Assessment of upper limb spasticity in stroke patients using the robotic device REAplan
| العنوان: | Assessment of upper limb spasticity in stroke patients using the robotic device REAplan |
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| المؤلفون: | Gaëtan Stoquart, Maxime Gilliaux, Christine Detrembleur, Stéphanie Dehem, Julien Sapin, Thierry Lejeune, Daniel Galinski, Martin Vanderwegen |
| المساهمون: | UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - SST/IMMC/MEED - Mechatronic, Electrical Energy, and Dynamics Systems |
| المصدر: | Journal of Rehabilitation Medicine, Vol. 49, no.49, p. 565–571 (2017) Journal of Rehabilitation Medicine, Vol 49, Iss 7, Pp 565-571 (2017) |
| بيانات النشر: | Medical Journals Sweden AB, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, 0209 industrial biotechnology, medicine.medical_specialty, Stroke patient, Elbow flexor, Motor nerve, Physical Therapy, Sports Therapy and Rehabilitation, RM1-950, 02 engineering and technology, upperextremity, 03 medical and health sciences, 020901 industrial engineering & automation, 0302 clinical medicine, Physical medicine and rehabilitation, Robotic Surgical Procedures, Humans, Medicine, Resistance force, Spasticity, Chronic stroke, business.industry, Rehabilitation, Stroke Rehabilitation, Robotics, General Medicine, Middle Aged, Stroke, body regions, medicine.anatomical_structure, Muscle Spasticity, Chronic Disease, Upper limb, Female, Therapeutics. Pharmacology, Upper limb spasticity, medicine.symptom, business, robotics,musclespasticity, 030217 neurology & neurosurgery, symptomassessment |
| الوصف: | Objective: To assess the capacity of the robotic device REAplan to measure overall upper limb peak resistance force, as a reflection of upper limb spasticity. Methods: Twelve patients with chronic stroke presenting upper limb spasticity were recruited to the study. Patients underwent musculocutaneous motor nerve block to reduce the spasticity of elbow flexor muscles. Each patient was assessed before and after the motor nerve block. Overall the REAplan measured upper limb resistance force. The robot passively mobilized the patient’s upper limb at various velocities (10, 20, 30, 40 and 50 cm/s) in a back-and-forth trajectory (30 cm). The peak resistance force was analysed for each forward movement. Ten movements were performed and averaged at each velocity condition. Results: The overall upper limb resistance force increased proportionally to the mobilization velocity (p < 0.001). Resistance force decreased after the motor nerve block at 40 and 50 cm/s (p < 0.05). Overall upper limb resistance force results showed excellent correlation with the Modified Ashworth Scale for elbow flexor muscles, for each velocity condition equal or higher than 30 cm/s (ρ >0.6). Conclusion: This study proposes a new, valid, reliable and sensitive protocol to quantify upper limb resistance force using the REAplan, as a reflection of upper limb spasticity. |
| تدمد: | 1650-1977 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b7e9fdfbd2ccafb006fe973d3f878666Test https://doi.org/10.2340/16501977-2248Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b7e9fdfbd2ccafb006fe973d3f878666 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16501977 |
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