Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease

Abstract This study aimed to investigate the effects of early-stage Alzheimer’s disease (AD) on the reach-to-grasp kinematics and kinetics with and without visual supervision of the grasping arm and hand. Seventeen patients who had been diagnosed with early-stage AD and 17 age- and gender-matched, c...

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Main Authors: Jianhong Zhang, Yunling Xiao, Zong-Ming Li, Na Wei, Leitong Lin, Ke Li
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s12984-022-01108-1
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author Jianhong Zhang
Yunling Xiao
Zong-Ming Li
Na Wei
Leitong Lin
Ke Li
author_facet Jianhong Zhang
Yunling Xiao
Zong-Ming Li
Na Wei
Leitong Lin
Ke Li
author_sort Jianhong Zhang
collection DOAJ
description Abstract This study aimed to investigate the effects of early-stage Alzheimer’s disease (AD) on the reach-to-grasp kinematics and kinetics with and without visual supervision of the grasping arm and hand. Seventeen patients who had been diagnosed with early-stage AD and 17 age- and gender-matched, cognitive normal (CN) adults participated in the experiment. A mirror operating system was designed to block the visual feedback of their grasping hand and forearms but to virtually show grasped targets. The target for reach-to-grasp kinematics was a reflective marker installed on a base; and the target for reach-to-grasp kinetics was a custom-made apparatus installed with two six-component force/torque transducers. Kinematics and kinetic parameters were used to quantify the reach-to-grasp performances. Results showed that the early-stage AD remarkably decreased the reaching speed, reduced the grasping accuracy and increased the transportation variability for reach-to-grasp kinematics. For kinetic analysis, early-stage AD extended the preload duration, disturbed the grip and lift forces coordination, and increased the feedforward proportion in the grasping force control. The AD-related changes in the reach-to-grasp kinematic and kinetic parameters depended on visual feedback and were associated with nervous system function according to correlation analyses with the neuropsychological testing. These results suggest that the abnormal kinematic and kinetic characteristics may correlate with the neuropsychological status of early-stage AD, and that the reach-to-grasp kinematic and kinetic maneuver could potentially be used as a novel tool for non-invasive screening or evaluation of early-stage AD.
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spelling doaj.art-a239edfeb85b412a94d825f754e8c69b2022-12-22T03:39:15ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032022-11-0119111510.1186/s12984-022-01108-1Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s diseaseJianhong Zhang0Yunling Xiao1Zong-Ming Li2Na Wei3Leitong Lin4Ke Li5School of Control Science and Engineering, Shandong UniversityDepartment of Geriatrics, Qilu Hospital, Shandong UniversityDepartment of Orthopaedic Surgery, University of ArizonaDepartment of Geriatrics, Qilu Hospital, Shandong UniversitySchool of Control Science and Engineering, Shandong UniversitySchool of Control Science and Engineering, Shandong UniversityAbstract This study aimed to investigate the effects of early-stage Alzheimer’s disease (AD) on the reach-to-grasp kinematics and kinetics with and without visual supervision of the grasping arm and hand. Seventeen patients who had been diagnosed with early-stage AD and 17 age- and gender-matched, cognitive normal (CN) adults participated in the experiment. A mirror operating system was designed to block the visual feedback of their grasping hand and forearms but to virtually show grasped targets. The target for reach-to-grasp kinematics was a reflective marker installed on a base; and the target for reach-to-grasp kinetics was a custom-made apparatus installed with two six-component force/torque transducers. Kinematics and kinetic parameters were used to quantify the reach-to-grasp performances. Results showed that the early-stage AD remarkably decreased the reaching speed, reduced the grasping accuracy and increased the transportation variability for reach-to-grasp kinematics. For kinetic analysis, early-stage AD extended the preload duration, disturbed the grip and lift forces coordination, and increased the feedforward proportion in the grasping force control. The AD-related changes in the reach-to-grasp kinematic and kinetic parameters depended on visual feedback and were associated with nervous system function according to correlation analyses with the neuropsychological testing. These results suggest that the abnormal kinematic and kinetic characteristics may correlate with the neuropsychological status of early-stage AD, and that the reach-to-grasp kinematic and kinetic maneuver could potentially be used as a novel tool for non-invasive screening or evaluation of early-stage AD.https://doi.org/10.1186/s12984-022-01108-1Alzheimer’s diseaseSensorimotor controlReach-to-grasp performanceKinematicsKinetics
spellingShingle Jianhong Zhang
Yunling Xiao
Zong-Ming Li
Na Wei
Leitong Lin
Ke Li
Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease
Journal of NeuroEngineering and Rehabilitation
Alzheimer’s disease
Sensorimotor control
Reach-to-grasp performance
Kinematics
Kinetics
title Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease
title_full Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease
title_fullStr Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease
title_full_unstemmed Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease
title_short Reach-to-grasp kinematics and kinetics with and without visual feedback in early-stage Alzheimer’s disease
title_sort reach to grasp kinematics and kinetics with and without visual feedback in early stage alzheimer s disease
topic Alzheimer’s disease
Sensorimotor control
Reach-to-grasp performance
Kinematics
Kinetics
url https://doi.org/10.1186/s12984-022-01108-1
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