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Titre : | Cognitive-Motor Interference on Upper Extremity Motor Performance in a Robot-Assisted Planar Reaching Task Among Patients With Stroke (2017) |
Auteurs : | Joon-Ho Shin ; Gyulee Park ; Duk Youn Cho |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/4, 2017) |
Article en page(s) : | pp. 730-737 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Cognition ; Rééducation et réadaptation |
Mots-clés: | Task Performance and Analysis ; Analyse et exécution des tâches ; Motor skills ; Aptitudes motrices ; Stroke |
Résumé : |
Objective To explore motor performance on 2 different cognitive tasks during robotic rehabilitation in which motor performance was longitudinally assessed. Design Prospective study. Setting Rehabilitation hospital. Participants Patients (N=22) with chronic stroke and upper extremity impairment. Intervention A total of 640 repetitions of robot-assisted planar reaching, 5 times a week for 4 weeks. Main Outcome Measures Longitudinal robotic evaluations regarding motor performance included smoothness, mean velocity, path error, and reach error by the type of cognitive task. Dual-task effects (DTEs) of motor performance were computed to analyze the effect of the cognitive task on dual-task interference. Results Cognitive task type influenced smoothness (P=.006), the DTEs of smoothness (P=.002), and the DTEs of reach error (P=.052). Robotic rehabilitation improved smoothness (P=.007) and reach error (P=.078), while stroke severity affected smoothness (P=.01), reach error (P<.001 and path error robotic rehabilitation or severity did not affect the dtes of motor performance.> Conclusions The results provide evidence for the effect of cognitive-motor interference on upper extremity performance among participants with stroke using a robotic-guided rehabilitation system. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316313703 |