Kinematic Characteristics of Reaching Movements in Preterm Children with Cerebral Palsy

Heide, Jolanda C van der; Fock, Johanna M.; Otten, Bert; Stremmelaar, Elisabeth F; Hadders‐Algra, Mijna

doi:10.1203/01.pdr.0000157771.20683.14

Cited by 84 publications

(97 citation statements)

References 36 publications

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“…Several studies have tried to analyze the validity of the kinematic metrics proposed, analyzing the correlation between metrics and clinical scales (Celik et al, 2010;Colombo et al, 2008;Osu et al, 2011;Van der Heide et al, 2005), but for the use of metrics as evaluative measures more effort must be performed in the analysis of aspects such as reproducibility and sensitivity to the change. Recently, a study has analyzed the sensitivity to the change and has demonstrated that metrics such as the movement time, smoothness and trunk range of motion have the ability of detecting improvements in the upper extremity function after the first three months after stroke (Murphy et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

“…These studies applied kinematic metrics with any of these purposes: -Discriminative measures: Metrics are applied with the aim of detecting statistical significant differences between healthy people and people with neurological injury during the performance of functional movements (Jaspers et al, 2011;Van der Heide et al, 2005) and ADL (de los Reyes-Guzmán et al, 2010;Murphy et al, 2011). -Evaluative measures: Metrics could be useful as evaluative measure if they fulfill the properties of validity, reproducibility and sensitivity to the change: O Validity: Kinematic metrics must correlate highly with clinical scales (Celik et al, 2010;Colombo et al, 2008;Osu et al, 2011;Van der Heide et al, 2005). O Reproducibility: Metrics must present consistency between repeated measures within the session and between consecutive days in the absence of clinical changes in a subject functional ability (de los Reyes-Guzmán et al, 2010;Osuet al, 2011;Wagner et al, 2008).…”

Section: Purpose Of the Metricsmentioning

confidence: 99%

“…In reach and grasp movements, two modalities of movement time could be estimated: (i) the movement time related to reach the object to manipulate and (ii) the movement time required to stabilize the arm around the target and grasping the object (Balasubramanian et al, 2012a). This metric applied to functional movements mostly reaching movements, was used by several authors (Balasubramanian et al, 2012a;Chang et al, 2005;Fasoli et al, 2002;Jaspers et al, 2011;Van der Heide et al, 2005;Volman et al, 2002) and writing trajectories (Culmer et al, 2009). In the analysis of ADL, the total movement time was divided into phases composing the complete ADL.…”

Section: Movement Speedmentioning

confidence: 99%

“…Lang defined an efficient movement as the movement that moves directly to the target without extraneous or abnormal trajectories (Lang etal.,2005). This metric has been frequently used in literature during reaching movements (Cacho et al, 2011;Jaspers et al, 2011;Kamper et al, 2002;Lang et al, 2005;Merlo et al, 2013;Van der Heide et al, 2005;Wagner et al, 2008). The reaching movement in healthy people is a highly stereotypic and coordinated movement consisting of a well-executing arm trajectory (Rand et al, 2000).…”

Section: Movement Efficiency -Hand Path Ratiomentioning

confidence: 99%

“…The reaching movement in healthy people is a highly stereotypic and coordinated movement consisting of a well-executing arm trajectory (Rand et al, 2000). The theoretical movement trajectory was considered the straight line between the starting point and the target location (Butler et al, 2010;Cacho et al, 2011;Culmer et al, 2009;Jaspers et al, 2011;Kamper et al, 2002;Lang et al, 2005Lang et al, , 2006Merlo et al, 2013;Van der Heide et al, 2005). So a metric result closed to 1 is representative of a healthy pattern (Colombo et al, 2008).…”

