Kinematic parameters obtained with the ArmeoSpring for upper-limb assessment after stroke: a reliability and learning effect study for guiding parameter use

Autor: David Gasq, P. Marque, I. Loubinoux, Nabila Brihmat, Evelyne Castel-Lacanal
Přispěvatelé: Toulouse Neuro Imaging Center (ToNIC), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hôpital Purpan [Toulouse], CHU Toulouse [Toulouse]-CHU Toulouse [Toulouse], Université Fédérale Toulouse Midi-Pyrénées, CHU Toulouse [Toulouse], Hôpital de Rangueil, GASQ, David, Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Toulouse Mind & Brain Institut (TMBI), Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Centre Hospitalier Universitaire de Toulouse (CHU Toulouse)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
030506 rehabilitation
medicine.medical_specialty
Correlation coefficient
Psychometrics
[SDV.MHEP.PHY] Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
Health Informatics
Hemiplegia
Kinematics
Session (web analytics)
lcsh:RC321-571
Learning effect
Upper Extremity
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO]
Humans
Learning
[SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Stroke
Reliability (statistics)
Aged
ArmeoSpring
Exoskeleton device
business.industry
Research
Rehabilitation
Stroke Rehabilitation
Reproducibility of Results
Recovery of Function
Robotics
Middle Aged
medicine.disease
Biomechanical Phenomena
Female
[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
0305 other medical science
Motor learning
business
030217 neurology & neurosurgery
Zdroj: Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation, BioMed Central, 2020, 17 (1), pp.130. ⟨10.1186/s12984-020-00759-2⟩
Journal of NeuroEngineering and Rehabilitation, 2020, 17 (1), pp.130. ⟨10.1186/s12984-020-00759-2⟩
Journal of NeuroEngineering and Rehabilitation, Vol 17, Iss 1, Pp 1-12 (2020)
ISSN: 1743-0003
DOI: 10.1186/s12984-020-00759-2⟩
Popis: Background After stroke, kinematic measures obtained with non-robotic and robotic devices are highly recommended to precisely quantify the sensorimotor impairments of the upper-extremity and select the most relevant therapeutic strategies. Although the ArmeoSpring exoskeleton has demonstrated its effectiveness in stroke motor rehabilitation, its interest as an assessment tool has not been sufficiently documented. The aim of this study was to investigate the psychometric properties of selected kinematic parameters obtained with the ArmeoSpring in post-stroke patients. Methods This study involved 30 post-stroke patients (mean age = 54.5 ± 16.4 years; time post-stroke = 14.7 ± 26.7 weeks; Upper-Extremity Fugl-Meyer Score (UE-FMS) = 40.7 ± 14.5/66) who participated in 3 assessment sessions, each consisting of 10 repetitions of the ‘horizontal catch’ exercise. Five kinematic parameters (task and movement time, hand path ratio, peak velocity, number of peak velocity) and a global Score were computed from raw ArmeoSpring’ data. Learning effect and retention were analyzed using a 2-way repeated-measures ANOVA, and reliability was investigated using the intra-class correlation coefficient (ICC) and minimal detectable change (MDC). Results We observed significant inter- and intra-session learning effects for most parameters except peak velocity. The measures performed in sessions 2 and 3 were significantly different from those of session 1. No additional significant difference was observed after the first 6 trials of each session and successful retention was also highlighted for all the parameters. Relative reliability was moderate to excellent for all the parameters, and MDC values expressed in percentage ranged from 42.6 to 102.8%. Conclusions After a familiarization session, the ArmeoSpring can be used to reliably and sensitively assess motor impairment and intervention effects on motor learning processes after a stroke. Trial registration The study was approved by the local hospital ethics committee in September 2016 and was registered under number 05-0916.
Databáze: OpenAIRE
Externí odkaz: