Robot-Based Assessment of HIV-Related Motor and Cognitive Impairment for Neurorehabilitation.
Robot-Based Assessment of HIV-Related Motor and Cognitive Impairment for Neurorehabilitation.
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DOI：
10.1109/tnsre.2021.3056908
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Johnson MJ
中科院分区：
文献类型：
--
作者：
Bui KD;Wamsley CA;Shofer FS;Kolson DL;Johnson MJ
迫切需要制定战略，减缓或治疗艾滋病毒感染者功能衰退的进展。本文探讨了一种新的康复机器人方法，用于测量成年艾滋病毒感染者（包括中风患者）的认知和运动障碍。我们进行了一项横断面研究，21名受试者表现出不同程度的认知和运动障碍。我们测试了三个基于机器人的任务-轨迹跟踪，N-back和空间跨度-以评估来自这些任务的指标是否对具有不同水平的执行功能和上肢运动障碍的受试者的差异敏感。我们还研究了这些指标如何评估临床认知和运动评分。结果表明，基于机器人的空间跨度任务的平均序列长度是最敏感的不同的认知和运动障碍水平之间的差异。我们观察到基于机器人的测量与HIV人群相关的临床认知和运动评估之间存在很强的相关性，例如Color Trails 1。（rho = 0.83），颜色轨迹2（rho = 0.71），数字符号-编码（rho = 0.81）、蒙特利尔认知评估-执行功能分项评分（rho = 0.70）和框块测试（rho = 0.74）。重要的是，我们的研究结果强调，粗大运动障碍可能会被忽视的艾滋病毒相关的残疾的评估。这项研究表明，康复机器人技术可以扩展到中风以外的新人群，即艾滋病毒感染者和认知障碍患者。
There is a pressing need for strategies to slow or treat the progression of functional decline in people living with HIV. This paper explores a novel rehabilitation robotics approach to measuring cognitive and motor impairment in adults living with HIV, including a subset with stroke. We conducted a cross-sectional study with 21 subjects exhibiting varying levels of cognitive and motor impairment. We tested three robot-based tasks – trajectory tracking, N-back, and spatial span – to assess if metrics derived from these tasks were sensitive to differences in subjects with varying levels of executive function and upper limb motor impairments. We also examined how well these metrics could estimate clinical cognitive and motor scores. The results showed that the average sequence length on the robot-based spatial span task was the most sensitive to differences between various cognitive and motor impairment levels. We observed strong correlations between robot-based measures and clinical cognitive and motor assessments relevant to the HIV population, such as the Color Trails 1 (rho = 0.83), Color Trails 2 (rho = 0.71), Digit Symbol – Coding (rho = 0.81), Montreal Cognitive Assessment – Executive Function subscore (rho = 0.70), and Box and Block Test (rho = 0.74). Importantly, our results highlight that gross motor impairment may be overlooked in the assessment of HIV-related disability. This study shows that rehabilitation robotics can be expanded to new populations beyond stroke, namely to people living with HIV and those with cognitive impairments.
影响因子：
5.1
作者：
Bui KD;Johnson MJ
通讯作者：
Johnson MJ