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Table 5 Kinematic characteristics of reach-to-grasping movements after tetraplegia

From: Upper limb kinematics after cervical spinal cord injury: a review

Parameters

Main results

SCI motor level

References

C5

C6

C7

Movement time (MT)

T

Increased

 

X

X

[3, 14, 35, 37]

Velocity Peak (PV)

T

Decreased

 

X

X

[3, 14, 29, 35]

  

Variability increased

 

X

 

[35]

  

Negative correlation with ASIA score

 

X

X

[37]

Time to PV (TPV)

T

Delayed time to PV

 

X

X

[3, 14, 37]

Number of PV

T

Two peaks (reaching and return)

 

X

X

[29, 35]

  

Additional PV (grasping)

 

X

X

[29, 35, 37]

Velocity

T

Stable1 before grasping

 

X

 

[15]

Velocity profile2

T

Asymmetric with a prolonged decelerative phase

 

X

 

[3, 35]

Trajectory3

S

Straight and smooth

 

X

 

[35]

Trajectory4

S

Reduced and less straight

 

X

 

[35]

Trajectory5

S

Increased curvature index

 

X

X

[37]

Trajectory6

S

Negative correlation with FIM

 

X

X

[37]

Hand height

S

Increased at the end of the reaching phase

 

X

X

[3, 29, 35]

Joint motion

S

Similar pattern of joint rotation

 

X

X

[14, 37]

 

Increased of scapula movement

 

X

 

[15, 35]

 

Increased wrist flexion/extension range of motion

 

X

X

[3, 14, 29]

 

Wrist flexion during reaching

 

X

X

[3, 14, 15, 29]

 

Wrist extension for grasping and manipulating

 

X

X

[3, 14, 15, 29]

 

Increased of wrist extension for LG vs WHG

 

X

 

[3]

Joint coordination7

S

Temporal linear relationship

 

X

X

[14, 29, 35]

Joint coordination8

S

Temporal decoupling

 

X

X

[29]

EMG activity

N

Increased

 

X

 

[15]

 

Activation of agonist without antagonist muscle

 

X

 

[15]

  1. 1for shoulder flexion, elbow extension and wrist tangential velocity; 2of hand and finger; 3of elbow, hand and finger; 4of acromion; 5of wrist; 6of index; 7of shoulder and elbow; 8of shoulder and wrist; a2002.
  2. Abbreviations: T Temporal kinematic parameter, S Spatial kinematic parameter, N Non kinematic parameter, PV Velocity Peak, FIM Functional Independence Measure, LG Lateral Grip, WHG Whole Hand Grip.