Impaired limb position sense after stroke: A quantitative test for clinical use

Carey, Leeanne M.; Oke, Linda E.; Matyas, Thomas A.

doi:10.1016/s0003-9993(96)90192-6

Cited by 193 publications

(233 citation statements)

References 45 publications

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“…The Wrist Position Sense Test (Carey, Oke, & Matyas, 1996) assesses a person's capacity to recognize wrist position. The standardized test has high test-retest reliability (r s 5 .88 and .92) and good discriminative validity (Carey et al, 1996). The tester occludes the participant's vision of hand and wrist by placing them in a boxlike apparatus.…”

Section: Measures: Proprioceptionmentioning

confidence: 99%

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Measuring Change in Somatosensation Across the Lifespan

Dunn

Griffith

Sabata

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. The study aim was to determine natural variability in somatosensation across age groups using brief measures. We validated measures in a community-dwelling population as part of the National Institutes of Health (NIH) Toolbox for Assessment of Neurological and Behavioral Function (NIH Toolbox; http://www.nihtoolbox.org).METHOD. Participants included community-dwelling children and adults (N 5 367, ages 3-85 yr) across seven sites. We tested haptic recognition, touch detection-discrimination, and proprioception using brief affordable measures as required by the NIH Toolbox.RESULTS. Accuracy improved from young children to young adults; from young to older adults, the pattern reversed slightly. We found significant differences between adults and older adults. One proprioception test (kinesthesia; p 5.003) showed gender differences (females more accurate). We provide expected score ranges for age groups as a basis for understanding age-related expectations for somatosensory perception.CONCLUSION. The age-related patterns of somatosensory perception from this study refine decision making about performance.

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Section: Measures: Proprioceptionmentioning

confidence: 99%

“…For the Clinical Test of Wrist Position (Carey et al, 1996), the tester manually moves the participant's dominant wrist to five flexion-extension test positions with vision occluded. For each position, the participant selects a wrist position on a photograph, and the tester records the number correct out of the five trials.…”

Section: Measures: Proprioceptionmentioning

confidence: 99%

Measuring Change in Somatosensation Across the Lifespan

Dunn

Griffith

Sabata

et al. 2015

The American Journal of Occupational Therapy

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“…According to Sterzi et al 2 , the somatic sensations are affected in 37% of patients with a injury in the right hemisphere and in 25% of patients with a injury in the left hemisphere. The most evident consequences of the somato-sensory impairments are alterations in tactile recognition and in the manipulation of objects, the threat of burns or other injuries in the limb with loss of sensory perception, motor changes of the affected limb, deficits to control the level of strength during hand grip and gait impairments [2][3][4][5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Lima¹,

Queiroz²,

Salvo³

et al. 2010

Rev. bras. fisioter.

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Objectives: To investigate the inter-rater and intra-rater reliability, construct validity and internal consistency of the Brazilian version of the Nottingham Sensory Assessment for Stroke Patients (NSA). Methods: The instrument was translated into Portuguese from its original in English by a bilingual translator and was then back-translated into English. Twenty-one hemiparetics were evaluated by two examiners using the NSA and the Fugl-Meyer Assessment (FMA) of physical performance. Results: Significant correlation were found between the FMA and the NSA (r=0.752). The NSA showed excellent internal consistency (0.86), and there were acceptable inter-and intra-rater reliability for all items of the NSA, except temperature. Significant ceiling effects were found for the NSA and the FMA. Conclusions: The Brazilian version of the NSA met the criteria for agreement, internal consistency and concurrent validity. It was quick and easy to apply, and it could be used within clinical practice in neuro-rehabilitation outpatient clinics to assess sensory functions following stroke. The significant ceiling effect for the NSA did not limit its use, given that for the same patients, the FMA also showed ceiling effects.Key words: stroke; disability evaluation; validity tests; sensation; rehabilitation. ResumoObjetivo: Verificar a concordância inter e intraexaminador, validade construtiva e consistência interna da versão brasileira do instrumento Nottingham Sensory Assessment para hemiparéticos após acidente vascular encefálico (AVE). Métodos: O instrumento foi traduzido para língua portuguesa com base na sua versão original em Inglês por um tradutor bilíngue e, posteriormente, revertido para a língua inglesa. Vinte e um hemiparéticos foram avaliados por dois examinadores pela Avaliação Sensorial de Nottingham para pacientes pós-AVE (ASN) e pelo Protocolo de Desempenho Físico de Fugl-Meyer (FM). Resultados: Foi encontrada correlação entre os instrumentos FM e ASN (0,752); excelente consistência interna da ASN (0,86); excelentes coeficientes de concordância interexaminador e intraexaminador para todos os itens da ASN, exceto temperatura e efeito teto significativo para ASN e FM. Conclusão: A versão brasileira da Nottingham Sensory Assessment cumpriu os critérios de concordância, consistência interna e validade concorrente, sendo um instrumento de rápida e fácil aplicação, podendo ser utilizada nos ambulatórios de neuroreabilitação para avaliar a função sensorial pós-AVE. O efeito teto significativo da ASN não limita seu uso, tendo em vista que, para os mesmos pacientes, o Protocolo de Fugl-Meyer também revelou efeito teto.Palavras-chave: acidente cerebral vascular; avaliação da deficiência; testes de validade; sensação; reabilitação.

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“…Relatively simple approaches have been developed to quantify impairments in proprioceptive function for subjects with stroke [71][72], but they require manual repositioning of the limb. We have recently developed a robotbased system and quantified proprioceptive function of 45 patients at ~1 month poststroke and 65 age-matched nondisabled control subjects [73].…”

Section: Robots For Upper-limb Sensory Assessmentmentioning

confidence: 99%

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

Scott¹,

Dukelow²

2011

JRRD

167

118

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Abstract-Robotic technologies have profoundly affected the identification of fundamental properties of brain function. This success is attributable to robots being able to control the position of or forces applied to limbs, and their inherent ability to easily, objectively, and reliably quantify sensorimotor behavior. Our general hypothesis is that these same attributes make robotic technologies ideal for clinically assessing sensory, motor, and cognitive impairments in stroke and other neurological disorders. Further, they provide opportunities for novel therapeutic strategies. The present opinionated review describes how robotic technologies combined with virtual/augmented reality systems can support a broad range of behavioral tasks to objectively quantify brain function. This information could potentially be used to provide more accurate diagnostic and prognostic information than is available from current clinical assessment techniques. The review also highlights the potential benefits of robots to provide upper-limb therapy. Although the capital cost of these technologies is substantial, it pales in comparison with the potential cost reductions to the overall healthcare system that improved assessment and therapeutic interventions offer.

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Impaired limb position sense after stroke: A quantitative test for clinical use

Cited by 193 publications

References 45 publications

Measuring Change in Somatosensation Across the Lifespan

Measuring Change in Somatosensation Across the Lifespan

Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade

Potential of robots as next-generation technology for clinical assessment of neurological disorders and upper-limb therapy

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