The Impact of Cognitive Impairment on Robot-Based Upper-Limb Motor Assessment in Chronic Stroke.
The Impact of Cognitive Impairment on Robot-Based Upper-Limb Motor Assessment in Chronic Stroke.
复制标题
认知障碍对慢性卒中患者基于机器人的上肢运动评估的影响。
DOI：
10.1177/15459683221110892
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发表时间：
2022-09
影响因子：
4.2
通讯作者：
Johnson, Michelle J.
中科院分区：
文献类型：
--
作者：
Bui, Kevin D.;Lyn, Breanna;Roland, Matthew;Wamsley, Carol A.;Mendonca, Rochelle;Johnson, Michelle J.
高达65%的中风幸存者存在慢性上肢运动障碍，46 - 61%的中风幸存者甚至在中风后10年仍普遍存在认知障碍。机器人辅助治疗项目往往侧重于运动恢复，不包括有认知障碍的中风患者。本研究的目的是调查在MoCA中评估的个人认知领域的性能及其与机器人系统上上肢运动性能的关系。参与者从具有广泛认知和运动水平的中风人群中招募，使用Haptic TheraDrive康复机器人系统完成轨迹跟踪任务。根据标准临床认知和运动评估评价运动表现。我们的假设是，参与视觉跟踪任务的认知域是基于机器人的任务上的性能的显着预测，在这些领域的损害导致更差的运动性能的任务相比，没有认知障碍的受试者。我们的研究结果支持这一假设，即视觉空间和执行功能对运动表现有显着影响，不同功能组之间的差异出现在各种机器人为基础的指标。我们还表明，从这个任务的运动学指标区分认知运动功能组不同。这项研究表明，基于电机的机器人评估任务的性能还涉及到一个显着的视觉空间和执行功能的组成部分，并强调需要考虑认知障碍的运动性能的评估。
Chronic upper extremity motor deficits are present in up to 65% of stroke survivors, and cognitive impairment is prevalent in 46–61% of stroke survivors even 10 years after their stroke. Robot-assisted therapy programs tend to focus on motor recovery and do not include stroke patients with cognitive impairment. This study aims to investigate performance on the individual cognitive domains evaluated in the MoCA and their relation to upper-limb motor performance on a robotic system. Participants were recruited from the stroke population with a wide range of cognitive and motor levels to complete a trajectory tracking task using the Haptic TheraDrive rehabilitation robot system. Motor performance was evaluated against standard clinical cognitive and motor assessments. Our hypothesis is that the cognitive domains involved in the visuomotor tracking task are significant predictors of performance on the robot-based task and that impairment in these domains results in worse motor performance on the task compared to subjects with no cognitive impairment. Our results support the hypothesis that visuospatial and executive function have a significant impact on motor performance, with differences emerging between different functional groups on the various robotbased metrics. We also show that the kinematic metrics from this task differentiate cognitive-motor functional groups differently. This study demonstrates that performance on a motor-based robotic assessment task also involves a significant visuospatial and executive function component and highlights the need to account for cognitive impairment in the assessment of motor performance.
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机器人康复：改善中风受试者认知功能的机会。探索性研究。
影响因子：
3.4
作者：
Aprile I;Guardati G;Cipollini V;Papadopoulou D;Mastrorosa A;Castelli L;Monteleone S;Redolfi A;Galeri S;Germanotta M
通讯作者：
Germanotta M
DOI：
10.1109/tnsre.2021.3056908
发表时间：
2021
期刊：
IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society
影响因子：
--
作者：
Bui KD;Wamsley CA;Shofer FS;Kolson DL;Johnson MJ
通讯作者：
Johnson MJ
影响因子：
4.6
作者：
Lee PH;Yeh TT;Yen HY;Hsu WL;Chiu VJ;Lee SC
通讯作者：
Lee SC
影响因子：
2.9
作者：
MATHIOWETZ, V;VOLLAND, G;WEBER, K
通讯作者：
WEBER, K
影响因子：
4.3
作者：
Lum, PS;Burgar, CG;Van der Loos, M
通讯作者：
Van der Loos, M