Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment

[EN] BackgroundConventional clinical tools for assessing upper limb motor function often lack the sensitivity and specificity needed to detect subtle changes in motor performance and may be subject to bias. Kinematic assessment offers a potential solution by providing objective, precise, and detaile...

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Autores: Goizueta Berheide, Sandra, Navarro, Maria Dolores, Calvo Malón, Gabriela, Campos Hervás, Gloria, Colomer Font, Carolina, Noé Sebastián, Enrique, Lloréns Rodríguez, Roberto
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:dnet:riunet______::aa7a70129f8624ecf6fdea81975576ad
Acceso en línea:https://riunet.upv.es/handle/10251/235267
Access Level:acceso abierto
Palabra clave:Stroke
Upper limb
Kinematic assessment
Touchscreen technology
Reliability
Convergent validity
Sensitivity
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dc.title.none.fl_str_mv Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
title Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
spellingShingle Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
Goizueta Berheide, Sandra
Stroke
Upper limb
Kinematic assessment
Touchscreen technology
Reliability
Convergent validity
Sensitivity
title_short Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
title_full Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
title_fullStr Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
title_full_unstemmed Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
title_sort Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairment
dc.creator.none.fl_str_mv Goizueta Berheide, Sandra
Navarro, Maria Dolores
Calvo Malón, Gabriela
Campos Hervás, Gloria
Colomer Font, Carolina
Noé Sebastián, Enrique
Lloréns Rodríguez, Roberto
author Goizueta Berheide, Sandra
author_facet Goizueta Berheide, Sandra
Navarro, Maria Dolores
Calvo Malón, Gabriela
Campos Hervás, Gloria
Colomer Font, Carolina
Noé Sebastián, Enrique
Lloréns Rodríguez, Roberto
author_role author
author2 Navarro, Maria Dolores
Calvo Malón, Gabriela
Campos Hervás, Gloria
Colomer Font, Carolina
Noé Sebastián, Enrique
Lloréns Rodríguez, Roberto
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Generalitat Valenciana
Fundació La Marató de TV3
Agencia Estatal de Investigación
Repositorio Institucional de la Universitat Politècnica de València Riunet
dc.subject.none.fl_str_mv Stroke
Upper limb
Kinematic assessment
Touchscreen technology
Reliability
Convergent validity
Sensitivity
topic Stroke
Upper limb
Kinematic assessment
Touchscreen technology
Reliability
Convergent validity
Sensitivity
description [EN] BackgroundConventional clinical tools for assessing upper limb motor function often lack the sensitivity and specificity needed to detect subtle changes in motor performance and may be subject to bias. Kinematic assessment offers a potential solution by providing objective, precise, and detailed data on movement quality. However, it is typically associated with high costs, complex equipment, time-consuming procedures, and the need for controlled environments, all of which limit its accessibility and practicality in clinical settings. This study aimed to evaluate the reliability, validity, and sensitivity of a low-cost, touchscreen-based kinematic assessment tool for measuring upper limb function in individuals post-stroke.MethodsSixty-four individuals with stroke participated in this study. Participants performed a visually guided reaching task on a large touch screen that consisted in reaching from a central target to five outer targets arranged in a circular pattern, each at a time, and then returning to the central target. Their motor function was assessed using the Fugl-Meyer Assessment for Upper Extremity, the Box and Block Test, and the Nine Hole Peg Test. Kinematic measures of the trajectories performed during the reaching task were extracted and analyzed for reliability, convergent validity with clinical assessments, and sensitivity to impairment severity.ResultsThe kinematic measures demonstrated good to excellent test-retest reliability, with intraclass correlation coefficients ranging from moderate to excellent. The convergent validity analysis revealed multiple significant correlations between the kinematic parameters and clinical assessments, particularly in tests requiring higher skill and precision, such as the Coordination and Speed subscale of the Fugl-Meyer Assessment for Upper Extremity and the Nine Hole Peg Test. Additionally, the touchscreen-based assessment was sensitive to the severity of motor impairment, as reflected by notable differences in the kinematic measures among participants with varying levels of upper limb function.ConclusionsThe touchscreen-based kinematic assessment offered an affordable yet reliable, valid, and sensitive alternative for evaluating upper limb kinematics in individuals with stroke, which could complement clinical assessments by offering additional insights into motor performance. Furthermore, its low cost, high speed, and ease of use make it a practical option for widespread clinical adoption.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-02-11
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://riunet.upv.es/handle/10251/235267
url https://riunet.upv.es/handle/10251/235267
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Agencia Estatal de Investigación http://dx.doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023 PID2022-141498OA-I00 AUMENTO DE LA MEJORA NEUROLOGICA A TRAVES DE LA ESTIMULACION MULTIMODAL
Fundació La Marató de TV3 Fundació La Marató de TV3 60%2F2023
Generalitat Valenciana https://doi.org/10.13039/501100003359 CIDEXG%2F2022%2F15
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reconocimiento (by)
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reconocimiento (by)
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer (Biomed Central Ltd.)
