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This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies after stroke: Induced position analysis. J Rehabil Res Dev. 2013;50(1):71–84. http://dx.doi.org/10.1682/JRRD.2011.04.0074 Slideshow Project DOI:10.1682/JRRD. 2011.04.0074.JSP Compensatory arm reaching strategies after stroke: Induced position analysis Wei Liu, PhD; Sandy McCombe Waller, PT, PhD; Thomas M. Kepple, MS; Jill Whitall, PhD

2 This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies after stroke: Induced position analysis. J Rehabil Res Dev. 2013;50(1):71–84. http://dx.doi.org/10.1682/JRRD.2011.04.0074 Slideshow Project DOI:10.1682/JRRD. 2011.04.0074.JSP Aim – Determine arm-movement control strategies in stroke for unilateral and bilateral tasks. – Explore how those strategies relate to residual impairment levels and functional improvements after specific bilateral arm-training intervention. Relevance – After stroke, upper-limb movement patterns during arm reaching change to accommodate altered constraints, but these compensatory strategies do not map 1-to-1 with posttraining outcomes.

3 This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies after stroke: Induced position analysis. J Rehabil Res Dev. 2013;50(1):71–84. http://dx.doi.org/10.1682/JRRD.2011.04.0074 Slideshow Project DOI:10.1682/JRRD. 2011.04.0074.JSP Method 12 individuals with chronic stroke were measured while reaching toward a box. Other measures included: – Fugl-Meyer Upper Extremity Assessment (FM). – Modified Wolf Motor Function Test (WT). – University of Maryland Arm Questionnaire for Stroke (UMAQS).

4 This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies after stroke: Induced position analysis. J Rehabil Res Dev. 2013;50(1):71–84. http://dx.doi.org/10.1682/JRRD.2011.04.0074 Slideshow Project DOI:10.1682/JRRD. 2011.04.0074.JSP Results Some arm control strategies did not differ between unilateral and bilateral tasks but did differ by FM impairment level and predicted gains in WT but not UMAQS. Increased shoulder relative to elbow moment contribution was associated with: – Less impairment. – Greater gains of speed in functional tasks.

5 This article and any supplementary material should be cited as follows: Liu W, McCombe Waller S, Kepple TM, Whitall J. Compensatory arm reaching strategies after stroke: Induced position analysis. J Rehabil Res Dev. 2013;50(1):71–84. http://dx.doi.org/10.1682/JRRD.2011.04.0074 Slideshow Project DOI:10.1682/JRRD. 2011.04.0074.JSP Conclusion One goal of training to achieve better outcomes may be to decrease abnormal coupling of shoulder and elbow.

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