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Query: UMLS:C0038454 (stroke)
 147,016 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Physical exercise may induce neuroprotective effects against brain damage after stroke. The authors aimed to investigate the effects of various exercises on motor function, striatal angiogenesis, and infarct volume in cerebral ischemic rats. Adult male Sprague Dawley rats were subjected to middle cerebral artery occlusion and randomly assigned to 1 of the 4 groups: Rota-rod training, lower speed treadmill training, higher speed treadmill training, or no exercise control. Motor function, striatal angiogenesis, and infarct volume were evaluated before or after motor training. After training, motor function and striatal angiogenesis changed significantly in Rota-rod and higher speed treadmill training groups as compared with the control group. Improvement in motor function significantly correlated with striatal angiogenesis after motor training. Infarct volumes were significantly decreased in lower and higher speed treadmill training groups. The results indicated that both motor training procedures can be used as effective training programs in stroke rehabilitation.
J Mot Behav 2012
PMID:Motor performance improved by exercises in cerebral ischemic rats. 2236 89

To improve the characterization of motor impairment, we compared the sensitivities of a phase plane metric with temporal domain measures derived from integrated squared jerk (ISJ). Five subjects with stroke and a cohort of 21 neurologically intact volunteers performed self-paced, isolated elbow flexions. Analysis of angular trajectories from the stroke group revealed that temporal domain metrics failed to detect a performance deficit at the p < .05 level, while the phase plane metric did resolve a deficit (p < .01). When applied to a subset of movements with arrest periods, the phase measure also uniquely identified impairment (Wilcoxon rank-sum test, p < .001). Finally, when tested on a data-driven model, the phase measure, but not temporal metrics, increased monotonically with the severity of trajectory distortions. We conclude that motion smoothness can be accurately measured in the phase plane.
J Mot Behav 2012
PMID:Reformulation in the phase plane enhances smoothness rater accuracy in stroke. 2242 Aug 40

Abnormal shoulder and elbow muscle coactivation patterns, or muscle synergies, are commonly present following stroke and may arise through dysfunctional descending neural control from the cortex. The authors evaluated a novel technique for examining corticomotor movement encoding of the upper limb in three dimensions. A 6-degree-of-freedom loadcell recorded arm twitch responses in healthy adults following stimulation over the cortex or over Erb's point in the periphery. Stimuli were delivered while the arm generated a 5 N preload in each of the 6 axial directions. The initial force twitch response to stimulation was used to construct twitch direction vectors for each preload direction. General linear mixed model analyses were used to determine the influence of stimulation location, preload direction, posture, and stimulation intensity on twitch direction. Cortical stimulation gave rise to arm twitch responses that were predictably modified by preload direction. Peripheral stimulation elicited stereotypical twitches that were not influenced by preload. Our stimulation, recording, and analysis techniques were able to capture movement encoding of the upper limb in three dimensions. Such techniques could be utilized in the stroke population to determine and monitor the presence of upper limb synergies during muscle activation.
J Mot Behav 2012
PMID:A method to monitor upper limb movement direction encoding in the corticomotor pathway. 2261 79

Coordinated reaching requires continuous interaction between the efferent motor output and afferent feedback; this interaction may be significantly compromised following a stroke. The authors sought to characterize how survivors of stroke generate continuous, goal-directed reaching. Sixteen survivors of stroke completed functional testing of the stroke-affected side and a continuous reaching task between 2 targets with both sides. Motion analysis and electromyography data were collected to determine segmental contributions to reach (e.g., amount of compensatory trunk), spatiotemporal parameters (e.g., peak velocities), and muscle activation patterns (MAP). Repeated measures analyses of variance compared how survivors of stroke reach with the stroke-affected versus less affected sides. Correlations were determined between kinematic outcomes and functional ability. Participants used significantly more trunk movement and less shoulder flexion and elbow extension when reaching with the stroke-affected side. This corresponded with less muscle activity in the proximal musculature including the anterior, middle, and posterior deltoid on the stroke-affected side. There were significant correlations between the segmental contributions to reach, functional ability, and MAPs. Survivors of stroke generate reduced MAPs in the stroke-affected side corresponding to altered segmental kinematics and function ability. These findings suggest that impairments in the ability to generate sufficient MAPs may contribute to the difficulty in generating continuous reaching motions.
J Mot Behav 2012
PMID:Kinematic motion analysis and muscle activation patterns of continuous reaching in survivors of stroke. 2264 46

This research problem was indirectly but closely connected with the optimization of an athlete-selection process, based on predictions viewed as determinants of future successes. The research project involved a group of 249 competitive swimmers (age 12 yr., SD = 0.5) who trained and competed for four years. Measures involving fitness (e.g., lung capacity), strength (e.g., standing long jump), swimming technique (turn, glide, distance per stroke cycle), anthropometric variables (e.g., hand and foot size), as well as specific swimming measures (speeds in particular distances), were used. The participants (n = 189) trained from May 2008 to May 2009, which involved five days of swimming workouts per week, and three additional 45-min. sessions devoted to measurements necessary for this study. In June 2009, data from two groups of 30 swimmers each (n = 60) were used to identify predictor variables. Models were then constructed from these variables to predict final swimming performance in the 50 meter and 800 meter crawl events. Nonlinear regression models and neural models were built for the dependent variable of sport results (performance at 50m and 800m). In May 2010, the swimmers' actual race times for these events were compared to the predictions created a year prior to the beginning of the experiment. Results for the nonlinear regression models and perceptron networks structured as 8-4-1 and 4-3-1 indicated that the neural models overall more accurately predicted final swimming performance from initial training, strength, fitness, and body measurements. Differences in the sum of absolute error values were 4:11.96 (n = 30 for 800m) and 20.39 (n = 30 for 50m), for models structured as 8-4-1 and 4-3-1, respectively, with the neural models being more accurate. It seems possible that such models can be used to predict future performance, as well as in the process of recruiting athletes for specific styles and distances in swimming.
Percept Mot Skills 2012 Apr
PMID:Application of regression and neural models to predict competitive swimming performance. 2275 64

