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Original Articles

Upper-Limb Discoordination in Hemiparetic Stroke: Implications for Neurorehabilitation

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Pages 1-12 | Published online: 02 Feb 2015

Keep up to date with the latest research on this topic with citation updates for this article.

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M. Veeresh Babu, V. Ramya & V. Senthil Murugan. (2023) Design and development of embedded/SQL home based upper limb rehabilitation. International Journal of Healthcare Management 16:4, pages 513-523.
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Federica Tamburella, Juan C. Moreno, Marco Iosa, Iolanda Pisotta, Febo Cincotti, Donatella Mattia, José L. Pons & Marco Molinari. (2017) Boosting the traditional physiotherapist approach for stroke spasticity using a sensorized ankle foot orthosis: a pilot study. Topics in Stroke Rehabilitation 24:6, pages 447-456.
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Articles from other publishers (117)

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Hien Nguyen, Thanh Phan, Reza Shadmehr & Sang Wook Lee. (2023) Impact of unilateral and bilateral impairments on bimanual force production following stroke. Journal of Neurophysiology 130:3, pages 608-618.
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Michael D. Ellis, Netta Gurari, Ninette T. A. Gerritsen, Sabrina M. Lee, Amy Wang & Julius P. A. Dewald. (2023) Shear wave ultrasound elastography of the biceps brachii can be used as a precise proxy for passive elbow torque in individuals with hemiparetic stroke. Physiological Reports 11:10.
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Jaskanwaljeet Kaur, Shannon Proksch & Ramesh Balasubramaniam. (2023) The effect of elastic and viscous force fields on bimanual coordination. Experimental Brain Research 241:4, pages 1117-1130.
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Nerea Irastorza-Landa, Andrea Sarasola-Sanz, Carlos Bibián, Andreas M. Ray, Ainhoa Insausti-Delgado, Florian Helmhold, Wala J. Mahmoud, Iñaki Ortego-Isasa, Eduardo López-Larraz & Ander Ramos-Murguialday. 2023. Handbook of Neuroengineering. Handbook of Neuroengineering 1701 1754 .
Laura M. McPherson & Julius P. A. Dewald. (2022) Abnormal synergies and associated reactions post-hemiparetic stroke reflect muscle activation patterns of brainstem motor pathways. Frontiers in Neurology 13.
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Qin Zhao, Gongwei Jia, Lang Jia, Yule Wang, Wei Jiang, Yali Feng, Hang Jiang, Lehua Yu, Jing Yu & Botao Tan. (2022) Effects of Electromyography Bridge on Upper Limb Motor Functions in Stroke Participants: An Exploratory Randomized Controlled Trial. Brain Sciences 12:7, pages 870.
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Wenfei Sheng, Shijue Li, Jiangli Zhao, Yujia Wang, Zichong Luo, Wai Leung Ambrose Lo, Minghui Ding, Chuhuai Wang & Le Li. (2022) Upper Limbs Muscle Co-contraction Changes Correlated With the Impairment of the Corticospinal Tract in Stroke Survivors: Preliminary Evidence From Electromyography and Motor-Evoked Potential. Frontiers in Neuroscience 16.
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Matteo Lorusso, Marco Tramontano, Matteo Casciello, Andrea Pece, Nicola Smania, Giovanni Morone & Federica Tamburella. (2022) Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis. Brain Sciences 12:6, pages 713.
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Nerea Irastorza-Landa, Andrea Sarasola-Sanz, Carlos Bibián, Andreas M. Ray, Ainhoa Insausti-Delgado, Florian Helmhold, Wala J. Mahmoud, Iñaki Ortego-Isasa, Eduardo López-Larraz & Ander Ramos-Murguialday. 2020. Handbook of Neuroengineering. Handbook of Neuroengineering 1 54 .
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Joseph V. Kopke, Levi J. Hargrove & Michael D. Ellis. (2021) Coupling of shoulder joint torques in individuals with chronic stroke mirrors controls, with additional non-load-dependent negative effects in a combined-torque task. Journal of NeuroEngineering and Rehabilitation 18:1.
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Germain Faity, Denis Mottet, Simon Pla & Jérôme Froger. (2021) The reserve of joint torque determines movement coordination. Scientific Reports 11:1.
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Chingyi Nam, Bingbing Zhang, Tszying Chow, Fuqiang Ye, Yanhuan Huang, Ziqi Guo, Waiming Li, Wei Rong, Xiaoling Hu & Waisang Poon. (2021) Home-based self-help telerehabilitation of the upper limb assisted by an electromyography-driven wrist/hand exoneuromusculoskeleton after stroke. Journal of NeuroEngineering and Rehabilitation 18:1.
