Quantifying arm nonuse in individuals poststroke

Cheol E. Han, Sujin Kim, Shuya Chen, Yi Hsuan Lai, Jeong Yoon Lee, Rieko Osu, Carolee J. Winstein, Nicolas Schweighofer*

*この研究の対応する著者

研究成果: Article査読

44 被引用数 (Scopus)

抄録

Background. Arm nonuse, defined as the difference between what the individual can do when constrained to use the paretic arm and what the individual does when given a free choice to use either arm, has not yet been quantified in individuals poststroke. Objectives. (1) To quantify nonuse poststroke and (2) to develop and test a novel, simple, objective, reliable, and valid instrument, the Bilateral Arm Reaching Test (BART), to quantify arm use and nonuse poststroke. Methods. First, we quantify nonuse with the Quality of Movement (QOM) subscale of the Actual Amount of Use Test (AAUT) by subtracting the AAUT QOM score in the spontaneous use condition from the AAUT QOM score in a subsequent constrained use condition. Second, we quantify arm use and nonuse with BART by comparing reaching performance to visual targets projected over a 2D horizontal hemi-work space in a spontaneous-use condition (in which participants are free to use either arm at each trial) with reaching performance in a constrained-use condition. Results. All participants (N = 24) with chronic stroke and with mild to moderate impairment exhibited nonuse with the AAUT QOM. Nonuse with BART had excellent test-retest reliability and good external validity. Conclusions. BART is the first instrument that can be used repeatedly and practically in the clinic to quantify the effects of neurorehabilitation on arm use and nonuse and in the laboratory for advancing theoretical knowledge about the recovery of arm use and the development of nonuse and "learned nonuse" after stroke.

本文言語English
ページ(範囲)439-447
ページ数9
ジャーナルNeurorehabilitation and Neural Repair
27
5
DOI
出版ステータスPublished - 2013 6月
外部発表はい

ASJC Scopus subject areas

  • リハビリテーション
  • 神経学
  • 臨床神経学

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