Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study

Abstract Hand dexterity impairments in patients with stroke reduce activities of daily living (ADL) and quality of life. Visuospatial ability is associated with motor learning, but this has not previously been reported in patients with subacute stroke. We aimed to investigate whether visual terminal...

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Main Authors: Jun Yabuki, Tatsuya Kaneno, Ryohei Yamamoto, Kazuto Yamaguchi, Wataru Nakano, Kazunori Akizuki
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-91806-2
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author Jun Yabuki
Tatsuya Kaneno
Ryohei Yamamoto
Kazuto Yamaguchi
Wataru Nakano
Kazunori Akizuki
author_facet Jun Yabuki
Tatsuya Kaneno
Ryohei Yamamoto
Kazuto Yamaguchi
Wataru Nakano
Kazunori Akizuki
author_sort Jun Yabuki
collection DOAJ
description Abstract Hand dexterity impairments in patients with stroke reduce activities of daily living (ADL) and quality of life. Visuospatial ability is associated with motor learning, but this has not previously been reported in patients with subacute stroke. We aimed to investigate whether visual terminal feedback (FB) affected motor learning of hand dexterity and the relationship among visuospatial ability. Overall, 17 subacute stroke patients (age: 66.1 ± 13.8 years) with mild upper limb motor impairment were included. The experimental task was the grasping force control task. The visuospatial task was the Rey–Osterrieth Complex Figure Test (ROCFT). The experimental protocol was conducted in 2 consecutive days: day 1 consisted of a pre-test (PRE), practice, and short-term retention test (SRT), and day 2 consisted of a long-term retention test (LRT) and the ROCFT. Grasping errors were significantly decreased in the SRT and LRT than in the PRE. Furthermore, ROCFT scores (copy and recall) and LRT grasping errors were moderately negatively correlated (ρ = -0.51 and − 0.53). In conclusion, visuospatial ability is an important factor associated with motor learning in subacute stroke patients. Future studies should use visual terminal FB, and training programs for visuospatial ability should be considered in stroke rehabilitation.
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spelling doaj-art-14ceb8ff8d9b477eb2574572b689601b2025-08-20T01:57:47ZengNature PortfolioScientific Reports2045-23222025-03-0115111010.1038/s41598-025-91806-2Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary studyJun Yabuki0Tatsuya Kaneno1Ryohei Yamamoto2Kazuto Yamaguchi3Wataru Nakano4Kazunori Akizuki5Department of Physical Therapy, Mejiro UniversityDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan UniversityDepartment of Rehabilitation, Kumamoto Health Science UniversityDepartment of Rehabilitation, Nihon Institute of Medical ScienceDepartment of Shizuoka Physical Therapy, Faculty of Health Science, Tokoha UniversityDepartment of Physical Therapy, Mejiro UniversityAbstract Hand dexterity impairments in patients with stroke reduce activities of daily living (ADL) and quality of life. Visuospatial ability is associated with motor learning, but this has not previously been reported in patients with subacute stroke. We aimed to investigate whether visual terminal feedback (FB) affected motor learning of hand dexterity and the relationship among visuospatial ability. Overall, 17 subacute stroke patients (age: 66.1 ± 13.8 years) with mild upper limb motor impairment were included. The experimental task was the grasping force control task. The visuospatial task was the Rey–Osterrieth Complex Figure Test (ROCFT). The experimental protocol was conducted in 2 consecutive days: day 1 consisted of a pre-test (PRE), practice, and short-term retention test (SRT), and day 2 consisted of a long-term retention test (LRT) and the ROCFT. Grasping errors were significantly decreased in the SRT and LRT than in the PRE. Furthermore, ROCFT scores (copy and recall) and LRT grasping errors were moderately negatively correlated (ρ = -0.51 and − 0.53). In conclusion, visuospatial ability is an important factor associated with motor learning in subacute stroke patients. Future studies should use visual terminal FB, and training programs for visuospatial ability should be considered in stroke rehabilitation.https://doi.org/10.1038/s41598-025-91806-2Augmented feedbackGrasping force adjustment abilityMotor learningStrokeTask-specific trainingVisuospatial ability
spellingShingle Jun Yabuki
Tatsuya Kaneno
Ryohei Yamamoto
Kazuto Yamaguchi
Wataru Nakano
Kazunori Akizuki
Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study
Scientific Reports
Augmented feedback
Grasping force adjustment ability
Motor learning
Stroke
Task-specific training
Visuospatial ability
title Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study
title_full Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study
title_fullStr Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study
title_full_unstemmed Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study
title_short Effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke: a preliminary study
title_sort effects of visual terminal feedback on hand dexterity in relation to visuospatial ability in subacute stroke a preliminary study
topic Augmented feedback
Grasping force adjustment ability
Motor learning
Stroke
Task-specific training
Visuospatial ability
url https://doi.org/10.1038/s41598-025-91806-2
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