Using Robotics to Quantify Impairments in Sensorimotor Ability, Visuospatial Attention, Working Memory, and Executive Function After Traumatic Brain Injury
Autor: | Stephen Scott, Sean P. Dukelow, Jennifer A. Semrau, Lindsey Logan, Chantel T. Debert, Jeffrey M. Kenzie |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Canada 030506 rehabilitation medicine.medical_specialty Traumatic brain injury Physical Therapy Sports Therapy and Rehabilitation Task (project management) Disability Evaluation Executive Function 03 medical and health sciences Injury Severity Score 0302 clinical medicine Physical medicine and rehabilitation Brain Injuries Traumatic medicine Humans Attention Glasgow Coma Scale Prospective Studies Proprioception Working memory Rehabilitation Montreal Cognitive Assessment Cognition Robotics Middle Aged medicine.disease Memory Short-Term Motor Skills Female Observational study Neurology (clinical) Psychomotor Disorders 0305 other medical science Psychology Psychomotor Performance 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | Journal of Head Trauma Rehabilitation. 33:E61-E73 |
ISSN: | 0885-9701 |
DOI: | 10.1097/htr.0000000000000349 |
Popis: | Objective To investigate the use of a robotic assessment tool to quantify sensorimotor, visuospatial attention, and executive function impairments in individuals with traumatic brain injury (TBI). Setting Foothills Hospital (Calgary, Canada). Participants Twenty-three subjects with first-time TBI in the subacute to chronic phase participated in this study. Normative data were collected from 275 to 494 neurologically intact control subjects for each robotic task. Design A prospective observational case series. Subjects with TBI completed brief clinical cognitive and motor assessments followed by robotic assessments of upper limb reaching, position sense, bimanual motor ability, attention, and visuospatial skills. Scores of subjects with TBI were compared with normative data. Main measures Robotic task performance was computed for each subject on each task, as well as performance on specific task parameters. Clinical assessments included the Montreal Cognitive Assessment, Fugl-Meyer upper extremity assessment, and Purdue Peg Board. Results Subjects with TBI demonstrated a variety of deficits on robotic tasks. The proportion of TBI subjects who were significantly different from controls ranged from 36% (dominant arm reaching) to 60% (bimanual object hitting task). Conclusion Robotic measures allowed us to quantify a range of impairments specific to each subject, and offer an objective tool with which to examine these abilities after TBI. |
Databáze: | OpenAIRE |
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