Quantitative assessment of upper extremities motor function in multiple sclerosis
| Autor: | Jurgita Ziziene, Jolanta Pauk, Rasa Kizlaitiene, Julius Griškevičius, Agne Ovcinikova, Gintaras Kaubrys, Kristina Daunoraviciene |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Multiple Sclerosis Biomedical Engineering Biophysics Health Informatics Bioengineering Kinematics Motor function Task (project management) Biomaterials Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quantitative assessment medicine Humans Elbow flexion business.industry Multiple sclerosis medicine.disease Biomechanical Phenomena Evaluation Studies as Topic Time to peak Female 0305 other medical science business Clinical evaluation 030217 neurology & neurosurgery Psychomotor Performance Information Systems |
| Zdroj: | Technology and health care : official journal of the European Society for Engineering and Medicine. 26(S2) |
| ISSN: | 1878-7401 |
| Popis: | BACKGROUND Upper extremity (UE) motor function deficits are commonly noted in multiple sclerosis (MS) patients and assessing it is challenging because of the lack of consensus regarding its definition. Instrumented biomechanical analysis of upper extremity movements can quantify coordination with different spatiotemporal measures and facilitate disability rating in MS patients. OBJECTIVE To identify objective quantitative parameters for more accurate evaluation of UE disability and relate it to existing clinical scores. METHODS Thirty-four MS patients and 24 healthy controls (CG) performed a finger-to-nose test as fast as possible and, in addition, clinical evaluation kinematic parameters of UE were measured by using inertial sensors. RESULTS Generally, a higher disability score was associated with an increase of several temporal parameters, like slower task performance. The time taken to touch their nose was longer when the task was fulfilled with eyes closed. Time to peak angular velocity significantly changed in MS patients (EDSS > 5.0). The inter-joint coordination significantly decreases in MS patients (EDSS 3.0-5.5). Spatial parameters indicated that maximal ROM changes were in elbow flexion. CONCLUSIONS Our findings have revealed that spatiotemporal parameters are related to the UE motor function and MS disability level. Moreover, they facilitate clinical rating by supporting clinical decisions with quantitative data. |
| Databáze: | OpenAIRE |
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