title: Kinematic analysis of the upper limb motor strategies in stroke patients as a tool towards advanced neurorehabilitation strategies: a preliminary study.
abstract: Advanced rehabilitation strategies of the upper limb in stroke patients focus on the recovery of the most important daily activities. In this study we analyzed quantitatively and qualitatively the motor strategies employed by stroke patients when reaching and drinking from a glass. We enrolled 6 hemiparetic poststroke patients and 6 healthy subjects. Motion analysis of the task proposed (reaching for the glass, bringing it to the mouth, and putting it back on the table) with the affected limb was performed. Clinical assessment using the Fugl-Meyer Assessment for Upper Extremity was also included. During the reaching for the glass the patients showed a reduced arm elongation and trunk axial rotation due to motor deficit. For this reason, as observed, they carried out compensatory strategies which included trunk forward displacement and head movements. These preliminary data should be considered to address rehabilitation treatment. Moreover, the kinematic analysis protocol developed might represent an outcome measure of upper limb rehabilitation processes.
authors.affiliation: Don Carlo Gnocchi Foundation, SM Provvidenza Movement Laboratory, 00166 Rome, Italy.
authors.forename: Irene
authors.identifier: 0000-0001-8123-9977
authors.initials: I
authors.lastname: Aprile
authors.affiliation: Don Carlo Gnocchi Foundation IRCCS, Biomedical Technology Department, 20148 Milan, Italy.
authors.forename: Marco
authors.identifier: 0000-0003-1638-7978
authors.initials: M
authors.lastname: Rabuffetti
authors.affiliation: Don Carlo Gnocchi Foundation, SM Provvidenza Movement Laboratory, 00166 Rome, Italy ; Institute of Neurology of Catholic University, 00168 Rome, Italy.
authors.forename: Luca
authors.identifier: 0000-0003-2570-9326
authors.initials: L
authors.lastname: Padua
authors.affiliation: Don Carlo Gnocchi Foundation, SM Provvidenza Movement Laboratory, 00166 Rome, Italy.
authors.forename: Enrica
authors.identifier: 0000-0001-5902-6625
authors.initials: E
authors.lastname: Di Sipio
authors.affiliation: Don Carlo Gnocchi Foundation, SM Provvidenza Movement Laboratory, 00166 Rome, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Simbolotti
authors.affiliation: Don Carlo Gnocchi Foundation IRCCS, Biomedical Technology Department, 20148 Milan, Italy.
authors.forename: Maurizio
authors.identifier: 0000-0002-7797-2399
authors.initials: M
authors.lastname: Ferrarin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D005121:Extremities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D009068:Movement; D012046:Rehabilitation / Q000379:methods*; D000071939:Stroke Rehabilitation; D034941:Upper Extremity / Q000503:physiopathology*