Shoulder function after constraint-induced movement therapy assessed with 3D kinematics and clinical and patient reported outcomes: A prospective cohort study

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Shoulder function after constraint-induced movement therapy assessed with 3D kinematics and clinical and patient reported outcomes : A prospective cohort study. / Hansen, Gunhild Mo; Svendsen, Susanne Wulff; Pedersen, Asger Roer; Kersting, Uwe Gustav; Pallesen, Hanne; Nielsen, Jørgen Feldbæk.

I: Journal of Electromyography and Kinesiology, Bind 58, 102547, 06.2021.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{4e57ea3d41bc43699f9f01c57c4e6219,
title = "Shoulder function after constraint-induced movement therapy assessed with 3D kinematics and clinical and patient reported outcomes: A prospective cohort study",
abstract = "Introduction: We hypothesised that reduced shoulder function post stroke improves during constraint-induced movement therapy and that improvement in scapula upward rotation measured with three-dimensional kinematics is associated with improvements in clinical and patient reported outcomes. Methods: Thirty-seven patients were tested pre and post constraint-induced movement therapy and again at three-month follow-up. Kinematic outcome measures – with scapula upward rotation as the primary outcome – during tasks 5 (ReachLow) and 6 (ReachHigh) from the Wolf Motor Function Test were included together with clinical and patient reported outcomes. Changes in outcome measures were analysed with linear mixed models and logistic regression analysis. Findings: Scapula upward rotation was reduced from 16.2° pre intervention through 15.9° post intervention to 15.6° at three-month follow-up during ReachHigh. Statistically significant reductions of <2° were also found for shoulder flexion during ReachLow and trunk lateral flexion during ReachHigh. The clinical and patient reported outcomes showed improvements post constraint-induced movement therapy, and at follow-up, the outcomes resembled post values. Interpretation: The minimal improvements in selected 3D kinematic measures of upper extremity movements did not reflect any clinically meaningful changes. Therefore, the clinical and patient reported improvements could not be related to restitution of shoulder function.",
keywords = "CIMT, Patients{\textquoteright} global impression of change, Scapula, Shoulder pain and disability index, Stroke, Wolf motor function test",
author = "Hansen, {Gunhild Mo} and Svendsen, {Susanne Wulff} and Pedersen, {Asger Roer} and Kersting, {Uwe Gustav} and Hanne Pallesen and Nielsen, {J{\o}rgen Feldb{\ae}k}",
note = "Publisher Copyright: {\textcopyright} 2021 Elsevier Ltd",
year = "2021",
month = jun,
doi = "10.1016/j.jelekin.2021.102547",
language = "English",
volume = "58",
journal = "Journal of Electromyography & Kinesiology",
issn = "1050-6411",
publisher = "Elsevier Ltd",

}

RIS

TY - JOUR

T1 - Shoulder function after constraint-induced movement therapy assessed with 3D kinematics and clinical and patient reported outcomes

T2 - A prospective cohort study

AU - Hansen, Gunhild Mo

AU - Svendsen, Susanne Wulff

AU - Pedersen, Asger Roer

AU - Kersting, Uwe Gustav

AU - Pallesen, Hanne

AU - Nielsen, Jørgen Feldbæk

N1 - Publisher Copyright: © 2021 Elsevier Ltd

PY - 2021/6

Y1 - 2021/6

N2 - Introduction: We hypothesised that reduced shoulder function post stroke improves during constraint-induced movement therapy and that improvement in scapula upward rotation measured with three-dimensional kinematics is associated with improvements in clinical and patient reported outcomes. Methods: Thirty-seven patients were tested pre and post constraint-induced movement therapy and again at three-month follow-up. Kinematic outcome measures – with scapula upward rotation as the primary outcome – during tasks 5 (ReachLow) and 6 (ReachHigh) from the Wolf Motor Function Test were included together with clinical and patient reported outcomes. Changes in outcome measures were analysed with linear mixed models and logistic regression analysis. Findings: Scapula upward rotation was reduced from 16.2° pre intervention through 15.9° post intervention to 15.6° at three-month follow-up during ReachHigh. Statistically significant reductions of <2° were also found for shoulder flexion during ReachLow and trunk lateral flexion during ReachHigh. The clinical and patient reported outcomes showed improvements post constraint-induced movement therapy, and at follow-up, the outcomes resembled post values. Interpretation: The minimal improvements in selected 3D kinematic measures of upper extremity movements did not reflect any clinically meaningful changes. Therefore, the clinical and patient reported improvements could not be related to restitution of shoulder function.

AB - Introduction: We hypothesised that reduced shoulder function post stroke improves during constraint-induced movement therapy and that improvement in scapula upward rotation measured with three-dimensional kinematics is associated with improvements in clinical and patient reported outcomes. Methods: Thirty-seven patients were tested pre and post constraint-induced movement therapy and again at three-month follow-up. Kinematic outcome measures – with scapula upward rotation as the primary outcome – during tasks 5 (ReachLow) and 6 (ReachHigh) from the Wolf Motor Function Test were included together with clinical and patient reported outcomes. Changes in outcome measures were analysed with linear mixed models and logistic regression analysis. Findings: Scapula upward rotation was reduced from 16.2° pre intervention through 15.9° post intervention to 15.6° at three-month follow-up during ReachHigh. Statistically significant reductions of <2° were also found for shoulder flexion during ReachLow and trunk lateral flexion during ReachHigh. The clinical and patient reported outcomes showed improvements post constraint-induced movement therapy, and at follow-up, the outcomes resembled post values. Interpretation: The minimal improvements in selected 3D kinematic measures of upper extremity movements did not reflect any clinically meaningful changes. Therefore, the clinical and patient reported improvements could not be related to restitution of shoulder function.

KW - CIMT

KW - Patients’ global impression of change

KW - Scapula

KW - Shoulder pain and disability index

KW - Stroke

KW - Wolf motor function test

UR - http://www.scopus.com/inward/record.url?scp=85103950815&partnerID=8YFLogxK

U2 - 10.1016/j.jelekin.2021.102547

DO - 10.1016/j.jelekin.2021.102547

M3 - Journal article

C2 - 33862406

AN - SCOPUS:85103950815

VL - 58

JO - Journal of Electromyography & Kinesiology

JF - Journal of Electromyography & Kinesiology

SN - 1050-6411

M1 - 102547

ER -