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Construct Validity of the Upper-Limb Interlimb Coordination Test in Stroke.

Roni Molad1,2, Mindy F Levin1,2

  • 1School of Physical and Occupational Therapy, 5620McGill University, Montreal, QC, Canada.

Neurorehabilitation and Neural Repair
|October 30, 2021
PubMed
Summary
This summary is machine-generated.

The new Interlimb Coordination test (ILC2) shows promise for objectively measuring upper-limb coordination in stroke survivors. This validated clinical tool aids in understanding functional limitations post-stroke.

Keywords:
assessmentbimanualkinematicsmotor coordinationstroke

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Area of Science:

  • Neurorehabilitation
  • Clinical Biomechanics
  • Neurology

Background:

  • Coordination impairments after stroke are often underestimated due to a lack of validated assessment tools.
  • This deficit impacts the relationship between coordination deficits and functional limitations.

Purpose of the Study:

  • To establish the construct validity of the new clinical upper-limb (UL) Interlimb Coordination test (ILC2).
  • To assess UL interlimb coordination in individuals with chronic stroke.

Main Methods:

  • A cross-sectional study compared 13 individuals with chronic stroke to 13 healthy controls.
  • Participants performed synchronous bilateral anti-phase forearm rotations under self-paced and externally-paced conditions.
  • Key measures included continuous relative phase (CRP), cross-correlation, lag, and upper-limb/trunk kinematics.

Main Results:

  • Stroke participants exhibited slower UL movements, except in one condition.
  • Lower cross-correlation coefficients were observed in stroke participants during self-paced movements.
  • The ILC2 scores correlated with temporal coordination and shoulder movement, but not with general clinical scores.

Conclusions:

  • The Interlimb Coordination test (ILC2) is a valid clinical measure for assessing upper-limb interlimb coordination in chronic stroke.
  • Further reliability testing is recommended to confirm its clinical utility.