Upper limb robotic assessment: Pilot study comparing velocity dependent resistance in individuals with acquired brain injury to healthy controls.

Autor: Seth N; College of Physical and Engineering Science, University of Guelph, Guelph, Canada., Johnson D; Hamilton Health Sciences, Hamilton, Canada., Allen B; College of Physical and Engineering Science, University of Guelph, Guelph, Canada., Abdullah HA; College of Physical and Engineering Science, University of Guelph, Guelph, Canada.
Jazyk: angličtina
Zdroj: Journal of rehabilitation and assistive technologies engineering [J Rehabil Assist Technol Eng] 2020 Dec 04; Vol. 7, pp. 2055668320929535. Date of Electronic Publication: 2020 Dec 04 (Print Publication: 2020).
DOI: 10.1177/2055668320929535
Abstrakt: Introduction: Assessment of velocity dependent resistance (VDR) can provide insights into spasticity in individuals with upper motor neuron syndrome. This study investigates the relationship between Modified Ashworth scores and a biomechanical based representation of VDR using a rehabilitation robot. Comparisons in VDR are made for the upper limb (UL) between individuals with acquired brain injury and healthy controls for the para-sagittal plane.
Methods: The system manipulates the individual's limb through five flexion and extension motions at increasing speeds to obtain force profiles at different velocities. An approximation of VDR is calculated and analyzed statistically against clinical scales and tested for interactions.
Results: All individuals (aged 18-65), including healthy controls exhibited VDR greater than 0 (P < 0.05). MAS scores were found to be related to VDR (P < 0.05) with an interaction found between MAS Bicep and Tricep scores (P < 0.01). Considering this interaction, evidence of differences in VDR were found between several neighboring assessment score combinations.
Conclusion: The robot can detect and quantify VDR that captures information relevant to UL spasticity. Results suggests a better categorization of VDR is possible and supports further development of rehabilitation robotics for assisting spasticity assessment.
Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2020.)
Databáze: MEDLINE