Optimizing self-exercise scheduling in motor stroke using Challenge Point Framework theory

R. Lotay et al.

A pilot study exploring whether self-led motor learning based upon CPF (i.e. adaption of both scheduling & difficulty) elicits better retention than fixed block-wise learning using a mobile gaming device supporting grip and wrist exercises. Results suggest that patients using CPF performed better than those training under the fixed conditions, despite healthy volunteers performing worse.

ICORR 2019

Influence of visual-coupling on bimanual coordination in unilateral spastic cerebral palsy

S. A. Mutalib et al.

We examine the grip force control of seven children with unilateral spastic cerebral palsy during unimanual and visually coupled bimanual tasks. Results demonstrated that despite the visual coupling, the bimanual coordination of these children remained impaired. However, there may be a potential benefit of visually-coupled task in encouraging both hands to initiate in concert.

ICORR 2019 

Many hands make light work: interactive is better than solo physiotherapy in certain patient types

C. Fernandes et al.

Stroke patients with arm weakness achieve better arm control when engaging in interactive, rather than solo arm exercises, when controlling for sensorimotor factors. Yet, patients differ widely in terms of the interaction advantage -  that can be accounted for by baseline performance impairment, and by relative lesion overlap of parietal, rather than primary motor, or prefrontal areas. 

ESOC 2019 

Motor dexterity and strength depend upon integrity of the attention-control system

P. Rinne et al.

Attention control, measured through distractibility, has a strong influence on lower level motor functions of hand dexterity and strength. Our results highlight that severe motor impairment occur with normal attention control whereas impaired attention control never occurred with disproportionately milder motor impairment. 

PNAS 2018

Balancing the playing field: collaborative gaming for physical training

M. Mace et al.

This paper presents a novel motor-training paradigm that enables real-time collaboration between two individuals. We show that this dynamic interaction leads to performance enhancement, across a wide range of inter-subject skill mismatches, including disabled vs. able-bodied partnerships.

JNER 2017 

Elasticity improves handgrip performance and user experience during visuomotor control

M. Mace et al.

Novice users perform various tracking task significantly better with an elastic handgrip, compared with a rigid analogue. Furthermore, there was a threefold increase in the number of subjects who preferred elastic interaction suggesting that device compliance is an important design consideration for grip training devices.

RSOS 2017

Democratizing neurorehabilitation: how accessible are low-cost mobile-gaming technologies for self-rehabilitation of arm disability in stroke?

P. Rinne et al.

Mobile-gaming devices could play an important role in self-led neurodisability rehabilitation. However, hand or arm training apps played on conventional mobile devices are generally only accessible to mildly-disabled stroke patients. We show that technological adaptations such as hand-grip controllers can enable more severely affected subjects to engage with self-training software.

PLOS ONE 2016

 

Triple dissociation of attention networks in stroke according to lesion location

P. Rinne et al.

Attention can be decomposed into three separate attention networks related to behaviour and lesion location: (1) Alerting, (2) Orienting, and (3) Conflict resolution. This research shows that over half of all stroke patients can be expected to have a lesion location classifiable into 1 of these 3 principal attention networks based on the manipulation of a visual stimulus-response task. 

NEUROLOGY 2013

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