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Cited by 71Stroke Rehabilitation and RecoveryMotor Control and AdaptationSpatial Neglect and Hemispheric Dysfunction

Movement Kinematics of the Ipsilesional Upper Extremity in Persons With Moderate or Mild Stroke

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Bustrén, Eva-Lena, Sunnerhagen, Katharina Stibrant, Alt Murphy, Margit·2017·Neurorehabilitation and Neural Repair
DOI 10.1177/1545968316688798
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Abstract

Background . An increasing number of studies have indicated that the ipsilesional arm may be impaired after stroke. There is, however, a lack of knowledge whether ipsilesional deficits influence movement performance during purposeful daily tasks. Objective . The aim of this study was to investigate whether, and to what extent, movement impairments are present while performing an ipsilesional upper extremity task during the first 3 months after stroke. Methods . Movement kinematics describing movement time, smoothness, velocity, strategy, and pattern were captured during a standardized drinking task in 40 persons with first-ever stroke and 20 controls. Kinematics were measured early and at 3 months poststroke, and sensorimotor impairment was assessed with Fugl-Meyer Assessment in stroke. Results . Half of the ipsilesional kinematics showed significant deficits early after stroke compared to controls, and the stroke severity had a significant impact on the kinematics. Movements of the ipsilesional arm were slower, less smooth, demonstrated prolonged relative time in deceleration, and increased arm abduction during drinking. Kinematics improved over time and reached a level comparable with controls at 3 months, except for angular velocity of the elbow and deceleration time in reaching for those with more severe motor impairment. Conclusions . This study demonstrates that movements of the ipsilesional arm, during a purposeful daily task, are impaired after stroke. These deficits are more prominent early after stroke and when the motor impairment is more severe. In clinical studies and praxis, the use of less-affected arm as a reference may underestimate the level of impairment and extent of recovery.

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  • Clinical scales may adequately reflect the patients' symptoms or disabilities, but they are often limited by the predefined ordinal scoring levels and lack sensitivity to more detailed and subtle changes in the clinical status.

    “Although the clinical scales may adequately reflect the patients’ symptoms or disabilities, they are often limited by the predefined ordinal scoring levels and lack sensitivity to more detailed and subtle changes in the clinical status [22, 37, 70, 71].”

    From Wearable sensors for clinical applications in epilepsy, Parkinson’s disease, and stroke: A mixed-methods systematic review (2018) · cites this paper as [71]

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Authors
Bustrén, E.-L., Sunnerhagen, K. S., & Alt Murphy, M.
Affiliations
  • Sahlgrenska University Hospital (SE)
  • University of Gothenburg (SE)
  • Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
ORCID
Sunnerhagen, Katharina Stibrant
Venue
Neurorehabilitation and Neural Repair
Publisher
SAGE Publications
Published
2017-01-20
Volume
31
Issue
4
Pages
376-386
ISSN
  • 0888-4390 (ISSN-L)
  • 1545-9683
  • 1552-6844
DOI
10.1177/1545968316688798
OpenAlex
W2575316140
Cited by
71
References
59
Citations by year
2026: 6 · 2025: 5 · 2024: 14 · 2023: 8 · 2022: 12 · 2021: 11 · 2020: 6 · 2019: 2 · 2018: 5 · 2017: 2
FWCI
3.90
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Neurorehabilitation and neural repair (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Stroke Association
  • Stiftelsen Handlanden Hjalmar Svenssons
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Spatial Neglect and Hemispheric Dysfunction
Keywords
stroke, movement kinematics, drinking task, stroke severity, motor impairment, deceleration time, arm abduction, stroke recovery, Fugl-Meyer Assessment
MeSH terms
Activities of Daily Living, Aged, Biomechanical Phenomena, Disability Evaluation, Drinking Behavior, Female, Follow-Up Studies, Humans, Functional Laterality, Longitudinal Studies, Male, Middle Aged, Motor Activity, Prospective Studies, Severity of Illness Index, Time Factors, Recovery of Function, Stroke, Upper Extremity

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