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Individuals with Chronic Hemiparetic Stroke Correctly Match Forearm Position Within a Single Arm: Preliminary Findings

  • Erik J. Euving
  • Netta Gurari
  • Justin M. Drogos
  • Stuart Traxel
  • Arno H. A. Stienen
  • Julius P. A. Dewald
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9774)

Abstract

According to between arms position matching assessments, more than 50 % of individuals with stroke may have moderate to severe proprioceptive deficits. This study is the first of a series of studies designed to investigate the reason for observed between arms position matching deficits. In this work, we quantified the ability of five participants with chronic hemiparetic stroke (participants with stroke) and five age-matched participants without neurological impairments (controls) to match forearm positions within a single arm. According to the revised Nottingham Sensory Assessment, the participants with stroke all had impaired forearm position sense and unimpaired forearm movement direction sense, while the controls had unimpaired forearm position and movement direction sense. A custom robotic device was used to quantify each participant’s task performance during active movements when performing a single arm memory matching task. Participants were asked to match the location of the forearm with a remembered target location. Results show that the participants with stroke identified the target location just as well as the controls. Based on our findings, we suggest that our participants with chronic hemiparetic stroke, who have deficits in matching forearm positions across both arms, may not have impaired forearm position sense within a single arm, and we suggest that the position matching deficits may arise for non-sensory related reasons. Future work will continue to use such behavioral studies to investigate possible central neural mechanisms that may be contributing to the observed between arms position matching deficits.

Keywords

Target Location Elbow Joint Constant Error Robotic Device Target Error 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgements

We thank Arvid Keemink for his assistance with the software, Paul Krueger and Di Zhang for their assistance with the hardware, Carolina Carmona for her assistance with the data collection, the participants who partook in the experiment and the anonymous reviewers for their feedback.

