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OBJECTIVES To examine the effects of stroke severity and target location on reaching (1) to identify regions in space that are difficult to reach, (2) to determine whether specific alterations in reaching are associated with particular clinical impairment levels, and (3) to characterize relationships between reaching alterations. DESIGN Participants(More)
Subjects with chronic hemiplegia following stroke attempted to perform voluntary isometric, isokinetic, and free contractions of the extensor muscles of the metacarpophalangeal (MCP) joints. We recorded torque, metacarpophalangeal joint angle and velocity, and electromyographic (EMG) activity of the extrinsic extensors and flexors and the first dorsal(More)
The kinematics of movement of all five digits was analyzed during reach-and-grasp tasks for a variety of objects. Ten healthy subjects performed 20 trials involving the grasp of five objects of distinct size and shape. Joint angles were recorded, and digit trajectories were computed using forward kinematics. For a given subject, fingertip trajectories were(More)
Despite its potential importance in hand dysfunction, spasticity in the finger muscles following stroke has not been well described. To explore this area, we assessed the role of finger flexor spasticity, along with that of passive mechanical forces, in resisting finger movement in 13 chronic stroke subjects. Subjects were tested with a device that(More)
The patterns of interlimb coupling were examined in 10 stroke survivors with chronic hand impairment. In particular, the potential roles of postural state and motor tasks in promoting the flexed posture of the upper extremity were assessed. Through the use of electromyography analysis, joint angle measurements and a novel biomechanical apparatus to perturb(More)
In this study, we developed a robust subject-specific electromyography (EMG) pattern classification technique to discriminate intended manual tasks from muscle activation patterns of stroke survivors. These classifications will enable volitional control of assistive devices, thereby improving their functionality. Twenty subjects with chronic hemiparesis(More)
BACKGROUND AND PURPOSE The purpose of this pilot study was to investigate the impact of assisted motor training in a virtual environment on hand function in stroke survivors. PARTICIPANTS Fifteen volunteer stroke survivors (32-88 years old) with chronic upper extremity hemiparesis (1-38 years post incident) took part. METHOD Participants had 6 weeks of(More)
The role of the forearm (extrinsic) finger flexor muscles in initiating rotation of the metacarpophalangeal (MCP) joint and in coordinating flexion at the MCP, the proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints remains a matter of some debate. To address the biomechanical feasibility of the extrinsic flexors performing these(More)
The origins of impaired finger and hand function were examined in 10 stroke survivors with chronic spastic hemiparesis, with the intent of assessing whether mechanical restraint or altered neurophysiological control mechanisms are responsible for the well-known impairment of finger extension. Simultaneous extension of all four metacarpophalangeal (MCP)(More)
The objective of this study was to explore motor impairment of the index finger following stroke. More specifically, the kinetics and kinematics of the index finger were analysed throughout its workspace. Twenty-four stroke survivors with chronic hemiparesis of the hand participated in the trials, along with six age-matched controls. Hand impairment was(More)