Document Detail


Upper extremity movement pattern of a common drinking task in well elderly women: A pilot study.
MedLine Citation:
PMID:  15181478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Retraining of the upper limb during neurological rehabilitation often involves preparatory therapeutic exercises of concentric and eccentric nature embedded in purposeful activity. However, empirical baseline studies are lacking to justify efficacy of such training. The purpose of this study was to determine the effect of concentric and eccentric exercises on upper extremity movement pattern in healthy elderly persons during a common daily functional task. Nine young women aged between 22 and 23 years and nine elderly women between 70 and 78 years participated in the musculoskeletal study of lifting a cup of water to sip and then lowering the cup back to a table. Two-dimensional forearm movement kinematics and associated electromyography from biceps and triceps were analysed. Forearm motor performance in the elderly participants were slower and needed more corrections compared to the younger participants. The electromyography revealed that lifting and lowering movements were accomplished by concentric and eccentric muscle firing in the biceps. However, in the elderly the muscle responses were varied suggesting a possible decline in object-related visuomotor co-ordination with age. The results indicate that movement patterns and muscular response decline in elderly people during preparatory therapeutic exercises embedded in purposeful activity. The effect of therapeutic exercises on upper limb functional performance needs to be further investigated in patient populations to explore the effectiveness of embedded therapeutic exercises in movement retraining. Small sample number limits the results of the study to be generalized. In addition, future studies should measure movement of more limb and hand segments to gain understanding of the total upper extremity performance during the task.
Authors:
Kinsuk K Maitra; Michael D Junkins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Occupational therapy international     Volume:  11     ISSN:  0966-7903     ISO Abbreviation:  Occup Ther Int     Publication Date:  2004  
Date Detail:
Created Date:  2004-06-07     Completed Date:  2004-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9433361     Medline TA:  Occup Ther Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  67-81     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Whurr Publishers Ltd.
Affiliation:
Department of Occupational Therapy, Medical College of Ohio, Toledo 43614-5803, USA. kmaitra@mco.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Arm / physiology*
Biomechanics
Drinking / physiology
Female
Humans
Movement / physiology*
Muscle, Skeletal / physiology*
Pilot Projects
Reference Values
Rehabilitation / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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