Efficiency in front-crawl stroke has been inferred primarily by means of the analysis of arm actions, specifically, stroke frequency and stroke length. The objective of the present study was to investigate whether swimming efficiency could be better assessed in children still learning the front-crawl stroke by analyzing the movement pattern as a whole. Forty-two children enrolled in private swimming programs volunteered to participate in the study. The task consisted of swimming 30 m as fast as possible. Three experts analyzed the movement pattern of the participants using a checklist. Both stroke frequency and stroke length were calculated. The correlation coefficients between the time taken to swim and both the stroke frequency and stroke length were not significant, but the total and components of the checklist scores were. Results indicate that the swimming efficiency of children learning the front-crawl stroke can be better assessed by analyzing their whole movement pattern.
Percept Mot Skills 2012 Aug
PMID:Assessment of beginners' front-crawl stroke efficiency. 2303 64

Diffusion tensor tractography (DTT) allows for identification and evaluation of the spinothalamic tract and its thalamocortical pathway (STP). We attempted to investigate the relationship between tactile sensation and the STP in chronic stroke patients. We measured fractional anisotropy, mean diffusivity, and tract volume of the STP. The tactile sensation score of the affected side in patients with preserved STP integrity was higher compared with that of patients with an interrupted STP. The remaining volume and integrity of the STP in the affected hemisphere were important factors for tactile sensation of the affected side in chronic patients with intracerebral hemorrhage (ICH).
Somatosens Mot Res 2013 Dec
PMID:Relationship between somatosensory function and the spinothalamocortical pathway in chronic stroke patients. 2369 37

Interlimb coordination obtained through temporal and spatial coupling is a significant feature of human motor control. To understand the robustness of this capability the authors introduced a method to quantify interlimb coordination strength and compare individuals with asymmetric effector ability poststroke to nondisabled controls. Quantitative analyses determined the relative strength of interlimb coupling with an asymmetric obstacle avoidance task. Participants performed bimanual discrete, multijoint aiming movements in the frontal plane with a vertical barrier positioned midway to the target for one limb. To quantify coupling strength between limbs and groups, we regressed individual participant nonbarrier limb movement time or maximum vertical displacement separately, on barrier limb performance. Temporal and spatial interlimb coupling strength varied across participants in both groups. Barrier limb performance predicted nonbarrier limb behavior; however, interlimb coupling was significantly stronger for the nondisabled compared to the stroke group. In the stroke group, deficits in interlimb coordination affected spatial coupling more than temporal coupling. The decreased coupling strength detected, even in the presence of mild hemiparesis, demonstrates the measure's sensitivity. The authors propose this metric as a powerful assessment of the effectiveness of rehabilitation interventions and to monitor the recovery of bimanual coordination poststroke.
J Mot Behav 2013
PMID:Temporal coupling is more robust than spatial coupling: an investigation of interlimb coordination after stroke. 2381 49

Two striking techniques (fast swing and angled striking) were examined to see if they allowed effective use of string tension for the power stroke in badminton. 12 participants (4 novices, 4 recreational, and 4 expert badminton players) were recorded by a fast-speed camera while striking a shuttlecock with racquets of 8 different string tensions. The peak speed of the shuttlecock, the racquet angle and the shuttlecock angle were analyzed. The results showed that expert players succeeded in using both striking techniques to overcome the constraint of string tension and produce a consistently superior stroke. Failure to use either striking technique resulted in inferior performance that was constrained by string tension. Expertise in badminton allows the necessary motor adjustments based on the affordance perception of the string tension.
Percept Mot Skills 2013 Oct
PMID:Expertise of using striking techniques for power stroke in badminton. 2461 Dec 47

Some hemiparetic patients walk asymmetrically. To better understand the mechanisms of this deficiency, the perception of locomotor symmetry was investigated in healthy elderly individuals. 16 participants (6 women, 10 men; M age = 70.9 yr., SD = 4.1) walked on a split-belt treadmill either at a self-selected or imposed gait speed. The speed of the two belts was initially similar (or different) and then gradually differed (or matched), so participants had to detect the point of perceived asymmetry (or symmetry). The results revealed that thresholds occurred when the belt speed ratios were .88 and .85. Initial gait speed did not affect the threshold. The parameter that correlated the most with belt speed asymmetry was stance time of the parameters measured. Future studies will investigate whether stroke affects gait symmetry judgments.
Percept Mot Skills 2014 Apr
PMID:Perception threshold of locomotor symmetry while walking on a split-belt treadmill in healthy elderly individuals. 2524 54


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