scholarly journals Quantitative Assessment of Upper Limb Motor Function in Ethiopian Acquired Brain Injured Patients Using a Low-Cost Wearable Sensor

2019 ◽  
Vol 10 ◽  
Author(s):  
Charmayne M. L. Hughes ◽  
Moges Baye ◽  
Chloe Gordon-Murer ◽  
Alexander Louie ◽  
Selena Sun ◽  
...  
2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Yali Liu ◽  
Qiuzhi Song ◽  
Chong Li ◽  
Xinyu Guan ◽  
Linhong Ji

With the popularization of rehabilitation robots, it is necessary to develop quantitative motor function assessment methods for patients with a stroke. To make the assessment equipment easier to use in clinics and combine the assessment methods with the rehabilitation training process, this paper proposes an anthropomorphic rehabilitation robot based on the basic movement patterns of the upper limb, point-to-point reaching and circle drawing movement. This paper analyzes patients’ movement characteristics in aspects of movement range, movement accuracy, and movement smoothness and the output force characteristics by involving 8 patients. Besides, a quantitative assessment method is also proposed based on multivariate fitting methods. It can be concluded that the area of the real trajectory and movement accuracy during circle drawing movement as well as the ratio of force along the sagittal axis in backward point-to-point movement are the unique parameters that are different remarkably between stroke patients and healthy subjects. The fitting function has a high goodness of fit with the Fugl-Meyer scores for the upper limb (R2=0.91, p=0.015), which demonstrates that the fitting function can be used to assess patients’ upper limb movement function. The indicators are recorded during training movement, and the fitting function can calculate the scores immediately, which makes the functional assessment quantitative and timely. Combining the training process and assessment, the quantitative assessment method will farther expand the application of rehabilitation robots.


2014 ◽  
Vol 625 ◽  
pp. 644-648
Author(s):  
Choong Pyo Jeong ◽  
Dong Hwan Shin ◽  
Tae Sang Park ◽  
Jung Hyun Choi ◽  
Jeon Il Moon ◽  
...  

As it is well-known, the stroke is known to be a cerebrovascular disease due to circulation disorders. Physical disabilities do remain due to nerve damages after strokes occur. These physical disabilities of the patient can be reduced by the rehabilitation treatment. This effect of rehabilitation appears with improvements of motor function. In order to evaluate the improvements of this motor function, therapists have used Fugl-Meyer assessment method (FMA). FMA method consists of fifty command motions such as thirty three command motions for motor function’s assessment of upper limbs and seventeen command motions for lower limbs. Further FMA method suggests three scores per each command motions. So to speak, in the FMA method, if the patients perform perfectly a given command motion, then they receive 2 points in a given command motion. Also if the patients cannot perform, they receive 0 point. Finally, if the patients perform partially, they receive 1 point. FMA method has a limit that cannot suggest exact assessments of the recovering patients. For the example, improvements of motor function of a patient cannot be evaluated from the initial stroke to full recovery. So it is hard to accurate diagnosis about patient's improvement. On the other hands, rapid upper limb assessment (RULA) method is suggested to evaluate the fatigue of muscle in a working environment. This RULA method suggests more detailed and quantitative assessment with diagnostic approaches than FMA method.


2003 ◽  
Vol 14 (4) ◽  
pp. 283-292 ◽  
Author(s):  
W. Sturm ◽  
B. Fimm ◽  
A. Cantagallo ◽  
N. Cremel ◽  
P. North ◽  
...  

Abstract: In a multicenter European approach, the efficacy of the AIXTENT computerized training programs for intensity aspects (alertness and vigilance) and selectivity aspects (selective and divided attention) of attention was studied in 33 patients with brain damage of vascular and traumatic etiology. Each patient received training in one of two most impaired of the four attention domains. Control tests were performed by means of a standardized computerized attention test battery (TAP) comprising tests for the four attention functions. Assessment was carried out at the beginning and at the end of a four week baseline period and after the training period of 14 one-hour sessions. At the end of the baseline phase, there was only slight but significant improvement for the most complex attention function, divided attention (number of omissions). After the training, there were significant specific training effects for both intensity aspects (alertness and vigilance) and also for the number of omissions in the divided attention task. The application of inferential single case procedures revealed a high number of significant improvements in individual cases after specific training of alertness and vigilance problems. On the other hand, a non specific training addressing selectivity aspects of attention lead either to improvement or deterioration of alertness and vigilance performance. The results corroborate the findings of former studies with the same training instrument but in patients with different lesion etiologies.


Sign in / Sign up

Export Citation Format

Share Document