Objective motor assessment for personalized rehabilitation of upper extremity in brain injury patients

Villán-Villán, Mailin Adriana; Pérez‐Rodríguez, Rodrigo; Martin, C.; Sánchez-González, Patricia; Soriano, Ignasi; Opisso, Eloy; Hernando, M. Elena; Tormos, José; Medina, Josep R.; Gómez, Enrique J.

doi:10.3233/nre-172315

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…The most used assessment tool for the upper limb was the Fugl–Meyer Assessment for Upper Limb (FMA-UL), both for its optimal psychometric properties (reliability, validity and responsiveness) and the potential to evaluate motor skills, coordination, and reflexes of the upper limb in SABI patients [ 24 , 25 ]. On the other hand, some scales for motor dexterity in the activity of daily living, such as the Action Research Arm Test (ARAT) [ 26 ], the Chedoke Arm and Hand Inventory (CAHAI) [ 27 ], the Box and Block Test (BBT) [ 28 ] and Wolf Motor Function Test (WMFT) [ 29 , 30 ], have been used also by some authors in post-stroke patient population.…”

Section: Resultsmentioning

confidence: 99%

“…The results of the study showed that the 37-item Fugl–Meyer motor scale had better reactivity than the short one due to its better ability to detect changes in UL and LE function; therefore, the authors recommend the long tool version as a measure of outcomes. Interestingly, Villàn-Villàn et al [ 25 ] suggest the use of FMA-UL for the evaluation of SABI patients to achieve a more personalized and potentially effective physical rehabilitation. Among the other scales, WMFT was developed specifically for the evaluation of the effects of a specific kind of therapy such as constriction-induced movement therapy (CIMT) in post-stroke patients [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

“… In the post-acute phase, when consciousness and motor activity improve, clinicians could use TCT and/or TIS to assess trunk control [ 19 , 20 ] and FMA-LE to assess lower limb functioning, as this is the best motor outcome measure for the evaluation of lower limb recovery [ 21 ]; In the chronic phase, in SABI patients with mild to moderate disability, functional ambulation may be tested with 10MWT and F8WT [ 22 ], as well as RMI [ 23 ], to discriminate different levels of gait. Furthermore, for the upper limb recovery, we suggest to administer FMA-UL [ 25 , 26 , 49 ] to evaluate the global recovery of upper limb activity because of its psychometric and clinical properties. On the other hand, according to the literature, UL tests for manual dexterity [ 31 , 53 , 54 ] can be administered only when patients regain an optimal motor control and also a discrete cognitive function.…”

Section: Clinical Advicesmentioning

confidence: 99%

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Moving toward Appropriate Motor Assessment Tools in People Affected by Severe Acquired Brain Injury: A Scoping Review with Clinical Advices

et al. 2022

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Severe acquired brain injury (SABI) is among the leading causes of death and disability worldwide. Patients following SABI may develop motor, sensory and cognitive disorders, alone or in combination. This review aims to point out the most used scales to assess motor function in SABI patients, also attempting to give some indications on their applicability in clinical practice. Studies were identified by searching on PubMed, Web of Science, PeDro and Cochrane databases between January and March 2022. We found that motor assessment tools are currently used by researchers/clinicians either in the acute/post-acute phase (for prognosis and rehabilitation purposes) or in the chronic phase (when functional items may also be considered). Moreover, specific scales exist only for patients with disorders of consciousness, whereas regarding motor function, SABI is mainly assessed by adapting the tools commonly used for stroke. Although some doubts remain about the validity of some of these assessment tools in SABI, to investigate motor outcomes is fundamental to establish a correct prognosis and plan a tailored rehabilitation training in these very frail and vulnerable patients.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Clinical Advicesmentioning

confidence: 99%

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Moving toward Appropriate Motor Assessment Tools in People Affected by Severe Acquired Brain Injury: A Scoping Review with Clinical Advices

et al. 2022

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Review of Automated Systems for Upper Limbs Functional Assessment in Neurorehabilitation

Oña

Sánchez-Herrera-Baeza

Jardón

et al. 2019

IEEE Access

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Traditionally, the assessment of upper limb (UL) motor function in neurorehabilitation is carried out by clinicians using standard clinical tests for objective evaluation, but which could be influenced by the clinician's subjectivity or expertise. The automation of such traditional outcome measures (tests) is an interesting and emerging field in neurorehabilitation. In this paper, a systematic review of systems focused on automation of traditional tests for assessment of UL motor function used in neurological rehabilitation is presented. A systematic search and review of related articles in the literature were conducted. The chosen works were analyzed according to the automation level, the data acquisition systems, the outcome generation method, and the focus of assessment. Finally, a series of technical requirements, guidelines, and challenges that must be considered when designing and implementing fully-automated systems for upper extremity functional assessment are summarized. This paper advocates the use of automated assessment systems (AAS) to build a rehabilitation framework that is more autonomous and objective. INDEX TERMS Automatic assessment, biomedical engineering, motor function, neurorehabilitation, rehabilitation robotics, robotics and automation, upper extremity. TERMINOLOGY To reduce the ambiguity in the clinical terminology, the definition of the terms that will be used along the text are given as follows. • Test or clinical tool: this is understood as the procedure that the patients must perform in order to assess the functionality of the upper extremities. It encompasses a series of steps and rules for its proper administration. It can be single or multi-item. • Item: the movement or single task that the patient must perform. • Outcome measure: the result of a test that is used to objectively determine the UE function.

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Automatic Assessment of Arm Motor Function and Postural Stability in Virtual Scenarios: Towards a Virtual Version of the Fugl-Meyer Test

Oña

Jardón

Balaguer

2020

2020 IEEE 8th International Conference on Serious Games and Applications for Health (SeGAH)

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Objective motor assessment for personalized rehabilitation of upper extremity in brain injury patients

Abstract: We provide a new objective assessment tool for therapists to help them improve the diagnostic accuracy and to achieve a more personalized and potentially effective physical rehabilitation of brain injury patients.

Cited by 5 publications

References 24 publications

Moving toward Appropriate Motor Assessment Tools in People Affected by Severe Acquired Brain Injury: A Scoping Review with Clinical Advices

Moving toward Appropriate Motor Assessment Tools in People Affected by Severe Acquired Brain Injury: A Scoping Review with Clinical Advices

Review of Automated Systems for Upper Limbs Functional Assessment in Neurorehabilitation

Automatic Assessment of Arm Motor Function and Postural Stability in Virtual Scenarios: Towards a Virtual Version of the Fugl-Meyer Test

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