Kinematic Evaluation via Inertial Measurement Unit Associated with Upper Extremity Motor Function in Subacute Stroke: A Cross-Sectional Study.

Kinematic Evaluation via Inertial Measurement Unit Associated with Upper Extremity Motor Function in Subacute Stroke: A Cross-Sectional Study.
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DOI:
10.1155/2021/4071645
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发表时间:
2021
影响因子:
--
通讯作者:
Huang XL
Huang XL
中科院分区:
医学4区
文献类型:
--
作者:
Chen ZJ;He C;Gu MH;Xu J;Huang XL

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通过便携式传感器系统进行运动学评估已越来越多地应用于神经科学和临床实践。然而,传统的运动学评估很少将上下文扩展到运动损伤级别之外。此外,具有大量项目的运动学任务可能是复杂和耗时的,这给测试应用程序和数据处理带来了负担。本研究旨在探讨亚急性卒中患者经惯性测量的指鼻作业(FNT)运动学与上肢运动功能的相关性。在这项研究中,6个FNT运动学变量被用来测量37名亚急性中风患者的运动时间、流畅度和速度。上肢运动功能评定采用Fugl-Meyer上肢功能评定量表(FMA-UE)、动作研究性手臂测验(ARAT)和改良Barthel指数(MBI)。结果,平均运动速度、峰值运动速度和运动单位数与临床评估相关。多元线性回归模型可分别估计FMA-UE、ARAT和MBI的55%、51%和32%的方差。此外,年龄、性别、中风类型和偏瘫侧对这些关联没有显著影响。结果表明,在亚急性卒中患者中,通过惯性测量单元测量的FNT运动学变量与上肢运动功能有关。客观的运动学评估可能适用于预测运动损伤的临床指标和了解中风后上肢运动恢复的能力和临床决策。本试验已在ChiCTR1900026656注册。
Kinematic evaluation via portable sensor system has been increasingly applied in neurological sciences and clinical practice. However, conventional kinematic evaluation rarely extends the context beyond the motor impairment level. In addition, kinematic tasks with numerous items could be complex and time consuming that pose a burden to test applications and data processing. The study aimed to explore the correlation of finger-to-nose task (FNT) kinematics via Inertial Measurement Unit with upper limb motor function in subacute stroke. In this study, six FNT kinematic variables were used to measure movement time, smoothness, and velocity in 37 participants with subacute stroke. Upper limb motor function was evaluated with the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), and modified Barthel Index (MBI). As a result, mean velocity, peak velocity, and the number of movement units were associated with the clinical assessments. The multivariable linear regression models could estimate 55%, 51%, and 32% of variance in FMA-UE, ARAT, and MBI, respectively. In addition, age, gender, type of stroke, and paretic side had no significant effects on these associations. Results show that FNT kinematic variables measured via Inertial Measurement Unit are associated with upper extremity motor function in individuals with subacute stroke. The objective kinematic evaluation may be suitable for predicting clinical measures of motor impairment and capacity to understand upper extremity motor recovery and clinical decision making after stroke. This trial is registered with ChiCTR1900026656.
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