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Christina Papazian, Nick A. Baicoianu, Keshia M. Peters, Heather A. Feldner & Katherine M. Steele. (2021) Electromyography Recordings Detect Muscle Activity Before Observable Contractions in Acute Stroke Care. Archives of Rehabilitation Research and Clinical Translation 3:3, pages 100136.
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Benjamin I. Binder-Markey, Wendy M. Murray & Julius P. A. Dewald. (2021) Passive Properties of the Wrist and Fingers Following Chronic Hemiparetic Stroke: Interlimb Comparisons in Persons With and Without a Clinical Treatment History That Includes Botulinum Neurotoxin. Frontiers in Neurology 12.
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Hsiao-Lung Chan, Jen-Wen Hung, Ku-Chou Chang & Ching-Yi Wu. (2021) Myoelectric analysis of upper-extremity muscles during robot-assisted bilateral wrist flexion-extension in subjects with poststroke hemiplegia. Clinical Biomechanics 87, pages 105412.
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Patrycja Lewandowska-Sroka, Rafał Stabrawa, Dominika Kozak, Anna Poświata, Barbara Łysoń-Uklańska, Katarzyna Bienias, Anna Roksela, Marcin Kliś & Michał Mikulski. (2021) The Influence of EMG-Triggered Robotic Movement on Walking, Muscle Force and Spasticity after an Ischemic Stroke. Medicina 57:3, pages 227.
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Hsin-Chieh LeeFen-Ling KuoYen-Nung LinTsan-Hon LiouJui-Chi Lin & Shih-Wei Huang. (2021) Effects of Robot-Assisted Rehabilitation on Hand Function of People With Stroke: A Randomized, Crossover-Controlled, Assessor-Blinded Study. The American Journal of Occupational Therapy 75:1, pages 7501205020p1-7501205020p11.
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Michael D. Ellis & Sabeen Admani. (2020) A Comparison Between Reaching Distance and Work Area for Measuring the Impact of Flexion Synergy on Reaching Function in Chronic Moderate to Severe Hemiparetic Stroke. A Comparison Between Reaching Distance and Work Area for Measuring the Impact of Flexion Synergy on Reaching Function in Chronic Moderate to Severe Hemiparetic Stroke.
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Il-woo Park, Su-jin Kim, Chung-hwi Yi & Il-young Moon. (2020) The Immediate Effect of a Grahamizer Exercise on Arm Reaching in Individuals With Stroke. Physical Therapy Korea 27:1, pages 11-18.
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Andrea M. Harriott, Fahri Karakaya & Cenk Ayata. (2020) Headache after ischemic stroke. Neurology 94:1, pages e75-e86.
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Joseph V. Kopke, Michael D. Ellis & Levi J. Hargrove. (2020) Determining User Intent of Partly Dynamic Shoulder Tasks in Individuals With Chronic Stroke Using Pattern Recognition. IEEE Transactions on Neural Systems and Rehabilitation Engineering 28:1, pages 350-358.
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Jeong-Ho Park, Joon-Ho Shin, Hangil Lee, Chan Beom Park, Jinsook Roh & Hyung-Soon Park. (2019) Design and Evaluation of a Novel Experimental Setup for Upper Limb Intermuscular Coordination Studies. Frontiers in Neurorobotics 13.
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Vasiliy E. Buharin & Minoru Shinohara. (2019) Corticospinal excitability for flexor carpi radialis decreases with baroreceptor unloading during intentional co-contraction with opposing forearm muscles. Experimental Brain Research 237:8, pages 1947-1958.
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Yuming Lei, Areej Akbar & Jinsung Wang. (2019) Direct-effects and after-effects of dynamic adaptation on intralimb and interlimb transfer. Human Movement Science 65, pages 102-110.
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Aaron L. Wong, Steven A. Jax, Louisa L. Smith, Laurel J. Buxbaum & John W. Krakauer. (2019) Movement Imitation via an Abstract Trajectory Representation in Dorsal Premotor Cortex. The Journal of Neuroscience 39:17, pages 3320-3331.
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A. S. Klochkov, A. E. Khizhnikova, M. A. Nazarova & L. A. Chernikova. (2018) Pathological Upper Limb Synergies of Patients with Poststroke Hemiparesis. Neuroscience and Behavioral Physiology 48:7, pages 813-822.
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Jacob G. McPherson, Michael D. Ellis, R. Norman Harden, Carolina Carmona, Justin M. Drogos, Charles J. Heckman & Julius P. A. Dewald. (2018) Neuromodulatory Inputs to Motoneurons Contribute to the Loss of Independent Joint Control in Chronic Moderate to Severe Hemiparetic Stroke. Frontiers in Neurology 9.
