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Wu P, Cao B, Liang Z, Wu M. The advantages of artificial intelligence-based gait assessment in detecting, predicting, and managing Parkinson's disease. Front Aging Neurosci 2023; 15:1191378. [PMID: 37502426 PMCID: PMC10368956 DOI: 10.3389/fnagi.2023.1191378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 06/05/2023] [Indexed: 07/29/2023] Open
Abstract
Background Parkinson's disease is a neurological disorder that can cause gait disturbance, leading to mobility issues and falls. Early diagnosis and prediction of freeze episodes are essential for mitigating symptoms and monitoring the disease. Objective This review aims to evaluate the use of artificial intelligence (AI)-based gait evaluation in diagnosing and managing Parkinson's disease, and to explore the potential benefits of this technology for clinical decision-making and treatment support. Methods A thorough review of published literature was conducted to identify studies, articles, and research related to AI-based gait evaluation in Parkinson's disease. Results AI-based gait evaluation has shown promise in preventing freeze episodes, improving diagnosis, and increasing motor independence in patients with Parkinson's disease. Its advantages include higher diagnostic accuracy, continuous monitoring, and personalized therapeutic interventions. Conclusion AI-based gait evaluation systems hold great promise for managing Parkinson's disease and improving patient outcomes. They offer the potential to transform clinical decision-making and inform personalized therapies, but further research is needed to determine their effectiveness and refine their use.
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Affiliation(s)
- Peng Wu
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Biwei Cao
- Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China
- Affiliated Hospital of Hubei University of Chinese Medicine, Wuhan, Hubei, China
- Hubei Academy of Traditional Chinese Medicine, Wuhan, Hubei, China
| | - Zhendong Liang
- College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Miao Wu
- Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China
- Affiliated Hospital of Hubei University of Chinese Medicine, Wuhan, Hubei, China
- Hubei Academy of Traditional Chinese Medicine, Wuhan, Hubei, China
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Gutiérrez Zúñiga R, Alonso de Leciñana M, Díez A, Torres Iglesias G, Pascual A, Higashi A, Rodríguez Pardo J, Hernández Herrero D, Fuentes B, Díez Tejedor E. A New Software for Quantifying Motor Deficit After Stroke: A Case-Control Feasibility Pilot Study. Front Neurol 2021; 12:603619. [PMID: 33679576 PMCID: PMC7928282 DOI: 10.3389/fneur.2021.603619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 01/12/2021] [Indexed: 01/14/2023] Open
Abstract
Introduction: The degree of disability after stroke needs to be objectively measured to implement adequate rehabilitation programs. Here, we evaluate the feasibility of a custom-built software to assess motor status after stroke. Methods: This is a prospective, case–control pilot study comparing stroke patients with healthy volunteers. A workout evaluation that included trunk and upper limb movement was captured with Kinect® and kinematic metrics were extracted with Akira®. Trunk and joint angles were analyzed and compared between cases and controls. Patients were evaluated within the first week from stroke onset using the National Institutes of Health Stroke Scale (NIHSS), Fulg-Meyer Assessment (FMA), and modified Rankin Scale (mRS) scales; the relationship with kinematic measurements was explored. Results: Thirty-seven patients and 33 controls were evaluated. Median (IQR) NIHSS of cases was 2 (0–4). The kinematic metrics that showed better discriminatory capacity were body sway during walking (less in cases than in controls, p = 0.01) and the drift in the forearm–trunk angle during shoulder abduction in supination (greater in cases than in controls, p = 0.01). The body sway during walking was moderately correlated with NIHSS score (Rho = −0.39; p = 0.01) but better correlated with mRS score (Rho = −0.52; p < 0.001) and was associated with the absence of disability (mRS 0–1) (OR = 0.64; p = 0.02). The drift in the forearm–trunk angle in supination was associated with the presence of disability (mRS >1) (OR = 1.27; p = 0.04). Conclusion: We present a new software that detects even mild motor impairment in stroke patients underestimated by clinical scales but with an impact on patient functionality.
