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Titre : | Getting a kinematic handle on reach-to-grasp: a meta-analysis (2018) |
Auteurs : | Kathryn C. Collins ; Niamh C. Kennedy ; Allan Clark |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 104, n° 2, 2018) |
Article en page(s) : | p. 153-166 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur |
Mots-clés: | Hand Strength ; Force de préhension manuelle ; Stroke ; Biomechanical Phenomena ; Phénomènes biomécaniques ; Task Performance and Analysis ; Analyse et exécution des tâches ; Upper extremity |
Résumé : |
Background and objectives Reach-to-grasp is an essential everyday activity that is often impaired after stroke. The objectives of this review are: (1) identify differences in the kinematic characteristics of reach-to-grasp between individuals with and without stroke, and (2) determine the influence of object location on kinematics. Data sources MEDLINE, AMED, and Embase databases. Eligibility criteria Studies investigating individuals with stroke and neurologically intact control participants completing reach-to-grasp (paretic upper limb) of an object assessed via kinematic assessment (motion analysis). Review methods Following Cochrane Collaboration guidelines a meta-analysis comparing kinematic characteristics of reach-to-grasp between individuals with and without stroke. Potential risk of bias was assessed using the Downs and Black Tool. Data were synthesised by calculating the standardised mean difference (SMD) in kinematic characteristics between adults with and without stroke. Results Twenty-nine studies met the review criteria, mainly of observational design; 460 individuals with stroke and 324 control participants. Kinematic differences in reach-to-grasp were identified in the central and ipsilateral workspace for example, individuals with stroke exhibited significantly lower peak velocity SMD −1.48 (95% CI −1.94, −1.02), and greater trunk displacement SMD 1.55 (95% CI 0.85, 2.25) than control participants. Included studies were assessed as demonstrating unclear or high potential risk-of-bias. Conclusions Differences in kinematic characteristics between individuals with and without stroke were identified which may be different reaching in the ipsilateral and central workspace. Suggesting, that object location may influence some kinematic characteristics and not others which may be pertinent when re-training reach-to-grasp. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940617300913 |