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Article type: Research Article
Authors: Park, Ji-Hyuka | Yoo, Eunyoungb; * | Chung, Boinb | Jung, Minyeb
Affiliations: [a] Department of Occupational Therapy Education, University of Kansas Medical Center, Kansas City, KS, USA | [b] Department of Occupational Therapy, Yonsei University, Wonju, Republic of Korea
Correspondence: [*] Address for correspondence: Eunyoung Yoo, OT, PhD, Yonsei University, Department of Occupational Therapy, 234 Maeji-ri, Heungup-Myon, Kangwon-do, Republic of Korea. Tel.: +82 33 760 2724; Fax: +82 33 760 2496; E-mail: splash@yonsei.ac.kr
Abstract: Aim:To observe the effect of self-vocalization on the quality of movement of each arm during a reaching task in people with left hemiparetic stroke. Method:The design of this study is a single-blinded, within subject, repeated measures design. Fourteen right-handed participants with left hemiparetic stroke were requested to perform a reaching task with each arm, with and without self-vocalization. A 3-D motion analysis system measured the peak angular velocity, time to peak angular velocity, and movement unit in elbow motion. Results:In the unaffected dominant right arm, movements during the reaching task with vocalization were faster, smoother, and more efficient than without vocalization. The peak angular velocity (p < 0.05) and time to peak angular velocity (p > 0.05) increased. The movement unit decreased significantly (p < 0.05). However, in the affected non-dominant left arm, the movement with vocalization was slower, rougher, and less efficient. The peak angular velocity decreased (p > 0.05). Time to peak angular velocity (p < 0.05) and the movement unit increased significantly (p < 0.05). Conclusion:Self-vocalization provided a positive effect on reaching movement of the dominant side but a negative effect on reaching movement of the non-dominant side in right handed persons with left hemiparetic stroke.
Keywords: Stroke, reaching, motion analysis
DOI: 10.3233/NRE-2009-0507
Journal: NeuroRehabilitation, vol. 25, no. 2, pp. 123-128, 2009
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