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  4. Model-based variables for the kinematic assessment of upper-extremity impairments in post-stroke patients
 
research article

Model-based variables for the kinematic assessment of upper-extremity impairments in post-stroke patients

Panarese, Alessandro
•
Pirondini, Elvira  
•
Tropea, Peppino
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2016
Journal of Neuroengineering and Rehabilitation

Background: Common scales for clinical evaluation of post-stroke upper-limb motor recovery are often complemented with kinematic parameters extracted from movement trajectories. However, there is no a general consensus on which parameters to use. Moreover, the selected variables may be redundant and highly correlated or, conversely, may incompletely sample the kinematic information from the trajectories. Here we sought to identify a set of clinically useful variables for an exhaustive but yet economical kinematic characterization of upper limb movements performed by post-stroke hemiparetic subjects. Methods: For this purpose, we pursued a top-down model-driven approach, seeking which kinematic parameters were pivotal for a computational model to generate trajectories of point-to-point planar movements similar to those made by post-stroke subjects at different levels of impairment. Results: The set of kinematic variables used in the model allowed for the generation of trajectories significantly similar to those of either sub-acute or chronic post-stroke patients at different time points during the therapy. Simulated trajectories also correctly reproduced many kinematic features of real movements, as assessed by an extensive set of kinematic metrics computed on both real and simulated curves. When inspected for redundancy, we found that variations in the variables used in the model were explained by three different underlying and unobserved factors related to movement efficiency, speed, and accuracy, possibly revealing different working mechanisms of recovery. Conclusion: This study identified a set of measures capable of extensively characterizing the kinematics of upper limb movements performed by post-stroke subjects and of tracking changes of different motor improvement aspects throughout the rehabilitation process.

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Type
research article
DOI
10.1186/s12984-016-0187-9
Web of Science ID

WOS:000383662100002

Author(s)
Panarese, Alessandro
Pirondini, Elvira  
Tropea, Peppino
Cesqui, Benedetta
Posteraro, Federico
Micera, Silvestro  
Date Issued

2016

Publisher

BioMed Central

Published in
Journal of Neuroengineering and Rehabilitation
Volume

13

Start page

81

Subjects

Stroke

•

Robotic rehabilitation

•

Kinematics

•

Modeling

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
Available on Infoscience
October 18, 2016
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/130222
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