None listed
Conditions
Brief summary
Previous studies have compared the pointing or reaching movement performance between healthy and post stroke adults. However, none of them has evaluated the movements in the following three levels simultaneously: muscular, kinematic and kinetic level. Most of them have evaluated the execution of pointing and reaching movements at a kinematic level. Therefore, the general purpose of this study is to Characterization of Upper-extremity movements of healthy and post stroke adults, through Electromyography and Biomechanical Analysis, during the performance of pointing movements. The type of study will have a matched case-control design. Thus, there will be an Exposure group of post stroke adults and a Comparison group of healthy adults matched for age and gender with the post stroke adults of the Exposure group. Both groups will performed a pointing task of 25 trials (5 targets x 5 times) in a single session day. The session should take approximately 1 hour 30 minutes for the Exposure group and 1 hour 10 minutes for the Comparison group. Five small plates of reflective markers and three surface EMG sensors will be place on participants´ joints and muscles, respectively. In this study, a Motion tracking camera and a electromyography system will be used. Data from the two devices will be acquired in real time and processed by a single computer. The main electromyography, kinematic and kinetic parameters that will be measured to evaluate the pointing movement performance are: - Joint movement smoothness - Time to complete the sit-to-stand task - Energy expenditure to perform the sit-to-stand task - Rotational forces (torques) at human joints - EMG rectified signal
Interventions
The exposure group will include 20 post stroke adults. This group will perform a pointing task using the more disable upper extremity from a sitting position and with the trunk vertical. The pointing task consists in indicating with the index finger five targets, projected on a panel in front of the participant and equally distributed in a semicircle. The center of the semicircle is aligned to the shoulder of the participant with a radius equal to 80% of arm length. Each of the targets will be pointed five times following the next consecutive steps: (1) hold the arm in a rest position (forearm resting on the leg) for 1 s. (2) move the arm at a preferred speed to point the lighted target with the index finger (3) hold steady pointing the target for 1s (4) move back the arm to the initial rest position The start of each step is indicated using sound (ie., beeps). In total, each participant will performed 25 trials (5 targets x 5 times). Before starting the pointing task, the weight of participants and length of their upper body segments (torso, arm, forearm, hand and clavicle) will be measured. Then, an electromyography surface sensor will be place in the supraspinatus, infraspinatus and teres minor muscles. Finally, 4 small plates containing 3 reflective markers each, will be placed on the participants’ joints (wrist, elbow, shoulder and clavicle). During the performance of the pointing task, the following measurements will be taken: (i) competition time, (ii) angular and Cartesian variables of joints, such as position, velocity and acceleration, (iii) dynamic variables, such as torques and derived metrics, such as mechanical work and movement smoothness, and (iv) EMG rectified signal of three muscles. All these measurements will be obtained from the integration and analysis in real time of raw data coming from a tracking camera (Optitrack V120) and a surface electromyography system (Delsys Bagnoli). Each participant of the Exposure Group will complete the pointing task on a session day, which will be organized chronologically as follows: (1) Take body weight and length segments measurements (2) Placement of 4 small plates of reflective markers on participant´s joints (3) Placement of 3 EMG surface sensors (4) Performance of the pointing task (n=6) (5) Removal of the reflective markers and EMG sensors A short practice period before starting step 4 will be considered and short breaks between the pointing of each target will be allowed. The total duration of the observation session will be approximately of 1 hour and 30 min.
Sponsors
Eligibility
Inclusion criteria
- Be a patient at the CREE (Center for Rehabilitation and Special Education) in Saltillo -With a medical diagnosis of stroke -With a GMFC between I and III - Ability to understand and follow instructions -Submit the "Informed Consent" signed before the study
Exclusion criteria
- Ingestion of some type of drug or controlled medication