Objective motor assessment for personalized rehabilitation of upper extremity in brain injury patients.
NeuroRehabilitation
; 42(4): 429-439, 2018.
Article
em En
| MEDLINE
| ID: mdl-29660952
ABSTRACT
BACKGROUND:
The increasing number of patients with acquired brain injury and the current subjectivity of the conventional upper extremity (UE) assessment tests require new objective assessment techniques.OBJECTIVE:
This research proposes a novel objective motor assessment (OMA) methodology based on the Fugl-Meyer assessment (FMA). The goals are to automatically calculate the objective scores (OSs) of FMA-UE movements (as well as a global OS) and to interpret the estimated OSs.METHODS:
Fifteen patients participated in the study. The OMA algorithm was designed to detect small-scale variations in UE movements. The OSs for 14 FMA-UE movements and the global OSs were automatically calculated using the algorithm and evaluated by 2 therapists. The interpretation of the global OSs was performed at 3 levels by item, movement and globally.RESULTS:
The global OSs calculated by our algorithm had a significant correlation with the therapists' scores (0.783 and 0.938, pâ< â0.01). All OSs for each movement were correlated with the scores given by the therapists. The correlation coefficient can reach values as high as 0.981 (pâ< â0.01).CONCLUSIONS:
We provide a new objective assessment tool for therapists to help them improve the diagnostic accuracy and to achieve a more personalized and potentially effective physical rehabilitation of brain injury patients.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Lesões Encefálicas
/
Extremidade Superior
/
Avaliação da Deficiência
/
Reabilitação Neurológica
/
Movimento
/
Exame Neurológico
Limite:
Humans
Idioma:
En
Revista:
NeuroRehabilitation
Assunto da revista:
NEUROLOGIA
/
REABILITACAO
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Espanha