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Affiliation(s)
- Raquel Gutiérrez Zúñiga
- Department of Neurology and Stroke Center, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | - María Alonso de Leciñana
- Department of Neurology and Stroke Center, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | | | - Gabriel Torres Iglesias
- Department of Neurology and Stroke Center, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | - Alejandro Pascual
- Escuela Técnica Superior de Ingenieros de Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain
| | | | - Jorge Rodríguez Pardo
- Department of Neurology and Stroke Center, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | - David Hernández Herrero
- Department of Rehabilitation, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | - Blanca Fuentes
- Department of Neurology and Stroke Center, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
| | - Exuperio Díez Tejedor
- Department of Neurology and Stroke Center, Hospital La Paz Institute for Health Research-IdiPAZ, La Paz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain
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Montgomery C, F. Kaul Y, Strand Brodd K, Persson K, Hellström‐Westas L. Structured Observation of Motor Performance in Infants: Level and quality associated with later motor development. Acta Paediatr 2021; 110:307-313. [PMID: 32474945 DOI: 10.1111/apa.15377] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 04/28/2020] [Accepted: 05/25/2020] [Indexed: 01/22/2023]
Abstract
AIM The aim of this study was to investigate the level of motor development and the quality of motor performance during the first 10 months in relation to the Bayley Scales of Infant Development-third edition (Bayley-III) motor index at 2.5 years. METHODS Children born very preterm from a population-based study (n = 113) were assessed with the Structured Observation of Motor Performance in Infants (SOMP-I) at 2, 4, 6 and 10 months corrected age and the Bayley-III motor index at 2.5 years corrected age (n = 98). Logistic regressions were performed to investigate the independent association of each SOMP-I domain to Bayley-III motor index. RESULTS There were significant associations between the SOMP-I-scores and Bayley-III motor index per every assessment age. At 4 months, both level and quality were independently associated with a later motor outcome, OR for level was 1.26 (95% CI = 1.08-1.50, P = .002) and for quality, 0.75 (95% CI = 0.63-0.90, P = .002). Quality was independently associated with the Bayley-III motor index at 6 and 10 months: OR 0.080 (95% CI = 0.67-0.95 P = .010) and 0.79 (95% CI = 0.64-0.97, P = .026). CONCLUSION Both SOMP-I domains, level and quality, are markers to identify motor problems early. Quality became more important with age.
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Affiliation(s)
- Cecilia Montgomery
- Department of Women’s and Children’s Health Uppsala University Uppsala Sweden
| | - Ylva F. Kaul
- Department of Women’s and Children’s Health Uppsala University Uppsala Sweden
| | - Katarina Strand Brodd
- Department of Women’s and Children’s Health Uppsala University Uppsala Sweden
- Centre for Clinical Research Sörmland Uppsala University Uppsala Sweden
| | - Kristina Persson
- Department of Women’s and Children’s Health Uppsala University Uppsala Sweden
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Kubicki A, Brika M, Coquisart L, Basile G, Laroche D, Mourey F. The Frail'BESTest. An Adaptation of the "Balance Evaluation System Test" for Frail Older Adults. Description, Internal Consistency and Inter-Rater Reliability. Clin Interv Aging 2020; 15:1249-1262. [PMID: 32801673 PMCID: PMC7398746 DOI: 10.2147/cia.s247332] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2020] [Accepted: 04/09/2020] [Indexed: 12/20/2022] Open
Abstract
Introduction The Balance Evaluation System Test (BESTest) and the Mini-BESTest were developed to assess the complementary systems that contribute to balance function. These tests include functional tasks involving several high-level exercises to assess the balance function, which may be even more difficult in case of frailty. The Frail'BESTest has been developed to make it possible to include frail older adults in systemic assessment. In this first paper, the objective is to present the Frail'BESTest and to describe the usefulness and complementarity of each system and to test the inter-rater reliability of the score measurements in two health centers. Methods In the first center, 192 frail and non-frail older patients were enrolled to test I) the contribution of each system, II) internal consistency, and III) the threshold and ceiling effects. The scores of 32 patients from center 1 and 32 patients recruited in another center (center 2) were used to measure the inter-rater reliability of the measurements by means of Kendall's tau coefficients. Results The internal consistency was moderate to good for five systems and limited for "biomechanical constraints". The distribution of the Frail'BESTest was more centered than that of the Tinetti and Mini-Motor tests. The Kendall's tau showed strong concordance in center 1 for all systems and only for 4 on 6 systems in center 2. Discussion Completing a systemic evaluation, the therapist may prioritize the patient's needs identifying the most challenging systems. This paper presents the Frail'BESTest and confirms the psychometric properties at a first step level.
