Individuals With Hemiparetic Stroke Accurately Match Torques They Generate About Each Elbow Joint

Ninghe M. Cai, Justin M. Drogos, Julius P.A. Dewald, Netta Gurari*

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Successful execution of a task as simple as drinking from a cup and as complicated as cutting food with a fork and knife requires accurate perception of the torques that one generates in each arm. Prior studies have shown that individuals with hemiparetic stroke inaccurately judge their self-generated torques during bimanual tasks; yet, it remains unclear whether these individuals inaccurately judge their self-generated torques during unimanual tasks. Objective: The goal of this work was to determine whether stroke affected how accurately individuals with stroke perceive their self-generated torques during a single-arm task. Methods: Fifteen individuals with hemiparetic stroke and fifteen individuals without neurological impairments partook in this study. Participants generated a target torque about their testing elbow while receiving visual feedback, relaxed, and then matched the target torque about the same elbow without receiving feedback. This task was performed for two target torques (5 Nm, 25% of maximum voluntary torque), two movement directions (flexion, extension), and two arms (left, right). Results: Clinical assessments indicate that eleven participants with stroke had kinaesthetic deficits and two had altered pressure sense; their motor impairments spanned from mild to severe. These participants matched torques at each elbow, for each target torque and movement direction, with a similar accuracy and precision to controls, regardless of the arm tested (p > 0.050). Conclusions: These results indicate that an individual with sensorimotor deficits post-hemiparetic stroke may accurately judge the torques that they generate within each arm. Therefore, while survivors of a hemiparetic stroke may have deficits in accurately judging the torques they generate during bimanual tasks, such deficits do not appear to occur during unimanual tasks.

Original languageEnglish (US)
Article number1293
JournalFrontiers in Neuroscience
Volume13
DOIs
StatePublished - Nov 28 2019

Keywords

  • evaluation methodology
  • mechatronics
  • perception
  • stroke
  • torque

ASJC Scopus subject areas

  • Neuroscience(all)

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