Guidance-based quantification of arm impairment following brain injury: a pilot study.
Guidance-based quantification of arm impairment following brain injury: a pilot study.
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DOI：
10.1109/86.750543
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发表时间：
1999-03
期刊：
影响因子：
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通讯作者：
D. Reinkensmeyer;Julius P. A. Dewald;W. Z. Rymer
中科院分区：
文献类型：
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作者：
D. Reinkensmeyer;Julius P. A. Dewald;W. Z. Rymer
本文报道了一种用于评估脑损伤后手臂损伤的装置的设计和初步测试。辅助康复和测量(ARM)指南能够机械地引导整个工作空间的到达和收回运动，并能够在引导过程中测量约束力和运动范围。我们在四名偏瘫脑损伤患者和四名未受损伤的对照组受试者身上测试了该设备。在引导运动过程中，脑损伤受试者的受损手臂产生了不同的约束力空间模式，这与临床文献中描述的标准屈曲和伸展“协同效应”是一致的。此外，根据ARM指南的测量，受损的手臂表现出明确的工作空间缺陷。这些结果表明，机械引导运动中的约束力和运动范围测量对于精确监测手臂损伤以及针对异常协同作用和工作空间缺陷的治疗技术的效果可能是有用的。
This paper reports the design and preliminary testing of a device for evaluating arm impairment after brain injury. The assisted rehabilitation and measurement (ARM) Guide is capable of mechanically guiding reaching and retrieval movements across the workspace and of measuring constraint forces and range of motion during guidance. We tested the device on four hemiplegic brain-injured individuals and four unimpaired control subjects. During guided movement, the brain-injured subjects generated distinct spatial patterns of constraint force with their impaired arms that were consistent with the standard flexion and extension "synergies" described in the clinical literature. In addition, the impaired arms exhibited well-defined workspace deficits as measured by the ARM Guide. These results suggest that constraint force and range of motion measurements during mechanically guided movement may prove useful for precise monitoring of arm impairment and of the effects of treatment techniques targeted at abnormal synergies and workspace deficits.