Correlation between kinetic and kinematic measures, clinical tests and subjective self-evaluation questionnaires of the affected upper limb in people after stroke

Abstract: Introduction: Assessment of stroke recovery should include multiple sources of information in order to obtain a complete understanding of the individual’s rehabilitation progress. Self-evaluation questionnaires’ scores do not always correspond to the scores of commonly used clinical evaluation tools. The purpose of this study was to assess the relationship between self-evaluation questionnaires, clinical tests, and kinematic and kinetic analyses of the affected upper limb after stroke, and to determine the correlation between these measures and self-reported general function 2–4 years after the stroke.

Methods: Twenty-six subjects recovering from stroke were included in the study. Spearman’s correlation coefficient was used to measure the correlation between Stroke Impact Scale (SIS), Motor activity Log (MAL), Fugl-Meyer Assessment (FMA) and Action Reach Arm Test (ARAT) scores, and kinematic and kinetic analyses. A logistic regression was used to assess the extent to which these measures may predict the participants’ functional self-reported status 2–4 years post stroke.

Results: Sections regarding hand function, hand force and general ADL of the self-evaluation questionnaires correlated with kinematic variables. However, only questionnaires that focus on hand function correlated with clinical tests. Mean and maximal hand velocity had the strongest correlations with self-evaluation questionnaires and with the clinical tests, more than other kinematic variables. Self-evaluation questionnaires and clinical tests were found to be correlated with hand kinetic metrics force-to-time ratio and number of force peaks. SIS hand force domain, mean velocity and maximal velocity predicted self-reported general function 2–4 years after the stroke.

Conclusion: Self-evaluation questionnaires should be considered for wider use in the clinical evaluation of a patient’s stroke recovery, since they add important information on the individual’s functional status, which is not reflected in the clinical tests

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch
Notes
Frontiers in neuroscience. - 17 (2023) , 1264513, ISSN: 1662-453X

Event
Veröffentlichung
(where)
Freiburg
(who)
Universität
(when)
2024
Creator
Baer, Ronnie
Feingold-Polak, Ronit
Ostrovsky, Daniel
Kurz, Ilan
Levy-Tzedek, Shelly

DOI
10.3389/fnins.2023.1264513
URN
urn:nbn:de:bsz:25-freidok-2461788
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 10:51 AM CEST

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Associated

  • Baer, Ronnie
  • Feingold-Polak, Ronit
  • Ostrovsky, Daniel
  • Kurz, Ilan
  • Levy-Tzedek, Shelly
  • Universität

Time of origin

  • 2024

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