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Biomedical subjects

S Adamovich

Publications and source records attributed to S Adamovich.

4 recordsLinked to original sources

Virtual reality-based post-stroke hand rehabilitation.

A VR-based system using a CyberGlove and a Rutgers Master II-ND haptic glove was used to rehabilitate four post-stroke patients in the chronic phase. Each patient had to perform a variety of VR exercises to reduce impairments in their finger range of motion, speed, fractionation and strength. Patients exercised for about two hours per day, five days a week for three weeks. Results showed that three of the patients had gains in thumb range (50-140%) and finger speed (10-15%) over the three weeks trial. All four patients had significant improvement in finger fractionation (40-118%). Gains in finger strength were modest, due in part to an unexpected hardware malfunction. Two of the patients were measured against one-month post intervention and showed good retention. Evaluation using the Jebsen Test of Hand Function showed a reduction of 23-28% in time completion for two of the patients (the ones with the higher degrees of impairment). A prehension task was performed 9-40% faster for three of the patients after the intervention illustrating transfer of their improvement to a functional task.

Aged↗

Pointing to remembered targets in 3-D space in Parkinson's disease.

A three-dimensional tracking system was used to examine whether subjects with Parkinson's disease (PD) would show characteristic performance deficits in an unconstrained pointing task. Five targets were presented in a pyramidal array in space to 11 individuals with mild to moderate PD and 8 age-matched controls. After the target was indicated, subjects closed their eyes and pointed to the remembered target locations without vision. Despite the absence of visual feedback during movement, PD subjects were as accurate overall as controls. However, PD subjects showed greater variable errors, more irregular trajectories, and a vertical endpoint bias in which their endpoints were significantly lower than controls. They also showed deficiencies in the compensatory organization of joint rotations to ensure consistency in azimuthal (horizontal) positioning of the arm endpoint. We concluded that, under appropriate task conditions, PD subjects may not show overall deficits in accuracy even when making targeting movements at normal speed without visual feedback. Nevertheless, our findings indicate that there are certain dimensions of performance which are selectively altered in Parkinson's disease even when overall performance is normal.

Aged↗

Influence of movement speed on accuracy of pointing to memorized targets in 3D space.

Subjects performed three-dimensional (3D) pointing movements as accurately as possible with their eyes closed under four different speed conditions: 'slow', 'normal', 'fast' and 'maximal' (peak velocities of 0.62, 1.61, 2.51 and 4.68 m/s, respectively). Movement speed did not significantly affect the magnitude of constant pointing errors, nor that of variable errors, except for movements in the 'maximal' condition when peak velocity values larger than 4.5 m/s were reached. The findings are consistent with the hypothesis that final arm position may be specified regardless of movement dynamics.

Acceleration↗

Azimuth errors in pointing to remembered targets under extreme head rotations.

Errors in pointing to remembered target locations in 3-D space were studied when subjects were free to move their heads, and when they rotated their heads to the extreme right or left. Relative to pointing when the head was free to move, head rotations to the right shifted the final position of the responding arm to the left, whereas head rotations to the left shifted the final position of arm to the right. Horizontal rotation of the head had no systematic influence on elevation and radial distance errors. The influence of head rotations on pointing errors may be mediated by small shifts in the internal representation of external space, shifting the presentation of space in the opposite direction of the head rotation.

Adult↗