Impact of unilateral and bilateral impairments on bimanual force production following stroke

Journal of Neurophysiology - Tập 130 Số 3 - Trang 608-618 - 2023
Hien Nguyen1,2, Thanh Quoc Phan1,2, Reza Shadmehr3, Sang Wook Lee1,2,4
1Center for Applied Biomechanics and Rehabilitation Research, MedStar National Rehabilitation Hospital, Washington, District of Columbia, United States
2Department of Biomedical Engineering, Catholic University of America, Washington, District of Columbia, United States
3Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, United States
4Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, South Korea

Tóm tắt

We studied how unilateral and bilateral impairments in stroke survivors affect their bimanual task performance. Unilateral impairments of the more-impaired limb, both weakness and loss of directional control, mainly contribute to bimanual asymmetry, but stroke survivors generally produce higher force with their more-impaired limb than their relative capacity. Bilateral force coordination was significantly impaired in stroke survivors, but its degree of impairment was not related to their unilateral impairments.

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