Journal
TOPICS IN STROKE REHABILITATION
Volume 26, Issue 8, Pages 565-575Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/10749357.2019.1625545
Keywords
Functional arm reaching; dance-based exergaming; stroke; shoulder joint kinematics
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Background: Post-stroke, individuals demonstrate persistent upper extremity (UE) motor impairments that impact functional movements and change-in-support strategies essential for recovery from postural instability. OBJECTIVES: This study primarily aims to quantify the effect of dance-based exergaming (DBExG) intervention on improving paretic UE movement control. The secondary aim is to assess if these improvements in UE movement control if observed, could partially account for improved fall-risk. Methods: Thirteen adults with chronic stroke received DBExG training using the commercially available Kinect dance gaming ?Just Dance 3?. Surface electromyography of shoulder muscle activity during the stand-reaching task and UE shoulder kinematics for a dance trial were recorded. Changes in balance control were determined using the Activities-specific Balance Confidence scale [ABC] and Timed-Up-and-Go test [TUG]. Results: Post-training, participants demonstrated improvements in shoulder muscle activity in the form of performance (reaction time, burst duration, and movement time) and production outcomes (peak acceleration) (p
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