Objective motor assessment for personalized rehabilitation of upper extremity in brain injury patients.
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, 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.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Brain Injuries
/
Upper Extremity
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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