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Objective motor assessment for personalized rehabilitation of upper extremity in brain injury patients.
Villán-Villán, Mailin Adriana; Pérez-Rodríguez, Rodrigo; Martín, Cristina; Sánchez-González, Patricia; Soriano, Ignasi; Opisso, Eloy; Hernando, M Elena; Tormos, José María; Medina, Josep; Gómez, Enrique J.
Affiliation
  • Villán-Villán MA; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), Madrid, Spain.
  • Pérez-Rodríguez R; Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Zaragoza, Spain.
  • Martín C; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), Madrid, Spain.
  • Sánchez-González P; Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Zaragoza, Spain.
  • Soriano I; Institut Guttmann Neurorehabilitation Hospital, Universitat Autónoma de Barcelona, Badalona, Spain.
  • Opisso E; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), Madrid, Spain.
  • Hernando ME; Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Zaragoza, Spain.
  • Tormos JM; Institut Guttmann Neurorehabilitation Hospital, Universitat Autónoma de Barcelona, Badalona, Spain.
  • Medina J; Institut Guttmann Neurorehabilitation Hospital, Universitat Autónoma de Barcelona, Badalona, Spain.
  • Gómez EJ; Biomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), Madrid, Spain.
NeuroRehabilitation ; 42(4): 429-439, 2018.
Article in En | MEDLINE | ID: mdl-29660952
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, p <  0.01). 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 (p <  0.01). 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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Brain Injuries / Upper Extremity / Disability Evaluation / Neurological Rehabilitation / Movement / Neurologic Examination Limits: Humans Language: En Journal: NeuroRehabilitation Journal subject: NEUROLOGIA / REABILITACAO Year: 2018 Document type: Article Affiliation country: Spain Country of publication: Netherlands

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Brain Injuries / Upper Extremity / Disability Evaluation / Neurological Rehabilitation / Movement / Neurologic Examination Limits: Humans Language: En Journal: NeuroRehabilitation Journal subject: NEUROLOGIA / REABILITACAO Year: 2018 Document type: Article Affiliation country: Spain Country of publication: Netherlands