Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.

Current literature suggests that greater than 50% of survivors of a stroke cannot accurately perceive where their upper extremity is positioned. Our recent work demonstrates that the extent to which this perception is affected can depend on how the task is performed. For example, individuals with st...

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Main Authors: Netta Gurari, Justin M Drogos, Julius P A Dewald
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0250868&type=printable
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author Netta Gurari
Justin M Drogos
Julius P A Dewald
author_facet Netta Gurari
Justin M Drogos
Julius P A Dewald
author_sort Netta Gurari
collection DOAJ
description Current literature suggests that greater than 50% of survivors of a stroke cannot accurately perceive where their upper extremity is positioned. Our recent work demonstrates that the extent to which this perception is affected can depend on how the task is performed. For example, individuals with stroke who have a deficit in mirroring the position of their passively-placed paretic forearm during a between-arms task may accurately reproduce the position of their actively-controlled paretic forearm during a single-arm task. Moreover, the ability of individuals with various types of unilateral lesions to locate their thumb can depend on whether they reach for their paretic thumb or non-paretic thumb. Consequently, we investigated to what extent the accuracy of individuals post-hemiparetic stroke in mirroring forearm positions on a between-arms task is influenced by various conditions. Eighteen participants with hemiparetic stroke rotated their reference forearm to a target position, and then rotated their opposite forearm to concurrently mirror the position of their reference forearm. This task was performed when participants referenced each forearm (paretic, non-paretic) at two target positions (extension, flexion) for two modes of limb control (passive, active). We quantified for every testing scenario of each participant their position-mirroring error. The number of times for which participants were classified as having a deficit was least when mirroring forearm positions at the flexed position when referencing their non-paretic forearm. Additionally, the difference in the magnitude of errors when participants referenced each arm was greater during active than passive movements. Findings from this study provide further evidence that the accuracy with which individuals post stroke perceive the position of their limbs can depend on how a task is performed. Factors to consider include whether movements are active versus passive, which limb is referenced, and where the limb is positioned.
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spelling doaj-art-a6874674dd1d48cc80f1d439cc496f9e2025-08-20T02:17:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01164e025086810.1371/journal.pone.0250868Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.Netta GurariJustin M DrogosJulius P A DewaldCurrent literature suggests that greater than 50% of survivors of a stroke cannot accurately perceive where their upper extremity is positioned. Our recent work demonstrates that the extent to which this perception is affected can depend on how the task is performed. For example, individuals with stroke who have a deficit in mirroring the position of their passively-placed paretic forearm during a between-arms task may accurately reproduce the position of their actively-controlled paretic forearm during a single-arm task. Moreover, the ability of individuals with various types of unilateral lesions to locate their thumb can depend on whether they reach for their paretic thumb or non-paretic thumb. Consequently, we investigated to what extent the accuracy of individuals post-hemiparetic stroke in mirroring forearm positions on a between-arms task is influenced by various conditions. Eighteen participants with hemiparetic stroke rotated their reference forearm to a target position, and then rotated their opposite forearm to concurrently mirror the position of their reference forearm. This task was performed when participants referenced each forearm (paretic, non-paretic) at two target positions (extension, flexion) for two modes of limb control (passive, active). We quantified for every testing scenario of each participant their position-mirroring error. The number of times for which participants were classified as having a deficit was least when mirroring forearm positions at the flexed position when referencing their non-paretic forearm. Additionally, the difference in the magnitude of errors when participants referenced each arm was greater during active than passive movements. Findings from this study provide further evidence that the accuracy with which individuals post stroke perceive the position of their limbs can depend on how a task is performed. Factors to consider include whether movements are active versus passive, which limb is referenced, and where the limb is positioned.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0250868&type=printable
spellingShingle Netta Gurari
Justin M Drogos
Julius P A Dewald
Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.
PLoS ONE
title Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.
title_full Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.
title_fullStr Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.
title_full_unstemmed Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.
title_short Investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions.
title_sort investigation of how accurately individuals with hemiparetic stroke can mirror their forearm positions
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0250868&type=printable
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AT justinmdrogos investigationofhowaccuratelyindividualswithhemipareticstrokecanmirrortheirforearmpositions
AT juliuspadewald investigationofhowaccuratelyindividualswithhemipareticstrokecanmirrortheirforearmpositions