Assessment of Daily-Life Reaching Performance After Stroke

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• 作者：Fokke B. van Meulen (1)
  Jasper Reenalda (1) (2)
  Jaap H. Buurke (1) (2)
  Peter H. Veltink (1)
  
  1. Biomedical Signals and Systems ; MIRA - Institute for Biomedical Technology and Technical Medicine ; University of Twente ; PO Box 217 ; 7500 AE ; Enschede ; The Netherlands
  2. Roessingh Research and Development ; Roessingh Rehabilitation Hospital ; Roessinghsbleekweg 33b ; 7522 AH ; Enschede ; The Netherlands
  
• 关键词：Ambulatory assessment ; Arm tasks ; Fugl ; Meyer
• 刊名：Annals of Biomedical Engineering
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：43
• 期：2
• 页码：478-486
• 全文大小：573 KB
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• 刊物类别：Biomedical and Life Sciences
• 刊物主题：Biomedicine
  Biomedicine
  Biomedical Engineering
  Biophysics and Biomedical Physics
  Mechanics
  Biochemistry
  
• 出版者：Springer Netherlands
• ISSN：1573-9686

文摘

For an optimal guidance of the rehabilitation therapy of stroke patients in an in-home setting, objective, and patient-specific performance assessment of arm movements is needed. In this study, metrics of hand movement relative to the pelvis and the sternum were estimated in 13 stroke subjects using a full body ambulatory movement analysis system, including 17 inertial sensors integrated in a body-worn suit. Results were compared with the level of arm impairment evaluated with the upper extremity part of the Fugl-Meyer Assessment scale (uFMA). Metrics of arm movement performance of the affected side, including size of work area, maximum reaching distance and movement range in vertical direction, were evaluated during a simulated daily-life task. These metrics appeared to strongly correlate with uFMA scores. Using this body-worn sensor system, metrics of the performance of arm movements can easily be measured and evaluated while the subject is ambulating in a simulated daily-life setting. Suggested metrics can be used to objectively assess the performance of the arm movements over a longer period in a daily-life setting. Further development of the body-worn sensing system is needed before it can be unobtrusively used in a daily-life setting.