Table 5.
Kinematic characteristics of reach-to-grasping movements after tetraplegia
Parameters | Main results | SCI motor level | References | |||
---|---|---|---|---|---|---|
C5 | C6 | C7 | ||||
Movement time (MT) | T | Increased | X | X | [3, 14, 35, 37] | |
Velocity Peak (PV) | T | Decreased | X | X | [3, 14, 29, 35] | |
Variability increased | X | [35] | ||||
Negative correlation with ASIA score | X | X | [37] | |||
Time to PV (TPV) | T | Delayed time to PV | X | X | [3, 14, 37] | |
Number of PV | T | Two peaks (reaching and return) | X | X | [29, 35] | |
Additional PV (grasping) | X | X | [29, 35, 37] | |||
Velocity | T | Stable1 before grasping | X | [15] | ||
Velocity profile2 | T | Asymmetric with a prolonged decelerative phase | X | [3, 35] | ||
Trajectory3 | S | Straight and smooth | X | [35] | ||
Trajectory4 | S | Reduced and less straight | X | [35] | ||
Trajectory5 | S | Increased curvature index | X | X | [37] | |
Trajectory6 | S | Negative correlation with FIM | X | X | [37] | |
Hand height | S | Increased at the end of the reaching phase | X | X | [3, 29, 35] | |
Joint motion | S | Similar pattern of joint rotation | X | X | [14, 37] | |
Increased of scapula movement | X | [15, 35] | ||||
Increased wrist flexion/extension range of motion | X | X | [3, 14, 29] | |||
Wrist flexion during reaching | X | X | [3, 14, 15, 29] | |||
Wrist extension for grasping and manipulating | X | X | [3, 14, 15, 29] | |||
Increased of wrist extension for LG vs WHG | X | [3] | ||||
Joint coordination7 | S | Temporal linear relationship | X | X | [14, 29, 35] | |
Joint coordination8 | S | Temporal decoupling | X | X | [29] | |
EMG activity | N | Increased | X | [15] | ||
Activation of agonist without antagonist muscle | X | [15] |
1for shoulder flexion, elbow extension and wrist tangential velocity; 2of hand and finger; 3of elbow, hand and finger; 4of acromion; 5of wrist; 6of index; 7of shoulder and elbow; 8of shoulder and wrist; a2002.
Abbreviations: T Temporal kinematic parameter, S Spatial kinematic parameter, N Non kinematic parameter, PV Velocity Peak, FIM Functional Independence Measure, LG Lateral Grip, WHG Whole Hand Grip.