Section: Movement Efficiency -Hand Path Ratiomentioning

confidence: 99%

See 4 more Smart Citations

Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: A review

Reyes-Guzmán¹,

Dimbwadyo-Terrer²,

Trincado-Alonso³

et al. 2014

Clinical Biomechanics

161

154

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Background: Quantitative measures of human movement quality are important for discriminating healthy and pathological conditions and for expressing the outcomes and clinically important changes in subjects' functional state. However the most frequently used instruments for the upper extremity functional assessment are clinical scales, that previously have been standardized and validated, but have a high subjective component depending on the observer who scores the test. But they are not enough to assess motor strategies used during movements, and their use in combination with other more objective measures is necessary. The objective of the present review is to provide an overview on objective metrics found in literature with the aim of quantifying the upper extremity performance during functional tasks, regardless of the equipment or system used for registering kinematic data. Methods: A search in Medline, Google Scholar and IEEE Xplore databases was performed following a combination of a series of keywords. The full scientific papers that fulfilled the inclusion criteria were included in the review. Findings: A set of kinematic metrics was found in literature in relation to joint displacements, analysis of hand trajectories and velocity profiles. These metrics were classified into different categories according to the movement characteristic that was being measured. Interpretation: These kinematic metrics provide the starting point for a proposed objective metrics for the functional assessment of the upper extremity in people with movement disorders as a consequence of neurological injuries. Potential areas of future and further research are presented in the Discussion section.

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Section: Discussionmentioning

confidence: 99%

Section: Purpose Of the Metricsmentioning

confidence: 99%

Section: Movement Speedmentioning

confidence: 99%

Section: Movement Efficiency -Hand Path Ratiomentioning

confidence: 99%

Section: Movement Efficiency -Hand Path Ratiomentioning

confidence: 99%

See 3 more Smart Citations

Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: A review

Reyes-Guzmán¹,

Dimbwadyo-Terrer²,

Trincado-Alonso³

et al. 2014

Clinical Biomechanics

161

154

View full text Add to dashboard Cite

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Quantitative assessment of right and left reaching movements in infants: A longitudinal study from 6 to 36 months

Rönnqvist

Domellöf

2006

Developmental Psychobiology

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This longitudinal study aimed to explore the early presence and developmental pattern of laterality in reaching kinematics and its relationship to side use. In order to do so, 3-D kinematic measurements as well as 2-D video recordings of right-left reaching movements were successively carried out for 17 infants at the ages of 6, 9, 12, and 36 months. Additional investigations of hand preference were made at 36 months. As four infants were prematurely born, their outcomes were compared to those of the fullterm participants. While most of the infants in the early ages showed a rather inconsistent preference in terms of frequency and distributions of right-left side use, the analyses of reaching kinematics revealed a more consistent pattern of fewer movements units (MUs) and straighter right-sided reaching for the majority of infants at all tested ages. However, reaching kinematics from the preterm infants were generally more variable and less side consistent. It is proposed that the development of human handedness originates from an early right arm rather than hand preference in that representations of asymmetry in bilateral projections (involved in arm movements) developmentally precede contralateral projections (involved in refined hand/finger movements).

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Does dystonia always include co-contraction? A study of unconstrained reaching in children with primary and secondary dystonia

Malfait

Sanger

2006

Exp Brain Res

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Dystonia is a movement disorder in which involuntary or intermittent muscle contractions cause twisting and repetitive movements, abnormal postures, or both. Excessive co-contraction and abnormalities in the time course of reciprocal inhibition between antagonist groups of muscles are considered to be cardinal features of some types of dystonia and reduced speed of movement is often attributed to involuntary activation of antagonist muscles about a joint. In the present study we describe muscle activity during unconstrained multi-joint reaching movements. Children diagnosed with arm dystonia due to cerebral palsy (CP) or primary dystonia (n=7, 4-16 years, 4 with CP, 3 primary) and similar age healthy subjects pointed alternately to two targets as fast as possible. The children with dystonia showed decreased speed, greater variability, and pauses at targets compared with controls. Decreased speed was mostly due to difficulty in reversing reaching direction, and increased variability was associated with large fluctuations in the duration of the pauses at targets, rather than with variations in the flexion/extension velocity profiles. Surface electromyographic (EMG) activities were examined to assess if the abnormalities observed in the children with dystonia could be explained in terms of increased levels of co-contraction. Unexpectedly, we found that the children with dystonia showed lower levels of co-contraction than the controls during movement, and the pauses at tar-gets were associated with reduced levels of activation rather than with excessive activity in antagonist groups of muscles. Therefore reduced speed of movement during unconstrained reaching may not be due to involuntary activation of the antagonist muscle, and co-contraction of opposing muscles about a joint is not an obligatory feature of multi-joint movement in children with dystonia.

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Kinematic Characteristics of Reaching Movements in Preterm Children with Cerebral Palsy

Cited by 84 publications

References 36 publications

Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: A review

Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: A review

Quantitative assessment of right and left reaching movements in infants: A longitudinal study from 6 to 36 months

Does dystonia always include co-contraction? A study of unconstrained reaching in children with primary and secondary dystonia

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