Effects of unilateral, bilateral in-phase and anti-phase modes of a functional task on non-paretic arm kinematics in acute stroke:

Choo Pei Ling, Helen L. Gallagher, Jacqui Morris, Frederike Van Wijck

Research output: Contribution to journalMeeting abstract

Abstract

Introduction: Arm dysfunction is not confined to the contralesional arm. Understanding intralimb
kinematics of the non-paretic arm in stroke individuals provides insight to mechanisms of action
underlying bilateral upper limb training (BT). This study aimed to compare the effects of unilateral,
bilateral in-phase and anti-phase modes of a functional task on dominant/non-paretic arm kinematics in
healthy and acute stroke individuals respectively.
Methods: 7 healthy and 13 acute stroke individuals underwent 3D motion capture of unilateral,
bilateral in-phase and anti-phase modes of a functional grasp task. Intralimb kinematics was assessed
through movement time, peak velocity, movement smoothness and movement directness.
Results: In healthy individuals, dominant arm movement displayed no significant difference in any of
the intralimb kinematic measures between unilateral, bilateral in-phase and bilateral anti-phase grasp
task. In acute stroke individuals, non-paretic arm movement became significantly slower (Z ¼ 3.180,
p ¼ 0.001), jerkier (Z ¼ 3.184, p ¼ 0.001) and with lower peak velocity (Z ¼ 3.110, p ¼ 0.002)
during bilateral in-phase grasp task compared to unilateral task mode. Furthermore, in acute stroke
individuals, non-paretic arm movement became significantly slower (Z ¼ 3.181, p ¼ 0.001) and jerkier (Z ¼ 3.181, p ¼ 0.001) during bilateral anti-phase grasp task compared to unilateral task mode.
Conclusion: Bilateral in-phase and anti-phase task modes altered non-paretic arm kinematics in
stroke individuals, but not dominant arm kinematics in healthy individuals. Specifically, non-paretic
arm kinematics in stroke individuals became slower and jerkier during bilateral in-phase and anti-phase
grasp task compared to unilateral task modes. Kinematic responses to bilateral task modes is affected
by stroke. Therapists should note detrimental performance effects of bilateral training modes on the
non-paretic arm.
Original languageEnglish
Pages (from-to)10-65
Number of pages1
JournalInternational Journal of Stroke
Volume13
Issue number35
DOIs
Publication statusPublished - 2018
EventUK Stroke Forum 2018 - Telford
Duration: 4 Dec 2018 → …

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Biomechanical Phenomena
Arm
Stroke
Hand Strength
Upper Extremity

Cite this

@article{a813db282596452e8a7176554e319d05,
title = "Effects of unilateral, bilateral in-phase and anti-phase modes of a functional task on non-paretic arm kinematics in acute stroke:",
abstract = "Introduction: Arm dysfunction is not confined to the contralesional arm. Understanding intralimbkinematics of the non-paretic arm in stroke individuals provides insight to mechanisms of actionunderlying bilateral upper limb training (BT). This study aimed to compare the effects of unilateral,bilateral in-phase and anti-phase modes of a functional task on dominant/non-paretic arm kinematics inhealthy and acute stroke individuals respectively.Methods: 7 healthy and 13 acute stroke individuals underwent 3D motion capture of unilateral,bilateral in-phase and anti-phase modes of a functional grasp task. Intralimb kinematics was assessedthrough movement time, peak velocity, movement smoothness and movement directness.Results: In healthy individuals, dominant arm movement displayed no significant difference in any ofthe intralimb kinematic measures between unilateral, bilateral in-phase and bilateral anti-phase grasptask. In acute stroke individuals, non-paretic arm movement became significantly slower (Z ¼ 3.180,p ¼ 0.001), jerkier (Z ¼ 3.184, p ¼ 0.001) and with lower peak velocity (Z ¼ 3.110, p ¼ 0.002)during bilateral in-phase grasp task compared to unilateral task mode. Furthermore, in acute strokeindividuals, non-paretic arm movement became significantly slower (Z ¼ 3.181, p ¼ 0.001) and jerkier (Z ¼ 3.181, p ¼ 0.001) during bilateral anti-phase grasp task compared to unilateral task mode.Conclusion: Bilateral in-phase and anti-phase task modes altered non-paretic arm kinematics instroke individuals, but not dominant arm kinematics in healthy individuals. Specifically, non-pareticarm kinematics in stroke individuals became slower and jerkier during bilateral in-phase and anti-phasegrasp task compared to unilateral task modes. Kinematic responses to bilateral task modes is affectedby stroke. Therapists should note detrimental performance effects of bilateral training modes on thenon-paretic arm.",
author = "{Pei Ling}, Choo and Gallagher, {Helen L.} and Jacqui Morris and {Van Wijck}, Frederike",
year = "2018",
doi = "DOI: 10.1177/1747493018801108",
language = "English",
volume = "13",
pages = "10--65",
journal = "International Journal of Stroke : Official Journal of the International Stroke Society",
issn = "1747-4930",
publisher = "Wiley",
number = "35",

}

Effects of unilateral, bilateral in-phase and anti-phase modes of a functional task on non-paretic arm kinematics in acute stroke: / Pei Ling, Choo; Gallagher, Helen L.; Morris, Jacqui; Van Wijck, Frederike.

