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Efficiently Recording the Eye-Hand Coordination to Incoordination Spectrum
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Upper Limb Coordination in Individuals With Stroke: Poorly Defined and Poorly Quantified.

Yosuke Tomita1,2, Marcos R M Rodrigues1,2, Mindy F Levin1,2

  • 11 McGill University, Montreal, Quebec, Canada.

Neurorehabilitation and Neural Repair
|November 14, 2017
PubMed
Summary

Understanding interjoint coordination is key for stroke rehabilitation. This study defines it as a goal-oriented process, proposing new methods to measure upper limb movement more effectively.

Keywords:
interjoint coordinationkinematicsmeasurementrehabilitationupper limb

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Biomechanics

Background:

  • Effective upper limb rehabilitation post-stroke relies on identifying interjoint coordination deficits.
  • Current clinical measures often assess endpoint performance (accuracy, speed) rather than direct joint coordination.
  • This reliance on endpoint measures is questionable due to motor compensation strategies.

Purpose of the Study:

  • To propose an operational definition of interjoint coordination during reaching.
  • To critically evaluate existing laboratory and clinical coordination measures against this definition.
  • To suggest future research directions for developing improved clinical assessment tools.

Main Methods:

  • Conceptual analysis and definition formulation.
  • Review of current laboratory and clinical coordination assessment approaches.
  • Proposal of new research strategies for measure development.

Main Results:

  • An operational definition of interjoint coordination during reaching is proposed: a goal-oriented process organizing joint degrees of freedom spatially and temporally for context-dependent endpoint accuracy.
  • Current measures may not adequately capture the spatiotemporal organization of joint recruitment.

Conclusions:

  • Existing coordination measures require re-evaluation based on the proposed definition.
  • Development of new clinical measures with enhanced construct and content validity is needed.
  • Future research should focus on precise spatiotemporal quantification of joint coordination for stroke rehabilitation.