References

  1. 1.
    Carey, L.M., Matyas, T.A., Oke, L.E.: Evaluation of impaired fingertip texture discrimination and wrist position sense in patients affected by stroke: comparison of clinical and new quantitative measures. J. Hand Ther. 15(1), 71–82 (2002)CrossRefGoogle Scholar
  2. 2.
    Cole, J.: Pride and a Daily Marathon. MIT Press, Cambridge (1995)Google Scholar
  3. 3.
    Connell, L.A., Lincoln, N., Radford, K.: Somatosensory impairment after stroke: frequency of different deficits and their recovery. Clin. Rehabil. 22(8), 758–767 (2008)CrossRefGoogle Scholar
  4. 4.
    Dukelow, S.P., Herter, T.M., Moore, K.D., Demers, M.J., Glasgow, J.I., Bagg, S.D., Norman, K.E., Scott, S.H.: Quantitative assessment of limb position sense following stroke. Neurorehabil. Neural Repair 24(2), 178–187 (2010)CrossRefGoogle Scholar
  5. 5.
    Fuentes, C.T., Bastian, A.J.: Where is your arm? Variations in proprioception across space and tasks. J. Neurophysiol. 103(1), 164–171 (2010)CrossRefGoogle Scholar
  6. 6.
    Fugl-Meyer, A.R., Jääskö, L., Leyman, I., Olsson, S., Steglind, S.: The post-stroke hemiplegic patient. 1. A method for evaluation of physical performance. Scand. J. Rehabil. Med. 7(1), 13–31 (1974)Google Scholar
  7. 7.
    Ghez, C., Gordon, J., Ghilardi, M., Christakos, C., Cooper, S.: Roles of proprioceptive input in the programming of arm trajectories. In: Cold Spring Harbor Symposia on Quantitative Biology, vol. 55, pp. 837–847. Cold Spring Harbor Laboratory Press (1990)Google Scholar
  8. 8.
    Goble, D.J., Aaron, M.B., Warschausky, S., Kaufman, J.N., Hurvitz, E.A.: The influence of spatial working memory on ipsilateral remembered proprioceptive matching in adults with cerebral palsy. Exp. Brain Res. 223(2), 259–269 (2012)CrossRefGoogle Scholar
  9. 9.
    Goble, D.J., Brown, S.H.: Task-dependent asymmetries in the utilization of proprioceptive feedback for goal-directed movement. Exp. Brain Res. 180(4), 693–704 (2007)CrossRefGoogle Scholar
  10. 10.
    Gritsenko, V., Krouchev, N.I., Kalaska, J.F.: Afferent input, efference copy, signal noise, and biases in perception of joint angle during active versus passive elbow movements. J. Neurophysiol. 98(3), 1140–1154 (2007)CrossRefGoogle Scholar
  11. 11.
    Gurari, N., Baud-Bovy, G.: Customization, control, and characterization of a commercial haptic device for high-fidelity rendering of weak forces. J. Neurosci. Methods 235, 169–180 (2014)CrossRefGoogle Scholar
  12. 12.
    Henry, F.M.: Variable and constant performance errors within a group of individuals. J. Mot. Behav. 6(3), 149–154 (1974)CrossRefGoogle Scholar
  13. 13.
    Hirayama, K., Fukutake, T., Kawamura, M.: ‘Thumb localizing test’ for detecting a lesion in the posterior column-medial lemniscal system. J. Neurol. Sci. 167(1), 45–49 (1999)CrossRefGoogle Scholar
  14. 14.
    Lincoln, N., Jackson, J., Adams, S.: Reliability and revision of the Nottingham sensory assessment for stroke patients. Physiotherapy 84(8), 358–365 (1998)CrossRefGoogle Scholar
  15. 15.
    Oldfield, R.C.: The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia 9(1), 97–113 (1971)CrossRefGoogle Scholar
  16. 16.
    Proske, U., Wise, A., Gregory, J.: The role of muscle receptors in the detection of movements. Prog. Neurobiol. 60(1), 85–96 (2000)CrossRefGoogle Scholar
  17. 17.
    Proske, U., Gandevia, S.C.: The proprioceptive senses: their roles in signaling body shape, body position and movement, and muscle force. Physiol. Rev. 92(4), 1651–1697 (2012)CrossRefGoogle Scholar
  18. 18.
    Proske, U., Morgan, L., Gregory, J.E., Morgan, D.L., Gregory, J.E., Morgan, L., Gregory, J.E.: Thixotropy in skeletal muscle and in muscle spindles; a review. Prog. Neurobiol. 41(6), 705–721 (1993)CrossRefGoogle Scholar
  19. 19.
    Schutz, R.W., Roy, E.A.: Absolute error: the devil in disguise. J. Mot. Behav. 5(3), 141–153 (1973)CrossRefGoogle Scholar
  20. 20.
    Simo, L., Botzer, L., Ghez, C., Scheidt, R.A.: A robotic test of proprioception within the hemiparetic arm post-stroke. J. Neuroeng. Rehabil. 11(1), 1 (2014)CrossRefGoogle Scholar
  21. 21.
    Stienen, A.H., McPherson, J.G., Schouten, A.C., Dewald, J.: The ACT-4D: a novel rehabilitation robot for the quantification of upper limb motor impairments following brain injury. In: 2011 IEEE International Conference on Rehabilitation Robotics (ICORR), pp. 1–6. IEEE (2011)Google Scholar
  22. 22.
    Tan, H.Z., Srinivasan, M.A., Reed, C.M., Durlach, N.I.: Discrimination and identification of finger joint-angle position using active motion. ACM Trans. Appl. Percept. (TAP) 4(2), 10 (2007)CrossRefGoogle Scholar
  23. 23.
    Vidoni, E.D., Boyd, L.A.: Preserved motor learning after stroke is related to the degree of proprioceptive deficit. Behav. Brain Funct. 5(1), 1 (2009)CrossRefGoogle Scholar
  24. 24.
    Winward, C.E., Halligan, P.W., Wade, D.T.: The Rivermead Assessment of Somatosensory Performance (RASP): standardization and reliability data. Clin. Rehabil. 16(5), 523–533 (2002)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Erik J. Euving
    • 1
  • Netta Gurari
    • 2
  • Justin M. Drogos
    • 2
  • Stuart Traxel
    • 2
  • Arno H. A. Stienen
    • 1
    • 2
  • Julius P. A. Dewald
    • 1
    • 2
    • 3
    • 4
  1. 1.Faculty of Engineering Technology, Department of Biomechanical EngineeringUniversity of TwenteEnschedeThe Netherlands
  2. 2.Department of Physical Therapy and Human Movement SciencesNorthwestern UniversityChicagoUSA
  3. 3.Department of Biomedical EngineeringNorthwestern UniversityChicagoUSA
  4. 4.Department of Physical Medicine and RehabilitationNorthwestern UniversityChicagoUSA

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