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Jun Yao & Julius P. A. Dewald. (2018) The Increase in Overlap of Cortical Activity Preceding Static Elbow/Shoulder Motor Tasks Is Associated With Limb Synergies in Severe Stroke. Neurorehabilitation and Neural Repair 32:6-7, pages 624-634.
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Christopher H. Mullens & David A. Brown. (2018) Visual feedback during pedaling allows individuals poststroke to alter inappropriately prolonged paretic vastus medialis activity. Journal of Neurophysiology 119:6, pages 2334-2346.
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Chingyi Nam, Wei Rong, Waiming Li, Yunong Xie, Xiaoling Hu & Yongping Zheng. (2017) The Effects of Upper-Limb Training Assisted with an Electromyography-Driven Neuromuscular Electrical Stimulation Robotic Hand on Chronic Stroke. Frontiers in Neurology 8.
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Hendrik Wöhrle, Marc Tabie, Su Kim, Frank Kirchner & Elsa Kirchner. (2017) A Hybrid FPGA-Based System for EEG- and EMG-Based Online Movement Prediction. Sensors 17:7, pages 1552.
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Michael D. Ellis, Ingrid Schut & Julius P.A. Dewald. (2017) Flexion synergy overshadows flexor spasticity during reaching in chronic moderate to severe hemiparetic stroke. Clinical Neurophysiology 128:7, pages 1308-1314.
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Cole S. Simpson, Allison M. Okamura & Elliot W. Hawkes. (2017) Exomuscle: An inflatable device for shoulder abduction support. Exomuscle: An inflatable device for shoulder abduction support.
Michael D. Ellis, Yiyun Lan, Jun Yao & Julius P. A. Dewald. (2016) Robotic quantification of upper extremity loss of independent joint control or flexion synergy in individuals with hemiparetic stroke: a review of paradigms addressing the effects of shoulder abduction loading. Journal of NeuroEngineering and Rehabilitation 13:1.
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Neethu Robinson & A.P. Vinod. (2016) Noninvasive Brain-Computer Interface: Decoding Arm Movement Kinematics and Motor Control. IEEE Systems, Man, and Cybernetics Magazine 2:4, pages 4-16.
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Michael D. Ellis, Carolina Carmona, Justin Drogos, Stuart Traxel & Julius P.A. Dewald. (2016) Progressive abduction loading therapy targeting flexion synergy to regain reaching function in chronic stroke: Preliminary results from an RCT. Progressive abduction loading therapy targeting flexion synergy to regain reaching function in chronic stroke: Preliminary results from an RCT.
Jun Yao, Clay Sheaff, Carolina Carmona & Julius P. A. Dewald. (2015) Impact of Shoulder Abduction Loading on Brain-Machine Interface in Predicting Hand Opening and Closing in Individuals With Chronic Stroke. Neurorehabilitation and Neural Repair 30:4, pages 363-372.
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Jules P. A. Dewald, Michael D. Ellis, Ana Maria Acosta, Jacob G. McPherson & Arno H. A. Stienen. 2016. Neurorehabilitation Technology. Neurorehabilitation Technology 375 392 .
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Natalia Sanchez, Ana Maria Acosta, Arno H. A. Stienen & Julius P. A. Dewald. (2015) A Multiple Degree of Freedom Lower Extremity Isometric Device to Simultaneously Quantify Hip, Knee, and Ankle Torques. IEEE Transactions on Neural Systems and Rehabilitation Engineering 23:5, pages 765-775.
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M. Semprini, A. Cuppone, V. Squeri & J. Konczak. (2015) Muscle innervation patterns for human wrist control: Useful biofeedback signals for robotic rehabilitation?. Muscle innervation patterns for human wrist control: Useful biofeedback signals for robotic rehabilitation?.
Rachel L. Hawe & Jules P. A. Dewald. (2015) Development of a method to quantify inter-limb coupling in individuals with hemiparetic stroke. Development of a method to quantify inter-limb coupling in individuals with hemiparetic stroke.
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Matt Simkins, Anne Burleigh Jacobs & Jacob Rosen. (2013) Rhythmic affects on stroke-induced joint synergies across a range of speeds. Experimental Brain Research 229:4, pages 517-524.
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Rong Song, Kai-Yu Tong, Xiaoling Hu, Le Li & Rui Sun. (2013) Arm?eye coordination test to objectively quantify motor performance and muscles activation in persons after stroke undergoing robot-aided rehabilitation training: a pilot study. Experimental Brain Research 229:3, pages 373-382.
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Michele F. Rotella, Margaret Koehler, Ilana Nisky, Amy J. Bastian & Allison M. Okamura. (2013) Adaptation to visuomotor rotation in isometric reaching is similar to movement adaptation. Adaptation to visuomotor rotation in isometric reaching is similar to movement adaptation.
