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01-09-2013 | Volition

Arm–eye coordination test to objectively quantify motor performance and muscles activation in persons after stroke undergoing robot-aided rehabilitation training: a pilot study

Authors: Rong Song, Kai-Yu Tong, Xiaoling Hu, Le Li, Rui Sun

Published in: Experimental Brain Research | Issue 3/2013

Abstract

This study designed an arm–eye coordination test to investigate the effectiveness of the robot-aided rehabilitation for persons after stroke. Six chronic poststroke subjects were recruited to attend a 20-session robot-aided rehabilitation training of elbow joint. Before and after the training program, subjects were asked to perform voluntary movements of elbow flection and extension by following sinusoidal trajectories at different velocities with visual feedback on their joint positions. The elbow angle and the electromyographic signal of biceps and triceps as well as clinical scores were evaluated together with the parameters. Performance was objectively quantified by root mean square error (RMSE), root mean square jerk (RMSJ), range of motion (ROM), and co-contraction index (CI). After 20 sessions, RMSE and ROM improved significantly in both the affected and the unaffected side based on two-way ANOVA (P < 0.05). There was significant lower RMSJ in the affected side at higher velocities (P < 0.05). There was significant negative correlation between average RMSE with different tracking velocities and Fugl-Meyer shoulder–elbow score (P < 0.05). There was also significant negative correlation between average RMSE and average ROM (P < 0.05), and moderate nonsignificant negative correlation with RMSJ, and CI. The characterization of velocity-dependent deficiencies, monitoring of training-induced improvement, and the correlation between quantitative parameters and clinical scales could enable the exploration of effects of different types of treatment and design progress-based training method to accelerate the processes of recovery.

Barker RN, Brauer S, Carson R (2009) Training-induced changes in the pattern of triceps to biceps activation during reaching tasks after chronic and severe stroke. Exp Brain Res 196:483–496PubMedCrossRef

Bennett DJ, Hollerbach JM, Xu Y, Hunter IW (1992) Time-varying stiffness of human elbow joint during cyclic voluntary movement. Exp Brain Res 88:433–442PubMedCrossRef

Bohannon RW, Smith MB (1986) Interrater reliability of an modified Ashworth scale of muscle spasticity. Phys Ther 67:206–207

Canning CG, Ada L, O’Dwyer NJ (2000) Abnormal muscle activation characteristics associated with loss of dexterity after stroke. J Neurol Sci 176(1):45–56PubMedCrossRef

Chae J, Yang G, Park BK, Labatia I (2002a) Muscle weakness and cocontraction in upper limb hemiparesis: relationship to motor impairment and physical disability. Neurorehabil Neural Repair 16:241–248PubMed

Chae J, Yang G, Park BK, Labatia I (2002b) Delay in initiation and termination of muscle contraction, motor impairment, and physical disability in upper limb hemiparesis. Muscle Nerve 25(4):568–575PubMedCrossRef

Colombo R, Pisano F, Micera S, Mazzone A, Delconte C, Carrozza MC, Dario P, Minuco G (2005) Robotic techniques for upper limb evaluation and rehabilitation of stroke patients. IEEE Trans Neural Sys Rehabil Eng 13(3):311–324CrossRef

Colombo R, Pisano F, Micera S, Mazzone A, Delconte C, Carrozza MC, Dario P, Minuco G (2008) Assessing mechanisms of recovery during robot-aided neurorehabilitation of the upper limb. Neurorehabil Neural Repair 22(1):50–63PubMed

Cruz MA, Munoz J, Palacios F (1998) The muscle inhibitory period by transcranial magnetic stimulation: study in stroke patients. Electromyogr Clin Neurophysiol 38:189–192

Dewald JPA, Sheshadri V, Dawson ML, Beer RF (2001) Upper-limb discoordination in hemiparetic stroke: implications for neurorehabilitation. Top Stroke Rehabil 8:1–12PubMed

Dickstein R, Shefi S, Marcovitz E, Villa Y (2004) Electromyographic activity of voluntarily activated trunk flexor and extensor muscles in post-stroke hemiparetic subjects. Clin Neurophysiol 115(4):790–796PubMedCrossRef

Fitts PM (1954) The information capacity of the human motor system in controlling the amplitude of movement. J Exp Psychol 47(6):381–391PubMedCrossRef

Frost G, Dowling J, Dyson K, Bar-Or O (1997) Cocontraction in three age groups of children during treadmill locomotion. J Electromyogr Kinesiol 7(3):179–186PubMedCrossRef

