Examining Postural Responses to Perturbations in 3D: A Pilot Study

Affecting muscle spasticity, strength, and coordination, stroke results in alterations to muscle control and ability to compensate from unexpected perturbations. Poststroke, upper extremity movements are heavily modified from perturbations, which increase the difficulty of activities of daily living (ADLs). Postural responses from upper extremity perturbations in healthy and stroke populations have been examined in movements constrained to 2D planar motion, and may provide insight as an assessment tool to help inform therapists to better structure rehabilitation training regimens towards individualized health care for improved long-term outcomes. However, implications on constraining motion in the horizontal plane are not clear and may reduce the generalizability of the findings to the movement through unconstrained 3D space necessary for ADLs. In this paper, we explore the effects of joint perturbations on the elbow and shoulder in unconstrained, gravity-compensated position holding tasks. We present a metric-diverse, dynamic task framework building upon previous 2D experiments designed to better assess rehabilitative efforts in movement trajectories with applied gravity compensation in three dimensional space aimed towards the generalizability of 3D motion. Results suggest that motion of multi-DoF joints display varied movement qualities in 3D space with robotic gravity compensation when compared to constrained planar movements.