On the assessment of coordination between upper extremities: towards a common language between rehabilitation engineers, clinicians and neuroscientists.

On the assessment of coordination between upper extremities: towards a common language between rehabilitation engineers, clinicians and neuroscientists.
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关于上肢之间的协调评估:迈向康复工程师,临床医生和神经科学家之间的通用语言。

DOI:
10.1186/s12984-016-0186-x
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发表时间:
2016-09-08
影响因子:
5.1
通讯作者:
Melendez-Calderon A
Melendez-Calderon A
中科院分区:
工程技术2区
文献类型:
--
作者:
Shirota C;Jansa J;Diaz J;Balasubramanian S;Mazzoleni S;Borghese NA;Melendez-Calderon A

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上肢发育良好的协调性对日常生活的功能至关重要。肢体间协调是一个直观但主观的概念,指的是两个或多个肢体为共同目标执行运动任务时运动学、动力学和生理变量之间的时空关系。虽然临床和神经科学界都同意评估和量化肢体间协调的相关性,但康复工程师们努力将临床医生和神经科学家的知识和需求转化为残疾人的技术设备。在科学文献中使用模棱两可的定义,以及对应该测量什么缺乏共识,对这一领域的进展构成了很大的障碍。在这里,我们介绍了临床、运动控制研究和最先进的机器人设备中评估和量化肢间协调的不同定义和方法。然后,我们提出了一种肢间活动的分类,并为未来基于神经科学的机器人和基于传感器的上肢功能评估提供了建议,这些评估适用于日常临床实践。我们相信,这是我们实现统一不同领域的长期目标的第一步,有助于为神经康复提供更一致、更有效的工具。
Well-developed coordination of the upper extremities is critical for function in everyday life. Interlimb coordination is an intuitive, yet subjective concept that refers to spatio-temporal relationships between kinematic, kinetic and physiological variables of two or more limbs executing a motor task with a common goal. While both the clinical and neuroscience communities agree on the relevance of assessing and quantifying interlimb coordination, rehabilitation engineers struggle to translate the knowledge and needs of clinicians and neuroscientists into technological devices for the impaired. The use of ambiguous definitions in the scientific literature, and lack of common agreement on what should be measured, present large barriers to advancements in this area. Here, we present the different definitions and approaches to assess and quantify interlimb coordination in the clinic, in motor control studies, and by state-of-the-art robotic devices. We then propose a taxonomy of interlimb activities and give recommendations for future neuroscience-based robotic- and sensor-based assessments of upper limb function that are applicable to the everyday clinical practice. We believe this is the first step towards our long-term goal of unifying different fields and help the generation of more consistent and effective tools for neurorehabilitation.
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发表时间: 2004-03-01
影响因子: 3.4
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