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Author |
Merdler, T.; Liebermann, D.G.; Levin, M.F.; Berman, S. |
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Title  |
Arm-plane representation of shoulder compensation during pointing movements in patients with stroke |
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Year |
2013 |
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Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology |
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J Electromyogr Kinesiol |
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23 |
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4 |
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938–947 |
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Keywords |
Kinematics; Arm movement; Rehabilitation |
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Abstract |
Improvements in functional motor activities are often accompanied by motor compensations to overcome persistent motor impairment in the upper limb. Kinematic analysis is used to objectively quantify movement patterns including common motor compensations such as excessive trunk displacement during reaching. However, a common motor compensation to assist reaching, shoulder abduction, is not adequately characterized by current motion analysis approaches. We apply the arm-plane representation that accounts for the co-variation between movements of the whole arm, and investigate its ability to identify and quantify compensatory arm movements in stroke subjects when making forward arm reaches. This method has not been previously applied to the analysis of motion deficits. Sixteen adults with right post-stroke hemiparesis and eight healthy age-matched controls reached in three target directions (14 trials/target; sampling rate: 100Hz). Arm-plane movement was validated against endpoint, joint, and trunk kinematics and compared between groups. In stroke subjects, arm-plane measures were correlated with arm impairment (Fugl-Meyer Assessment) and ability (Box and Blocks) scores and were more sensitive than clinical measures to detect mild motor impairment. Arm-plane motion analysis provides new information about motor compensations involving the co-variation of shoulder and elbow movements that may help to understand the underlying motor deficits in patients with stroke. |
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Department of Industrial Engineering and Management, Ben-Gurion University of the Negev, Beer-Sheva, Israel |
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1050-6411 |
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PMID:23566477 |
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69 |
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Author |
Liebermann, D.G.; Levin, M.F.; McIntyre, J.; Weiss, P.L.; Berman, S. |
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Title |
Arm path fragmentation and spatiotemporal features of hand reaching in healthy subjects and stroke patients |
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Journal Article |
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Year |
2010 |
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Conference Proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Conference |
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Conf Proc IEEE Eng Med Biol Soc |
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2010 |
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5242-5245 |
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Keywords |
Aged; Aged, 80 and over; Analysis of Variance; Arm/*physiology; Biomechanics/physiology; Female; Hand/*physiology; *Health; Humans; Male; Middle Aged; Movement/*physiology; Posture/physiology; Principal Component Analysis; Stroke/*physiopathology; Time Factors |
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Arm motion in healthy humans is characterized by smooth and relatively short paths. The current study focused on 3D reaching in stroke patients. Sixteen right-hemiparetic stroke patients and 8 healthy adults performed 42 reaching movements towards 3 visual targets located at an extended arm distance. Performance was assessed in terms of spatial and temporal features of the movement; i.e., hand path, arm posture and smoothness. Differences between groups and within subjects were hypothesized for spatial and temporal aspects of reaching under the assumption that both are independent. As expected, upper limb motion of patients was characterized by longer and jerkier hand paths and slower speeds. Assessment of the number of sub-movements within each movement did not clearly discriminate between groups. Principal component analyses revealed specific clusters of either spatial or temporal measures, which accounted for a large proportion of the variance in patients but not in healthy controls. These findings support the notion of a separation between spatial and temporal features of movement. Stroke patients may fail to integrate the two aspects when executing reaching movements towards visual targets. |
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Physical Therapy Dept., Sackler Faculty of Medicine, Tel Aviv University, 69978 Israel. dlieberm@post.tau.ac.il |
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1557-170X |
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PMID:21096047 |
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30 |
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Tenenbaum, G.; Kohler, N.; Shraga, S.; Liebermann, D.G.; Lidor, R. |
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Title |
Anticipation and confidence of decisions related to skilled performance |
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1996 |
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Journal of Sport Psychology |
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27 |
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293-307 |