In: International Journal of Stroke, Vol. 13, No. 35, 2018, p. 10-65.

Research output: Contribution to journalMeeting abstract

TY - JOUR

T1 - Effects of unilateral, bilateral in-phase and anti-phase modes of a functional task on non-paretic arm kinematics in acute stroke:

AU - Pei Ling, Choo

AU - Gallagher, Helen L.

AU - Morris, Jacqui

AU - Van Wijck, Frederike

PY - 2018

Y1 - 2018

N2 - Introduction: Arm dysfunction is not confined to the contralesional arm. Understanding intralimbkinematics of the non-paretic arm in stroke individuals provides insight to mechanisms of actionunderlying bilateral upper limb training (BT). This study aimed to compare the effects of unilateral,bilateral in-phase and anti-phase modes of a functional task on dominant/non-paretic arm kinematics inhealthy and acute stroke individuals respectively.Methods: 7 healthy and 13 acute stroke individuals underwent 3D motion capture of unilateral,bilateral in-phase and anti-phase modes of a functional grasp task. Intralimb kinematics was assessedthrough movement time, peak velocity, movement smoothness and movement directness.Results: In healthy individuals, dominant arm movement displayed no significant difference in any ofthe intralimb kinematic measures between unilateral, bilateral in-phase and bilateral anti-phase grasptask. In acute stroke individuals, non-paretic arm movement became significantly slower (Z ¼ 3.180,p ¼ 0.001), jerkier (Z ¼ 3.184, p ¼ 0.001) and with lower peak velocity (Z ¼ 3.110, p ¼ 0.002)during bilateral in-phase grasp task compared to unilateral task mode. Furthermore, in acute strokeindividuals, non-paretic arm movement became significantly slower (Z ¼ 3.181, p ¼ 0.001) and jerkier (Z ¼ 3.181, p ¼ 0.001) during bilateral anti-phase grasp task compared to unilateral task mode.Conclusion: Bilateral in-phase and anti-phase task modes altered non-paretic arm kinematics instroke individuals, but not dominant arm kinematics in healthy individuals. Specifically, non-pareticarm kinematics in stroke individuals became slower and jerkier during bilateral in-phase and anti-phasegrasp task compared to unilateral task modes. Kinematic responses to bilateral task modes is affectedby stroke. Therapists should note detrimental performance effects of bilateral training modes on thenon-paretic arm.

AB - Introduction: Arm dysfunction is not confined to the contralesional arm. Understanding intralimbkinematics of the non-paretic arm in stroke individuals provides insight to mechanisms of actionunderlying bilateral upper limb training (BT). This study aimed to compare the effects of unilateral,bilateral in-phase and anti-phase modes of a functional task on dominant/non-paretic arm kinematics inhealthy and acute stroke individuals respectively.Methods: 7 healthy and 13 acute stroke individuals underwent 3D motion capture of unilateral,bilateral in-phase and anti-phase modes of a functional grasp task. Intralimb kinematics was assessedthrough movement time, peak velocity, movement smoothness and movement directness.Results: In healthy individuals, dominant arm movement displayed no significant difference in any ofthe intralimb kinematic measures between unilateral, bilateral in-phase and bilateral anti-phase grasptask. In acute stroke individuals, non-paretic arm movement became significantly slower (Z ¼ 3.180,p ¼ 0.001), jerkier (Z ¼ 3.184, p ¼ 0.001) and with lower peak velocity (Z ¼ 3.110, p ¼ 0.002)during bilateral in-phase grasp task compared to unilateral task mode. Furthermore, in acute strokeindividuals, non-paretic arm movement became significantly slower (Z ¼ 3.181, p ¼ 0.001) and jerkier (Z ¼ 3.181, p ¼ 0.001) during bilateral anti-phase grasp task compared to unilateral task mode.Conclusion: Bilateral in-phase and anti-phase task modes altered non-paretic arm kinematics instroke individuals, but not dominant arm kinematics in healthy individuals. Specifically, non-pareticarm kinematics in stroke individuals became slower and jerkier during bilateral in-phase and anti-phasegrasp task compared to unilateral task modes. Kinematic responses to bilateral task modes is affectedby stroke. Therapists should note detrimental performance effects of bilateral training modes on thenon-paretic arm.

U2 - DOI: 10.1177/1747493018801108

DO - DOI: 10.1177/1747493018801108

M3 - Meeting abstract

VL - 13

SP - 10

EP - 65

JO - International Journal of Stroke : Official Journal of the International Stroke Society

JF - International Journal of Stroke : Official Journal of the International Stroke Society

SN - 1747-4930

IS - 35

ER -