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Related Experiment Video

Updated: Nov 4, 2025

The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors
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The Impact of Motor Task Conditions on Goal-Directed Arm Reaching Kinematics and Trunk Compensation in Chronic Stroke Survivors

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Turning difficulties after stroke and its relationship with trunk function.

Pei-Jung Liang1, Valeria J Chiu1, Yann-Cherng Teng1

  • 1Department of Rehabilitation Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan.

European Journal of Physical and Rehabilitation Medicine
|May 27, 2021
PubMed
Summary
This summary is machine-generated.

Stroke patients have more difficulty turning toward their paretic side, linked to trunk control. Improving trunk flexibility, strength, and control is key for rehabilitation to reduce falls.

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Last Updated: Nov 4, 2025

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Biomechanics

Background:

  • Turning difficulties are common in stroke survivors, yet the relationship between turning direction and trunk control remains unclear.
  • Trunk flexibility and strength are vital for trunk control, but their impact on turning performance is not well-understood.

Purpose of the Study:

  • To investigate turning direction differences in stroke patients concerning turn duration and angular velocity.
  • To examine the association between turning performance and trunk function in chronic stroke survivors.

Main Methods:

  • A cross-sectional study involving 28 chronic stroke patients.
  • Wearable sensors assessed 360° turning in place for turn duration and angular velocity.
  • Trunk flexibility, strength, and control were measured using standard clinical tools.

Main Results:

  • Stroke patients exhibited significantly longer turn durations and lower angular velocity when turning towards the paretic side compared to the nonparetic side.
  • Turning performance towards the paretic side correlated with trunk flexion, rotation, flexor strength, dynamic sitting balance, and coordination.
  • No significant relationship was found between trunk function and turning performance towards the nonparetic side.

Conclusions:

  • Stroke patients face greater turning challenges when turning towards their paretic side.
  • Impaired trunk flexibility, strength, and control are linked to turning dysfunction in stroke survivors, potentially increasing fall risk.
  • Clinical interventions should focus on enhancing trunk function to improve turning ability and reduce falls in stroke rehabilitation.