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Tracking control in the nonparetic hand of subjects with stroke

  • James R. Carey
  • , Tanya L. Baxter
  • , Richard P. Di Fabio

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To examine in subjects with stroke using their nonparetic side how different levels of stimulus-response (S-R) compatibility, which require different levels of information processing, affect manual tracking control. Design: Descriptive study comparing finger movement tracking performance under S-R-compatible and S-R-incompatible conditions between subjects with stroke and healthy controls. Four two-factor analysis of variance tests with one independent factor (group, gender, laterality, or order) and one repeated measures factor (position) comprised the data analysis. Setting: University-based research setting. Patients: Forty subjects with chronic stroke: 20 right hemiplegia (average age, 65.2 ± 2.3yrs); 20 left hemiplegia (average age, 68.6 ± 2.3yrs). Fifty-one healthy controls: 24 using non-dominant hand (average age, 68.6 ± 2.1yrs); 27 using dominant hand (average age, 68.7 ± 2.0 yrs). All were right-handed. Main Outcome Measure: Tracking accuracy index (AI), based on root-mean-square error normalized to scale of each subject's tracking target. Results: In S- R-incompatible condition, AI of subjects with stroke was not significantly different from controls (F(1, 89) = 1.73, p = .19). In S-R-compatible condition, AI of control subjects was significantly better than subjects with stroke (F(1, 89) = 14.3, p = .0003). Conclusion: Manual tracking is impaired in nonparetic hand of subjects with stroke, suggesting that information processing, distinctly separate from motor weakness, may be an underestimated problem impairing controlled movements in individuals with stroke.

Original languageEnglish (US)
Pages (from-to)435-441
Number of pages7
JournalArchives of Physical Medicine and Rehabilitation
Volume79
Issue number4
DOIs
StatePublished - Apr 1998

Bibliographical note

Funding Information:
From the Department of Physical Medicine and Rehabilitation, University of Minnesota, Minneapolis, MN. Submitted for publication August 18, 1997. Accepted October 8, 1997. Supported in part by a grant from the Minnesota Medical Foundation. No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated. Reprint requests to James R. Carey, PhD, PT, Program in Physical Therapy, Box 388 UMHC, University of Minnesota, Minneapolis, MN 55455. © 1998 by the American Congress of Rehabilitation Medicine and tim American Academy of Physical Medicine and Rehabilitation 0003-9993/98/7904-4631 $3.00/0

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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