scholarly journals The modified drawing test for assessment of arm movement quality

2013 ◽  
Vol 21 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Milos Kostic ◽  
Masa Popovic
Keyword(s):  
Motor Impairment ◽  
Objective Measure ◽  
Arm Movement ◽  
Therapeutic Modality ◽  
Movement Speed ◽  
Hand Position ◽  
Drawing Test ◽  
Quality Of Movement ◽  
Target Path

The cerebrovascular accident often results in motor impairment of one of the upper limbs, hence, compromising the quality of life of stroke survivors. Rehabilitation aims to restore the movement abilities of the paralyzed/paretic upper limb. An important element in rehabilitation is to apply a quantified measure of the quality of movement, in order to follow the recovery and select the most appropriate therapeutic modality. We developed a method that uses data recorded during planar movements and outputs an objective measure that relates to the smoothness, velocity and precision of the movement. This method is universal, in a sense that hand position can be recorded by any available means (e.g., robot assistant, digitizing board, motion tracking systems, etc). The method follows the Drawing Test, but generates results that show the ability of the patient to make point to point movements and track the presented trajectory. The method is based on measurements of hand position during movement along a target path in form of a 2 cm wide rectangle. The patient?s task is to move the hand along the target path as quickly as possible, with as few contacts (collisions) with the sides of the path. This paper addresses the aspects of automatic detection of parameters that quantify the quality of movement (speed, smoothness and precision). The use of this method is presented with 10 patients.

scholarly journals Effectiveness of Shock Wave Therapy as a Treatment for Spasticity: A Systematic Review

2020 ◽  
Vol 11 (1) ◽  
pp. 15
Author(s):  
Isabel María Martínez ◽  
Nuria Sempere-Rubio ◽  
Olga Navarro ◽  
Raquel Faubel
Keyword(s):  
Shock Wave ◽  
Botulinum Toxin ◽  
Methodological Quality ◽  
Scientific Evidence ◽  
Motor Impairment ◽  
Functional Independence ◽  
Shock Wave Therapy ◽  
Jadad Scale ◽  
Type Of Injury

Background: The purpose of this study was to collect and analyse the available scientific evidence on the effectiveness of shock wave therapy as a treatment for spasticity. Methods: the search was performed in the following databases: PubMed, PEDro, Cochrane, Embase, and the Virtual Health Library. All publications from November 2009 to November 2019 were selected that included a sample of patients with spasticity and prior suspension of botulinum toxin, to whom shock wave therapy was applied. The methodological quality of the articles was evaluated using the Jadad scale and the pyramid of quality of scientific evidence. Results: 25 studies involving 866 participants with spasticity were selected. The results obtained suggest that shock wave therapy appears to be effective in reducing spasticity levels irrespective of the age of the participants, the type of injury, and the tool used to measure the effect. Conclusions: shock wave therapy reports evidence of improvement in motor function, motor impairment, pain, and functional independence, applied independently of botulinum toxin. However, due to the heterogeneity of the protocols, there is no optimum protocol for its application, and it would be appropriate to gain more high-quality scientific evidence through primary studies.

The effect of motor imagery on quality of movement when performing reaching tasks in healthy subjects: A proof of concept

2021 ◽  
Author(s):  
Barbora Kolářová ◽  
Jim Richards ◽  
Hana Ondráčková ◽  
Klára Lippertová ◽  
Louise Connell ◽  
...  
Keyword(s):  
Motor Imagery ◽  
Healthy Subjects ◽  
Proof Of Concept ◽  
Reaching Tasks ◽  
Quality Of Movement

scholarly journals The physical, social and emotional aspects are the most affected in the quality of life of the patients with cervical dystonia

2014 ◽  
Vol 72 (6) ◽  
pp. 405-410 ◽  
Author(s):  
Roberta Weber Werle ◽  
Sibele Yoko Mattozo Takeda ◽  
Marise Bueno Zonta ◽  
Ana Tereza Bittencourt Guimarães ◽  
Hélio Afonso Ghizoni Teive
Keyword(s):  
Quality Of Life ◽  
Cervical Dystonia ◽  
Rating Scale ◽  
Motor Impairment ◽  
Residual Effect ◽  
Spasmodic Torticollis ◽  
Social And Emotional ◽  
Emotional Aspects ◽  
Craniocervical Dystonia

Objective : Describe the functional, clinical and quality of life (QoL) profiles in patients with cervical dystonia (CD) with residual effect or without effect of botulinum toxin (BTX), as well as verify the existence of correlation between the level of motor impairment, pain and QoL. Method : Seventy patients were assessed through the Craniocervical dystonia questionnaire-24 (CDQ-24) and the Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS). Results : The greater the disability, pain and severity of dystonia, the worse the QoL (p<0.0001). Greater severity relates to greater disability (p<0.0001). Pain was present in 84% of the sample, being source of disability in 41%. The most frequent complaints were: difficulty in keeping up with professional and personal demands (74.3%), feeling uneasy in public (72.9%), hindered by pain (68.6%), depressed, annoyed or bitter (47.1%), lonely or isolated (32.9%). Conclusion : The physical, social and emotional aspects are the most affected in the QoL of these patients.