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Laura C. Miller & Julius P.A. Dewald. (2012) Involuntary paretic wrist/finger flexion forces and EMG increase with shoulder abduction load in individuals with chronic stroke. Clinical Neurophysiology 123:6, pages 1216-1225.
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L. Dipietro, H. I. Krebs, B. T. Volpe, J. Stein, C. Bever, S. T. Mernoff, S. E. Fasoli & N. Hogan. (2012) Learning, Not Adaptation, Characterizes Stroke Motor Recovery: Evidence From Kinematic Changes Induced by Robot-Assisted Therapy in Trained and Untrained Task in the Same Workspace. IEEE Transactions on Neural Systems and Rehabilitation Engineering 20:1, pages 48-57.
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Daniel M. Krainak, Michael D. Ellis, Kathryn Bury, Steven Churchill, Elynnor Pavlovics, Laura Pearson, Miti Shah & Julius P.A. Dewald. (2011) Effects of body orientation on maximum voluntary arm torques. Muscle & Nerve 44:5, pages 805-813.
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Jun Yao, Albert Chen, Carolina Carmona & Julius P.A. Dewald. (2009) Cortical overlap of joint representations contributes to the loss of independent joint control following stroke. NeuroImage 45:2, pages 490-499.
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Michelle L. WoodburyDena R. Howland, Theresa E. McGuirk, Sandra B. Davis, Claudia R. Senesac, Steve Kautz & Lorie G. Richards. (2008) Effects of Trunk Restraint Combined With Intensive Task Practice on Poststroke Upper Extremity Reach and Function: A Pilot Study. Neurorehabilitation and Neural Repair 23:1, pages 78-91.
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Jacob G. McPherson, Michael D. Ellis, C. J. Heckman & Julius P. A. Dewald. (2008) Evidence for Increased Activation of Persistent Inward Currents in Individuals With Chronic Hemiparetic Stroke. Journal of Neurophysiology 100:6, pages 3236-3243.
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X. L. Hu, K. Y. Tong, R. Song, X. J. Zheng & K. H. Lui. (2008) Robot-assisted wrist training for chronic stroke: A comparison between electromyography (EMG) driven robot and passive motion. Robot-assisted wrist training for chronic stroke: A comparison between electromyography (EMG) driven robot and passive motion.
J.M. Hidler, M. Carroll & E.H. Federovich. (2007) Strength and Coordination in the Paretic Leg of Individuals Following Acute Stroke. IEEE Transactions on Neural Systems and Rehabilitation Engineering 15:4, pages 526-534.
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Theresa M. Sukal, Michael D. Ellis & Julius P. A. Dewald. (2007) Shoulder abduction-induced reductions in reaching work area following hemiparetic stroke: neuroscientific implications. Experimental Brain Research 183:2, pages 215-223.
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Tatyana Gerachshenko & James W. Stinear. (2007) Suppression of motor evoked potentials in biceps brachii preceding pronator contraction. Experimental Brain Research 183:4, pages 531-539.
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L. Dipietro, H. I. Krebs, S. E. Fasoli, B. T. Volpe, J. Stein, C. Bever & N. Hogan. (2007) Changing Motor Synergies in Chronic Stroke. Journal of Neurophysiology 98:2, pages 757-768.
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Xiaoling Hu, Kai Y. Tong, Rong Song, Vincent S. Tsang, Penny O. Leung & Le Li. (2007) Variation of Muscle Coactivation Patterns in Chronic Stroke During Robot-Assisted Elbow Training. Archives of Physical Medicine and Rehabilitation 88:8, pages 1022-1029.
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Jun Yao, Clay Sheaff & Julius P. A. Dewald. (2007) Usage of the ACT<sup>3D</sup> Robot in a Brain Machine Interface for Hand Opening and Closing in Stroke Survivors. Usage of the ACT<sup>3D</sup> Robot in a Brain Machine Interface for Hand Opening and Closing in Stroke Survivors.
Albert Chen, Jun Yao & Julius P. A. Dewald. (2007) A novel experimental setup combining EEG and robotics to investigate brain activity driving controlled reaching movements in chronic stroke survivors. A novel experimental setup combining EEG and robotics to investigate brain activity driving controlled reaching movements in chronic stroke survivors.
Daniel M. Krainak, Todd B. Parrish & Julius P.A. Dewald. (2007) A method to capture six-degrees-of-freedom mechanical measurements of isometric shoulder and elbow torques during event-related fMRI. Journal of Neuroscience Methods 161:2, pages 314-322.
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Jun Yao & Julius P. A. Dewald. (2006) Cortico-muscular Communication during the Generation of Static Shoulder Abduction Torque in Upper Limb Following Stroke. Cortico-muscular Communication during the Generation of Static Shoulder Abduction Torque in Upper Limb Following Stroke.
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