一种新的上肢运动能力评估系统的设计

Serkan Cizmeciogullari, M. Koçak, S. Mihçin, A. Tosun, A. Akan
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摘要

上肢功能评估中使用的方法之一是活动范围(ROM)测量。在实践中,这些测量是由临床医生的个人观察和/或角度测量来完成的。在这些测量中,存在一些与重复性和可靠性准则有关的问题。在本研究中,我们提出了一种新的系统,它只包含一个相机来客观地进行上肢的ROM计算。为此,记录和分析肩关节和肘关节的屈曲运动。该系统被称为“金本位制”系统进行比较。9名男性和9名女性志愿者参加了这项研究。使用Kinect摄像头记录上肢运动。将Kinect摄像头的测试结果与OptiTrack摄像头系统的测试结果进行了比较。计算了两种系统的肩关节和肘关节屈曲角度。用计算的ROM值对两个系统之间的一致性进行了统计检验。Bland-Altman图显示,在95%的置信区间内,男性和女性肩关节屈曲和肘关节屈曲的两个系统之间的一致性。本研究为该系统在临床工作中的适用性提供了证据。
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Design of a New System for Upper Extremity Movement Ability Assessment
One of the methods used in upper extremity function assessment is the Range of Motion (ROM) measurements. In practice, these measurements are performed by a clinicians' personal observations and/or goniometric measurements. In these measurements, there are some problems related to repeatibility and reliability criterias. In this study, a novel system which contains only a single camera to perform ROM calculations objectively in upper extremity is suggested. For this purpose shoulder and elbow flexion movements were recorded and analyzed. The system was compared with which was known as a “Gold Standard” system. The nine male and nine female volunteers were participated in the study. Kinect camera was used to record movements of upper limb. The Kinect camera results were compared with that of OptiTrack camera system. The shoulder and elbow flexion angles were computed for both systems. The agreement between the two systems were examined statistically by using the computed ROM values. Bland-Altman plots revealed the agreement within 95 % interval of confidence, between the two systems for shoulder flexion and elbow flexion in both males and females. This study provides evidence for the suitability of the proposed system for a clinical work.
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