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  4. Using Wearable Inertial Sensors to Estimate Clinical Scores of Upper Limb Movement Quality in Stroke

Using Wearable Inertial Sensors to Estimate Clinical Scores of Upper Limb Movement Quality in Stroke

Frontiers in Physiology, 2022 · DOI: 10.3389/fphys.2022.877563 · Published: May 3, 2022

Assistive TechnologyNeurorehabilitation

Simple Explanation

This study explores the use of wearable sensors to assess upper limb motor function in stroke patients, specifically focusing on the Action Research Arm Test (ARAT). The aim is to enable remote and objective assessments. The study involved stroke patients performing ARAT tasks while wearing wrist-worn inertial sensors. Machine learning algorithms were used to estimate ARAT scores from the sensor data. The results showed that ARAT scores could be estimated with reasonable accuracy using data from just two wrist worn sensors, suggesting potential for widespread use of wearable sensors in neurorehabilitation.

Study Duration
Not specified
Participants
21 stroke patients
Evidence Level
Not specified

Key Findings

  • 1
    ARAT task scores were classified with approximately 80% accuracy using machine learning algorithms applied to data from two wrist-worn inertial sensors.
  • 2
    Linear regression between summed clinical task scores and estimated sum task scores yielded a good fit (R2 = 0.93).
  • 3
    Estimates of the sum scores showed a mean absolute error of 2.9 points, which is smaller than the minimally detectable change of the ARAT.

Research Summary

This study investigated the feasibility of using wearable inertial sensors to estimate clinical scores of upper limb movement quality in stroke patients, focusing on the Action Research Arm Test (ARAT). Data were collected from 21 patients performing ARAT tasks while wearing two wrist-worn inertial sensors, and machine learning algorithms were used to estimate ARAT scores from sensor-derived features. The results demonstrated that ARAT scores could be estimated with reasonable accuracy, suggesting potential for remote and objective assessment of upper limb motor function in neurorehabilitation.

Practical Implications

Remote Monitoring

Enables administration of the ARAT in an objective, minimally supervised or remote fashion.

Widespread Use

Provides the basis for a widespread use of wearable sensors in neurorehabilitation.

Reduced Costs

Offers a simple, objective, fast and inexpensive way to assess the quality of upper extremity motor functioning across clinical and remote settings.

Study Limitations

  • 1
    Small sample size.
  • 2
    Inclusion of only stroke patients.
  • 3
    Use of clinical scores as reference information, which may limit the information captured by the model.

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