publisher.none.fl_str_mv Springer (Biomed Central Ltd.)
dc.source.none.fl_str_mv reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
instname:Universitat Politècnica de València (UPV)
instname_str Universitat Politècnica de València (UPV)
reponame_str RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
collection RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
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spelling Touchscreen-based assessment of upper limb kinematics after stroke: Reliability, validity and sensitivity to motor impairmentGoizueta Berheide, SandraNavarro, Maria DoloresCalvo Malón, GabrielaCampos Hervás, GloriaColomer Font, CarolinaNoé Sebastián, EnriqueLloréns Rodríguez, RobertoStrokeUpper limbKinematic assessmentTouchscreen technologyReliabilityConvergent validitySensitivity[EN] BackgroundConventional clinical tools for assessing upper limb motor function often lack the sensitivity and specificity needed to detect subtle changes in motor performance and may be subject to bias. Kinematic assessment offers a potential solution by providing objective, precise, and detailed data on movement quality. However, it is typically associated with high costs, complex equipment, time-consuming procedures, and the need for controlled environments, all of which limit its accessibility and practicality in clinical settings. This study aimed to evaluate the reliability, validity, and sensitivity of a low-cost, touchscreen-based kinematic assessment tool for measuring upper limb function in individuals post-stroke.MethodsSixty-four individuals with stroke participated in this study. Participants performed a visually guided reaching task on a large touch screen that consisted in reaching from a central target to five outer targets arranged in a circular pattern, each at a time, and then returning to the central target. Their motor function was assessed using the Fugl-Meyer Assessment for Upper Extremity, the Box and Block Test, and the Nine Hole Peg Test. Kinematic measures of the trajectories performed during the reaching task were extracted and analyzed for reliability, convergent validity with clinical assessments, and sensitivity to impairment severity.ResultsThe kinematic measures demonstrated good to excellent test-retest reliability, with intraclass correlation coefficients ranging from moderate to excellent. The convergent validity analysis revealed multiple significant correlations between the kinematic parameters and clinical assessments, particularly in tests requiring higher skill and precision, such as the Coordination and Speed subscale of the Fugl-Meyer Assessment for Upper Extremity and the Nine Hole Peg Test. Additionally, the touchscreen-based assessment was sensitive to the severity of motor impairment, as reflected by notable differences in the kinematic measures among participants with varying levels of upper limb function.ConclusionsThe touchscreen-based kinematic assessment offered an affordable yet reliable, valid, and sensitive alternative for evaluating upper limb kinematics in individuals with stroke, which could complement clinical assessments by offering additional insights into motor performance. Furthermore, its low cost, high speed, and ease of use make it a practical option for widespread clinical adoption.This work was supported by Conselleria d'Innovacio, Universitats, Ciencia i Societat Digital of Generalitat Valenciana (CIDEXG/2022/15), Ministerio de Ciencia e Innovacion (PID2022-141498OA-I00), and Fundacio la Marato de la TV3 (60/2023).Springer (Biomed Central Ltd.)Generalitat ValencianaFundació La Marató de TV3Agencia Estatal de InvestigaciónRepositorio Institucional de la Universitat Politècnica de València Riunet20252025-02-11journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://riunet.upv.es/handle/10251/235267reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valénciainstname:Universitat Politècnica de València (UPV)InglésengAgencia Estatal de Investigación http://dx.doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2021-2023 PID2022-141498OA-I00 AUMENTO DE LA MEJORA NEUROLOGICA A TRAVES DE LA ESTIMULACION MULTIMODALFundació La Marató de TV3 Fundació La Marató de TV3 60%2F2023Generalitat Valenciana https://doi.org/10.13039/501100003359 CIDEXG%2F2022%2F15open accesshttp://purl.org/coar/access_right/c_abf2Reconocimiento (by)http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:riunet______::aa7a70129f8624ecf6fdea81975576ad2026-06-13T07:49:27Z
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