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This study was carried out to examine anticipatory decisions of novice, intermediate, and expert tennis players and the confidence with which these decisions are made by these athletes. Perceived eye-focus was also measured to verify whether it is related to expertise level prior to action execution. Forty-five Australian players, 15 in each skill category, were exposed to 6 temporal occluded film conditions (480, 320, 160 ms prior to racquet-ball contact, at contact, and 160 and 320 ms after contact) in randomized order within 8 tennis strokes. In each condition, after viewing the filmed sequence, they were asked to report the final ball location of the opponent's stroke, how confident they were in this decision, and their perceived eye-focus location during the sequence. Experts and intermediates were superior in anticipatory decisions to their counterparts, only under short exposure durations. Novices showed more confidence than experts and intermediates at the beginning of the sequence, but after 160 and 320 ms of ball-racquet contact, experts were much more confident than novices, and intermediates. Self-reported eye-focus differed substantially with respect to expertise level. While experts attended to several locations prior to ball-racquet contact, intermediate and novice players gazed at one location. After contact, the reverse was evident. The findings are in partial agreement with other studies which have applied the temporal occlusion paradigm to study expert-novice differences in anticipatory skills. |
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59 |
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Melzer, I.; Krasovsky, T.; Oddsson, L.I.E.; Liebermann, D.G. |
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Title |
Age-related differences in lower-limb force-time relation during the push-off in rapid voluntary stepping |
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2010 |
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Clinical Biomechanics (Bristol, Avon) |
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Clin Biomech (Bristol, Avon) |
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25 |
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10 |
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989-994 |
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Accidental Falls/prevention & control; Age Factors; Aged; Aged, 80 and over; Aging/physiology; *Biomechanics; Female; Gait/*physiology; Humans; Male; *Postural Balance; Walking/*physiology |
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BACKGROUND: This study investigated the force-time relationship during the push-off stage of a rapid voluntary step in young and older healthy adults, to study the assumption that when balance is lost a quick step may preserve stability. The ability to achieve peak propulsive force within a short time is critical for the performance of such a quick powerful step. We hypothesized that older adults would achieve peak force and power in significantly longer times compared to young people, particularly during the push-off preparatory phase. METHODS: Fifteen young and 15 older volunteers performed rapid forward steps while standing on a force platform. Absolute anteroposterior and body weight normalized vertical forces during the push-off in the preparation and swing phases were used to determine time to peak and peak force, and step power. Two-way analyses of variance ('Group' [young-older] by 'Phase' [preparation-swing]) were used to assess our hypothesis (P </= 0.05). FINDINGS: Older people exerted lower peak forces (anteroposterior and vertical) than young adults, but not necessarily lower peak power. More significantly, they showed a longer time to peak force, particularly in the vertical direction during the preparation phase. INTERPRETATIONS: Older adults generate propulsive forces slowly and reach lower magnitudes, mainly during step preparation. The time to achieve a peak force and power, rather than its actual magnitude, may account for failures in quickly performing a preventive action. Such delay may be associated with the inability to react and recruit muscles quickly. Thus, training elderly to step fast in response to relevant cues may be beneficial in the prevention of falls. |
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Department of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel |
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0268-0033 |
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PMID:20724044 |
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51 |
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Liebermann, D.G.; Katz, L.; Hughes, M.D.; Bartlett, R.M.; McClements, J.; Franks, I.M. |
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Title |
Advances in the application of information technology to sport performance |
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Journal Article |
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2002 |
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Journal of Sports Sciences |
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J Sports Sci |
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20 |
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10 |
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755-769 |
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*Biofeedback, Psychology; *Computer Simulation; Humans; Models, Biological; Physical Education and Training/*methods; Psychomotor Performance/physiology; Sports Medicine/methods; *Task Performance and Analysis; Videotape Recording |
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This paper overviews the diverse information technologies that are used to provide athletes with relevant feedback. Examples taken from various sports are used to illustrate selected applications of technology-based feedback. Several feedback systems are discussed, including vision, audition and proprioception. Each technology described here is based on the assumption that feedback would eventually enhance skill acquisition and sport performance and, as such, its usefulness to athletes and coaches in training is critically evaluated. |
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Department of Physical Therapy, Sackler Faculty of Medicine, University of Tel Aviv, Israel |
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0264-0414 |
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PMID:12363293 |
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40 |
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