness and muscle overactivity is not commonplace yet, while a large gap is to be bridged to attain reproducible and comparable results. Pathophysiologically clear concepts, substantiated with a comprehensive and concise measuring protocol will help professionals to identify and treat limiting factors in movement capabilities of post-stroke patients.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Accidente Cerebrovascular
/
Fijación Ocular
/
Trastornos del Movimiento
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Systematic_reviews
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Neuroeng Rehabil
Asunto de la revista:
ENGENHARIA BIOMEDICA
/
NEUROLOGIA
/
REABILITACAO
Año:
2012
Tipo del documento:
Article
País de afiliación:
Países Bajos