Fugl-Meyer AR, Jaasko I, Leyman I, Olssom S, Steglind S (1975) The post-stroke hemiplegic patient. I. A method for evaluation of physical performance. Scand J Rehab Med 7:13–31

Ghez C (1991) The control of movement. In: Kandal ER, Schwartz JH, Jessell TM (eds) Principles of neural science. Appleton & Lange, Norwalk, pp 533–563

Haaland KY, Harrington DL, Yeo R (1987) The effects of task complexity on motor performance in left and right CVA patients. Neuropsychologia 25(5):783–794PubMedCrossRef

Hogan N (1984) An organizing principle for a class of voluntary movements. J Neurosci 4:2745–2754PubMed

Hogan N, Krebs HI, Rohrer B, Palazzolo JJ, Dipietro L, Fasoli SE, Stein J, Frontera WR, Volpe BT (2006) Motions or muscles? Some behavioral factors underlying robotic assistance of motor recovery. J Rehabil Res Dev 43(5):605–618PubMedCrossRef

Ju MS, Lin CC, Chen JR, Cheng HS, Lin CW (2002) Performance of elbow tracking under constant torque disturbance in normotonic stroke patients and normal subjects. Clin Biomech 17:640–649

Kisiel-Sajewicz K, Fang Y, Hrovat K, Yue GH, Siemionow V, Sun CK, Jaskólska A, Jaskólski A, Sahgal V, Daly JJ (2011) Weakening of synergist muscle coupling during reaching movement in stroke patients. Neurorehabil Neural Repair 25(4):359–368

Lum PS, Burgar CG, Kenney DE, Van der Loos HF (1999) Quantification of force abnormalities during passive and active-assisted upper-Limb reaching movements in post-stroke hemiparesis. IEEE Trans Biomed Eng 46(6):652–662PubMedCrossRef

Lum PS, Burgar CG, Shor PC (2004) Evidence for improved muscle activation patterns after retraining of reaching movements with the MIME robotic system in subjects with post-stroke hemiparesis. IEEE Trans Neural Syst Rehabil Eng 12(2):186–194PubMedCrossRef

McCrea PH, Eng JJ (2005) Consequences of increased neuromotor noise for reaching movements in persons with stroke. Exp Brain Res 162(1):70–77PubMedCrossRef

McLellan DL, Hassan N, Hodgson JA (1985) Tracking tasks in the assessment of spasticity. In: Delwaide PJ, Young RR (eds) Clinical neurophysiology in spasticity. Elsevier, Amsterdam, pp 131–139

Nielsen J, Kagamihara K (1993) The regulation of presynaptic inhibition during co-contraction of antagonistic muscles in man. J Physiol 464(1):575–593PubMed

Rohrer B, Fasoli S, Krebs HI, Hughes R, Volpe B, Frontera WR, Stein J, Hogan N (2002) Movement smoothness changes during stroke recovery. J Neurosci 22:8297–8304PubMed

Rymer WZ, Katz RT (1994) Mechanisms of spastic hypertonia. Phys Med Rehabil 8:442–453

Song R, Tong KY, Hu XL, Li L (2008) Assistive control system using continuous myoelectric signal in robot-aided arm training for patients after stroke. IEEE Trans Neural Syst Rehabil Eng 16(4):371–379PubMedCrossRef

Sukal TM, Ellis MD, Dewald JPA (2007) Shoulder abduction-induced reductions in reaching work area following hemiparetic stroke: neuroscientific implications. Exp Brain Res 183:215–223PubMedCrossRef

Uno Y, Kawato M, Suzuki R (1989) Formation and control of optimal trajectory in human multijoint arm movement: minimum torque-change model. Biol Cybern 61:89–101PubMedCrossRef

Volpe BT, Krebs HI, Hogan N, Edelstein OTR, Diels C, Aisen M (2000) A novel approach to stroke rehabilitation: robot-aided sensorimotor stimulation. Neurology 54(10):1938–1944PubMedCrossRef

Wiegner AW, Wierzbicka MM (1992) Kinematic models and human elbow flexion movements: quantitative analysis. Exp Brain Res 88:665–673PubMedCrossRef

Title: Arm–eye coordination test to objectively quantify motor performance and muscles activation in persons after stroke undergoing robot-aided rehabilitation training: a pilot study
Authors: Rong Song
Kai-Yu Tong
Xiaoling Hu
Le Li
Rui Sun
Publication date: 01-09-2013
Publisher: Springer Berlin Heidelberg
Published in: Experimental Brain Research / Issue 3/2013
Print ISSN: 0014-4819
Electronic ISSN: 1432-1106
DOI: https://doi.org/10.1007/s00221-013-3418-3

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