Effects of Direction and Index of Difficulty on Aiming Movements after Stroke

Background. Brain hemispheres play different roles in the control of aiming movements that are impaired after unilateral stroke. It is not clear whether those roles are influenced by the direction and the difficulty of the task. Objective. To evaluate the influence of direction and index of difficul...

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Main Authors: Paola Ribeiro Coqueiro, Sandra Maria Sbeghen Ferreira de Freitas, Cassandra Mendes Assunção e Silva, Sandra Regina Alouche
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2014/909182
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author Paola Ribeiro Coqueiro
Sandra Maria Sbeghen Ferreira de Freitas
Cassandra Mendes Assunção e Silva
Sandra Regina Alouche
author_facet Paola Ribeiro Coqueiro
Sandra Maria Sbeghen Ferreira de Freitas
Cassandra Mendes Assunção e Silva
Sandra Regina Alouche
author_sort Paola Ribeiro Coqueiro
collection DOAJ
description Background. Brain hemispheres play different roles in the control of aiming movements that are impaired after unilateral stroke. It is not clear whether those roles are influenced by the direction and the difficulty of the task. Objective. To evaluate the influence of direction and index of difficulty (ID) of the task on performance of ipsilesional aiming movements after unilateral stroke. Methods. Ten individuals with right hemisphere stroke, ten with left hemisphere stroke, and ten age- and gender-matched controls performed the aiming movements on a digitizing tablet as fast as possible. Stroke individuals used their ipsilesional arm. The direction (ipsilateral or contralateral), size (0.8 or 1.6 cm), and distance (9 or 18 cm) of the targets, presented on a monitor, were manipulated and determined to be of different ID (3.5, 4.5, and 5.5). Results. Individuals with right hemisphere lesion were more sensitive to ID of the task, affecting planning and final position accuracy. Left hemisphere lesion generated slower and less smooth movements and was more influenced by target distance. Contralateral movements and higher ID increased planning demands and hindered movement execution. Conclusion. Right and left hemisphere damages are differentially influenced by task constraints which suggest their complementary roles in the control of aiming movements.
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spelling doaj-art-b2b391c686914a82818b38ea5b757cfb2025-02-03T01:25:44ZengWileyBehavioural Neurology0953-41801875-85842014-01-01201410.1155/2014/909182909182Effects of Direction and Index of Difficulty on Aiming Movements after StrokePaola Ribeiro Coqueiro0Sandra Maria Sbeghen Ferreira de Freitas1Cassandra Mendes Assunção e Silva2Sandra Regina Alouche3Master’s and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, 448/475 Tatuapé, 03071-000 São Paulo, SP, BrazilMaster’s and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, 448/475 Tatuapé, 03071-000 São Paulo, SP, BrazilMaster’s and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, 448/475 Tatuapé, 03071-000 São Paulo, SP, BrazilMaster’s and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, 448/475 Tatuapé, 03071-000 São Paulo, SP, BrazilBackground. Brain hemispheres play different roles in the control of aiming movements that are impaired after unilateral stroke. It is not clear whether those roles are influenced by the direction and the difficulty of the task. Objective. To evaluate the influence of direction and index of difficulty (ID) of the task on performance of ipsilesional aiming movements after unilateral stroke. Methods. Ten individuals with right hemisphere stroke, ten with left hemisphere stroke, and ten age- and gender-matched controls performed the aiming movements on a digitizing tablet as fast as possible. Stroke individuals used their ipsilesional arm. The direction (ipsilateral or contralateral), size (0.8 or 1.6 cm), and distance (9 or 18 cm) of the targets, presented on a monitor, were manipulated and determined to be of different ID (3.5, 4.5, and 5.5). Results. Individuals with right hemisphere lesion were more sensitive to ID of the task, affecting planning and final position accuracy. Left hemisphere lesion generated slower and less smooth movements and was more influenced by target distance. Contralateral movements and higher ID increased planning demands and hindered movement execution. Conclusion. Right and left hemisphere damages are differentially influenced by task constraints which suggest their complementary roles in the control of aiming movements.http://dx.doi.org/10.1155/2014/909182
spellingShingle Paola Ribeiro Coqueiro
Sandra Maria Sbeghen Ferreira de Freitas
Cassandra Mendes Assunção e Silva
Sandra Regina Alouche
Effects of Direction and Index of Difficulty on Aiming Movements after Stroke
Behavioural Neurology
title Effects of Direction and Index of Difficulty on Aiming Movements after Stroke
title_full Effects of Direction and Index of Difficulty on Aiming Movements after Stroke
title_fullStr Effects of Direction and Index of Difficulty on Aiming Movements after Stroke
title_full_unstemmed Effects of Direction and Index of Difficulty on Aiming Movements after Stroke
title_short Effects of Direction and Index of Difficulty on Aiming Movements after Stroke
title_sort effects of direction and index of difficulty on aiming movements after stroke
url http://dx.doi.org/10.1155/2014/909182
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AT cassandramendesassuncaoesilva effectsofdirectionandindexofdifficultyonaimingmovementsafterstroke
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