J Med Assoc Thai 2014; 97 (7):84

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Reach-to-Grasp Co-ordination in the Paretic Limbs of Individuals with Stroke: Insight from a Barrier Paradigm
Runnarong N Mail, Tretriluxana J , Hiengkaew V , Vachalathiti R

Objective: Reach and grasp components must be co-ordinated to preserve the optimal reach-to-grasp performance. However, conflicting results regarding the deficit in reach-to-grasp co-ordination has been reported in the paretic hand of individuals after stroke. Additionally, investigations have not been undertaken to study more challenging task constraints to induce the impairment of reach-to-grasp co-ordination. This study aimed to compare reach-to-grasp co-ordination while avoiding an obstacle in the paretic hand of individuals after stroke with matched non-disabled adults.
Material and Method: Twenty-four participants having mild severity of upper extremity impairment were recruited with an equal number of non-disabled adults. Kinematic reach-to-grasp movements with obstacle avoidance were analyzed. Reachto-grasp co-ordination was quantified using cross-correlation analysis: maximum correlation coefficient represented the spatial aspect and the time lag represented the temporal aspects.
Results: Individuals after stroke showed a significant disturbance in the temporal aspect of reach-to-grasp co-ordination, but not the spatial aspect as compared with non-disabled adults.
Conclusion: Among participants, after stroke reach-to-grasp co-ordination was delayed in the temporal aspect of reach-tograsp with obstacle avoidance but preserved in the spatial aspect. Specific methods to assess reach-to-grasp co-ordination and to treat the time delay to improve co-ordination should be considered in individuals after stroke.

Keywords: Motor control, Reach-to-grasp co-ordination, Dexterity


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