scholarly journals Lower Extremity Neuromuscular Control Immediately After Fatiguing Hip-Abduction Exercise

2011 ◽  
Vol 46 (6) ◽  
pp. 607-614 ◽  
Author(s):  
Kelly L. McMullen ◽  
Nicole L. Cosby ◽  
Jay Hertel ◽  
Christopher D. Ingersoll ◽  
Joseph M. Hart
Keyword(s):  
Lower Extremity ◽  
Postural Control ◽  
Center Of Pressure ◽  
Neuromuscular Control ◽  
Lower Extremity Injury ◽  
Median Frequency ◽  
Men And Women ◽  
Hip Abduction ◽  
Quality Of Movement

Context: Fatigue of the gluteus medius (GMed) muscle might be associated with decreases in postural control due to insufficient pelvic stabilization. Men and women might have different muscular recruitment patterns in response to GMed fatigue. Objective: To compare postural control and quality of movement between men and women after a fatiguing hip-abduction exercise. Design: Descriptive laboratory study. Setting: Controlled laboratory. Patients or Other Participants: Eighteen men (age = 22 ± 3.64 years, height = 183.37 ± 8.30 cm, mass = 87.02 ±12.53 kg) and 18 women (age = 22 ± 3.14, height = 167.65 ± 5.80 cm, mass = 66.64 ± 10.49 kg) with no history of low back or lower extremity injury participated in our study. Intervention(s): Participants followed a fatiguing protocol that involved a side-lying hip-abduction exercise performed until a 15% shift in electromyographic median frequency of the GMed was reached. Main Outcome Measure(s): Baseline and postfatigue measurements of single-leg static balance, dynamic balance, and quality of movement assessed with center-of-pressure measurements, the Star Excursion Balance Test, and lateral step-down test, respectively, were recorded for the dominant lower extremity (as identified by the participant). Results: We observed no differences in balance deficits between sexes (P &gt; .05); however, we found main effects for time with all of our postfatigue outcome measures (P ≤ .05). Conclusions: Our findings suggest that postural control and quality of movement were affected negatively after a GMed-fatiguing exercise. At similar levels of local muscle fatigue, men and women had similar measurements of postural control.

Role of Dominant Hand Position during Chest Compression by Novice Rescuers: An Observational Simulation Study

2014 ◽  
Vol 21 (6) ◽  
pp. 382-386 ◽  
Author(s):  
Ch Jo ◽  
Jh Ahn ◽  
Yd Shon ◽  
Gc Cho
Keyword(s):  
Hong Kong ◽  
Cardiopulmonary Resuscitation ◽  
Training Program ◽  
Chest Compression ◽  
Simulation Study ◽  
Hand Position ◽  
Dominant Hand ◽  
Cpr Training

Introduction The aim of this study was to determine the effect of hand positioning on the quality of external chest compression (ECC) by novice rescuers. Methods This observational simulation study was conducted for 117 included participants. After completion of an adult cardiopulmonary resuscitation (CPR) training program for 3-h, the participants selected which of their hands would be in contact with the mannequin during ECC and performed 5 cycles of single rescuer CPR on a recording mannequin. The participants were assigned to 2 groups: the dominant hand group (DH; n=40) and the non-dominant hand group (NH; n=29). The depth and rate of ECC were analysed to compare the effectiveness of ECC between 2 groups. Results The rate of ECC was significantly faster in the DH group (mean, 117.3 ±11.4/min) than in the NH group (mean, 110.9±12.2/min) (p=0.028). However, the depth of ECC in the dominant hand group (mean, 52.4±5.9 mm) was not significantly different from that in the non-dominant hand group (mean, 50.8±6.0 mm) (p=0.287). Similarly, the portion of ECC with inadequate depth in the dominant hand group (mean, 1.8±4.3%) was not significantly different from that in the non-dominant hand group (mean, 5.3±15.6%) (p=0.252). Conclusions ECC can be performed with an acceptably higher rate of compressions when the dominant hand of the novice rescuer is placed in contact with the sternum. However, the position of the dominant hand does not affect the depth of ECC. (Hong Kong j.emerg.med. 2014;21:382-386)

Quality Assessment of Machined Surfaces by an Optical Profilometer

2015 ◽  
Vol 669 ◽  
pp. 443-450
Author(s):  
Jana Gerková ◽  
Ľuboslav Straka
Keyword(s):  
Quality Assessment ◽  
Surface Quality ◽  
Production System ◽  
Head Movement ◽  
Movement Speed ◽  
Technological Parameters ◽  
Cutting Head ◽  
Optical Profilometer ◽  
Machined Surfaces

Technological parameters affecting the surface quality of cutting edges in production system with the AWJ technology include cutting head movement speed. The article examines and evaluates the quality of processed surface by the AWJ technology on selected materials as related to the change of cutting head movement speed. It was discovered that the movement speed for the AWJ technology has a significant effect on the surface quality

Agreement between physiotherapists on quality of movement rated via videotape

2003 ◽  
Vol 17 (3) ◽  
pp. 264-272 ◽  
Author(s):  
V M Pomeroy ◽  
A Pramanik ◽  
L Sykes ◽  
J Richards ◽  
E Hill
Keyword(s):  
Quality Of Movement
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