目的评价肌肉痉挛程度的分级

A. A. Puzi, S. N. Sidek, I. M. Khairuddin, H. Yusof
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引用次数: 0

摘要

在康复过程中一个重要的组成部分是客观评估肌肉痉挛程度的能力。尽管有许多确凿的证据,目前的评估方法仍然是基于主观评估,严重依赖于治疗师的技能、经验和直觉。因此,本文的目的是基于上肢的临床数据,开发一种肌肉痉挛程度的分类器。为了系统地量化评估,使用了标准的修正Ashworth量表(MAS)工具来帮助开发ANFIS和SVM模型。数据收集自25名符合要求且事先同意的受试者。数据经过预处理和分析,从数据中选择7个特征组成数据集。然后对特征进行单因素方差分析,以评估其统计显著性差异,从而最好地预测评估水平。根据分析结果,最终选择四个特征,然后使用这些特征来训练分类器。ANFIS和SVM分类器对肌肉痉挛程度的分类准确率分别为53.3%和88.0%。
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Objective Assessment for Classification of Muscle Spasticity Level
An important component in rehabilitation process is the ability to assess the level of muscle spasticity in objective manner. Despite of many proven evidences, current method of assessments is still based on subjective evaluation which relies heavily on the skill, experience and intuition of the therapists. Thus, this paper aims to develop a classifier of muscle spasticity level based on the clinical data collected from the affected upper limb. In order to quantify the assessment systematically, a standard Modified Ashworth Scale (MAS) tool was used to help develop ANFIS and SVM models. Data were collected from twenty-five subjects that met the requirements with prior consent. The data went through preprocessing stage and analyzed before seven features from the data were selected to form the dataset. The features were then went through one way ANOVA test to evaluate their statistically significant differences so as to best predict the assessment levels. Based on the results from the analysis, four features were finally selected and were then used to train the classifiers. The overall results from the ANFIS and SVM classifiers accorded the performance of 53.3% and 88.0% accuracy respectively in classifying the level of muscle spasticity.
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