用于改善痉挛评估的器械手套

P. Jonnalagedda, Fei Deng, Kyle Douglas, L. Chukoskie, Michael C. Yip, T. Ng, Truong Nguyen, A. Skalsky, H. Garudadri
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引用次数: 6

摘要

一种由护理人员佩戴的仪器手套,可以通过客观的、可重复的度量来增强对痉挛的主观评估,减少内部和内部的可变性,提高现有标准的分辨率,是非常可取的。我们提出了这样一个系统的设计和初步结果,使用商业,现成的(COTS)组件。该手套包括空间分辨的、力相关的电阻传感器元件和惯性测量单元。我们开发了一个模拟病人,配备了一个调节手臂刚度的机构,一个称重传感器和一个电位器来测量移动手臂所做的功。模拟患者提供了验证所提出概念的基本事实。我们报告了模拟病人的传感器测量到的移动手臂的功率和手套在移动手臂时估计的功率,Pearson相关系数为0.64。我们观察到原始传感器数据和仪器误差在这些实验中产生了显著的异常值。临床医生的初步评估表明,提出的方法有望改善痉挛评估。未来的工作包括仪器的改进和进一步的临床评估。
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An instrumented glove for improving spasticity assessment
An instrumented glove worn by caregivers that can augment subjective assessments of spasticity with an objective, repeatable metric with reduced inter- and intra-rater variability and improved resolution over existing standards is highly desirable. We present the design and preliminary results of such a system using commercial, off the shelf (COTS) components. The glove includes spatially-resolved, force-dependent resistive sensor elements and an inertial measurement unit. We developed a mock patient that is equipped with a mechanism to adjust the arm stiffness, a load-cell and a potentiometer to measure the work done to move the arm. The mock patient provides ground truth to validate the proposed concept. We report the power measured by the sensors in the mock patient to move the arm and the power estimated by the glove in moving the arm and show Pearson correlation coefficient of 0.64. We observe that raw sensor data and instrumentation errors contributed to significant outliers in these experiments. Initial assessments by clinician show promise of the proposed approach to improve spasticity assessment. Future work includes improvements to instrumentation and further clinical evaluations.
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