Reducing Trunk Compensation in Stroke Survivors: A Randomized Crossover Trial Comparing Visual and Force Feedback Modalities

Archives of Physical Medicine and Rehabilitation
Bulmaro A ValdésH F Machiel Van der Loos

Abstract

To investigate whether the compensatory trunk movements of stroke survivors observed during reaching tasks can be decreased by force and visual feedback, and to examine whether one of these feedback modalities is more efficacious than the other in reducing this compensatory tendency. Randomized crossover trial. University research laboratory. Community-dwelling older adults (N=15; 5 women; mean age, 64±11y) with hemiplegia from nontraumatic hemorrhagic or ischemic stroke (>3mo poststroke), recruited from stroke recovery groups, the research group's website, and the community. In a single session, participants received augmented feedback about their trunk compensation during a bimanual reaching task. Visual feedback (60 trials) was delivered through a computer monitor, and force feedback (60 trials) was delivered through 2 robotic devices. Primary outcome measure included change in anterior trunk displacement measured by motion tracking camera. Secondary outcomes included trunk rotation, index of curvature (measure of straightness of hands' path toward target), root mean square error of hands' movement (differences between hand position on every iteration of the program), completion time for each trial, and posttest questionnair...Continue Reading

Associated Clinical Trials

Jan 13, 2016·Hendrik F. Machiel Van der Loos

References

Apr 26, 2003·Acta Neurologica Scandinavica·A Roby-BramiM F Levin
Feb 27, 2004·Experimental Brain Research·Stella M MichaelsenMindy F Levin
Jun 12, 2004·Stroke; a Journal of Cerebral Circulation·Stella M Michaelsen, Mindy F Levin
Dec 13, 2005·Stroke; a Journal of Cerebral Circulation·Stella Maris MichaelsenMindy F Levin
Sep 25, 2008·Neurorehabilitation and Neural Repair·Michelle L WoodburyLorie G Richards
Jan 2, 2009·Neurorehabilitation and Neural Repair·Mindy F LevinSteven L Wolf
Sep 4, 2010·Stroke; a Journal of Cerebral Circulation·Sandeep K SubramanianMindy F Levin
Dec 18, 2010·Stroke; a Journal of Cerebral Circulation·Katherine J SullivanPamela W Duncan
Apr 20, 2013·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Lisa M MuratoriSusan V Duff
Dec 10, 2016·Journal of Motor Behavior·Bulmaro A ValdésH F Machiel Van der Loos

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Citations

Oct 29, 2017·Topics in Stroke Rehabilitation·Bulmaro A Valdés, H F Machiel Van der Loos
Mar 23, 2018·Games for Health Journal·Bulmaro A ValdésH F Machiel Van der Loos
Jul 16, 2020·Journal of Neuroengineering and Rehabilitation·Bulmaro A ValdésCarlo Menon
Nov 16, 2018·Journal of Neuroengineering and Rehabilitation·K K A BakhtiD Mottet
Apr 10, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Yun CaoJingling Chang

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