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Kinematic Outcome Measures using Target-Reaching Arm Movement in Stroke

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Abstract

This study aimed to quantitatively investigate upper extremity motor performance and disclose the abnormality of motor control induced by stroke. Ten patients and ten healthy subjects were instructed to perform target-reaching tasks at nine difficulty levels, and coordinates of the shoulder, elbow and tip of the index finger were recorded. Age-matched control performed significantly better than patients, as indicated by lower movement time (MT) and normalized jerk score (NJS) and higher peak velocity (V peak), percentage time to peak velocity (PTPV), fuzzy approximate entropy (fApEn) and relative joint angles correlation (RJAC); also, significant effects of difficulty on all parameters except RJAC and fApEn, were observed in two groups. There were significant correlations between PTPV and Fugl-Meyer assessment for upper extremity (FMA-UE) and between RJAC and FMA-UE at certain difficulty levels. The stroke-related differences could be explained by the increase in intrinsic neuromotor noise, and the difficulty-related differences may be related to extrinsic neuromotor noise. The increase in either noises could result in a degradation in motor control. The significant linear relationships between some kinematic parameters and the clinical score suggested that the kinematic parameters could be applied as quantitative outcome measures in the clinic in the future.

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Acknowledgments

The authors would like to thank participants in the stroke rehabilitation teams of the First Affiliated Hospital of Sun Yat-sen University and the Sun Yat-sen Memorial Hospital, their enthusiastic participation in this study are gratefully appreciated. The project has been carried out with financial support from the National Natural Science Foundation of China (Grant No. 61273359 and 91520201), Guangdong Science and Technology Planning Project (Grant No. 2014B090901056 and 2015B020214003), and Guangzhou Key Lab of Body Data Science (Grant No. 201605030011).

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Authors and Affiliations

  1. Key Laboratory of Sensing Technology and Biomedical Instrument of Guangdong Province, School of Engineering, Sun Yat-sen University, Guangzhou, 510006, China

    Qianqian Yang, Yuan Yang, Jie Luo & Rong Song

  2. Guangdong Provincial Engineering and Technology Center of Advanced and Portable Medical Devices, Guangzhou, 510006, China

    Qianqian Yang, Yuan Yang, Jie Luo & Rong Song

  3. Department of Rehabilitation Medicine, Guangdong Engineering Technology Research Center for Rehabilitation Medicine and Clinical Translation, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China

    Le Li

  4. Department of Rehabilitation Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China

    Tiebin Yan

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  1. Qianqian Yang
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Correspondence to Rong Song.

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Associate Editor Xiaoxiang Zheng oversaw the review of this article.

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Yang, Q., Yang, Y., Luo, J. et al. Kinematic Outcome Measures using Target-Reaching Arm Movement in Stroke. Ann Biomed Eng 45, 2794–2803 (2017). https://doi.org/10.1007/s10439-017-1912-7

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  • DOI: https://doi.org/10.1007/s10439-017-1912-7

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