Joost van Kordelaar, MSc, Erwin van Wegen, PhD, Gert Kwakkel, PhD

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Presentation transcript:

Impact of Time on Quality of Motor Control of the Paretic Upper Limb After Stroke Joost van Kordelaar, MSc, Erwin van Wegen, PhD, Gert Kwakkel, PhD Archives of Physical Medicine and Rehabilitation Volume 95, Issue 2, Pages 338-344 (February 2014) DOI: 10.1016/j.apmr.2013.10.006 Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 (A) Determination of the MRD. (B) Illustration of the task execution. During the task execution, the subject starts in the initial position (left panel). Subject reaches for the block (small black square) at the block position (middle panel) and places the block at the end position (right panel). The small rectangles on the subject (left panel) indicate the positions of the sensors. The large black square at the side of the subject indicates the position of the electromagnetic source. The dashed line represents the maximum reaching distance of the arm. Abbreviation: MRD, maximum reaching distance. Archives of Physical Medicine and Rehabilitation 2014 95, 338-344DOI: (10.1016/j.apmr.2013.10.006) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 Reaching trajectories of the hand and grasping profiles of 1 patient in weeks 1, 5, and 26 after stroke onset. The black square represents the position of the block. Each trace represents 1 repetition of the reach-to-grasp movement. Note that the improvement in smoothness of the reaching trajectories and grasp aperture profiles is larger between week 1 and week 5, compared with week 5 and week 26 poststroke. Archives of Physical Medicine and Rehabilitation 2014 95, 338-344DOI: (10.1016/j.apmr.2013.10.006) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Change in MD and smoothness of hand transport (log(NJhand)) and grasp aperture (log(NJgrasp)) as a function of time poststroke. The contribution of time poststroke was significant for all 3-dimensional kinematic parameters until week 8 poststroke (gray). Archives of Physical Medicine and Rehabilitation 2014 95, 338-344DOI: (10.1016/j.apmr.2013.10.006) Copyright © 2014 American Congress of Rehabilitation Medicine Terms and Conditions