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Affiliation(s)
- A Kubicki
- INSERM UMR1093-CAPS, Université Bourgogne Franche-Comté, UFR Des Sciences Du Sport, Dijon F-21000, France.,Institut De Formation Des Métiers De La Santé, Hôpital Nord Franche-Comté, 2 Rue Du Docteur Flamand, Montbéliard 25200, France
| | - M Brika
- Institut De Formation Des Métiers De La Santé, Hôpital Nord Franche-Comté, 2 Rue Du Docteur Flamand, Montbéliard 25200, France
| | - L Coquisart
- Centre Hospitalier Durécu-Lavoisier, Darnetal 76160, France
| | - G Basile
- Centre Hospitalier Durécu-Lavoisier, Darnetal 76160, France
| | - D Laroche
- INSERM UMR1093-CAPS, Université Bourgogne Franche-Comté, UFR Des Sciences Du Sport, Dijon F-21000, France.,INSERM CIC 1432, Plateforme d'Investigation Technologique, University Hospital of Dijon, Dijon 21000, France
| | - F Mourey
- INSERM UMR1093-CAPS, Université Bourgogne Franche-Comté, UFR Des Sciences Du Sport, Dijon F-21000, France
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Keinan A, Bar-Shalita T, Portnoy S. An Instrumented Assessment of a Rhythmic Finger Task among Children with Motor Coordination Difficulties. Sensors (Basel) 2020; 20:s20164554. [PMID: 32823856 PMCID: PMC7472119 DOI: 10.3390/s20164554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/21/2020] [Accepted: 08/12/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Coordination is crucial for motor function, yet objective clinical evaluations are limited. We therefore developed and tested the reliability and validity of a low-cost sensorized evaluation of a rhythmic finger task. METHODS Children with coordination difficulties (n = 24) and typically developing children (n = 24) aged from 5 to 7 years performed the Sensorized Finger Sequencing Test (SFST), a finger sequencing test that records the correct sequence, total time, and the standard deviation (SD) of touch time. Additionally, motor performance tests and parents' reports were applied in order to test the reliability and validity of the SFST. RESULTS The study group had significantly greater thumb-finger test scores-total time in the dominant hand (p = 0.035) and the SD of the touch time in both dominant (p = 0.036) and non-dominant (p = 0.032) hands. Motor performance tests were not correlated with the SFST. Test-retest reliability in 10 healthy children was found for the SD of touch time in the dominant hand (r = 0.87, p = 0.003). CONCLUSIONS The SFST was successful in assessing the movement pattern variability reported in children with motor difficulties. This exploratory study indicates that the low-cost SFST could be utilized as an objective measure for the assessment of proprioception components, which currently are overlooked by standardized motor performance assessments.
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Castro-Luna G, Jiménez-Rodríguez D. Relative and Absolute Reliability of a Motor Assessment System Using KINECT ® Camera. Int J Environ Res Public Health 2020; 17:E5807. [PMID: 32796619 DOI: 10.3390/ijerph17165807] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Revised: 08/03/2020] [Accepted: 08/04/2020] [Indexed: 02/07/2023]
Abstract
(1) Background: Virtual reality is currently useful in different clinical specialties as a diagnostic and therapeutic tool. In this study, we analyzed the relative and absolute reliability of the motor evaluation with the Kinect camera, a markerless motion system. (2) Methods: Observational study in healthy people, whose inclusion criteria were: healthy people, age 18 to 40 years old without pathologies or injuries in osteoarticular structures or ligamentous muscle and pharmacological treatment with influence on motor skills. Fifty-two subjects were evaluated. (3) Results: The results of the relative reliability were favorable in variables such as the amplitude of passage of the right leg (ICC (Intraclass Correlation Coefficient) = 0.95 ± 0.03), the step width of the left leg (ICC = 0.92 ± 0.04) or balance of the left leg (ICC = 0.90 ± 0.05). Moderate values were found for other variables. The absolute reliability, measured by the coefficient of variation, was favorable in most of the variables. (4) Conclusions: The results reflect a favorable intraclass correlation in the evaluation of the variation and asymmetry of movements of the upper limbs, the balance of both legs, the side step width and the evaluation of the sitting and standing positions. The reliability of the evaluation of the variation of movements and the asymmetry of the lower limbs must be further improved.
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Orozco-Arroyave JR, Vásquez-Correa JC, Klumpp P, Pérez-Toro PA, Escobar-Grisales D, Roth N, Ríos-Urrego CD, Strauss M, Carvajal-Castaño HA, Bayerl S, Castrillón-Osorio LR, Arias-Vergara T, Künderle A, López-Pabón FO, Parra-Gallego LF, Eskofier B, Gómez-Gómez LF, Schuster M, Nöth E. Apkinson: the smartphone application for telemonitoring Parkinson's patients through speech, gait and hands movement. Neurodegener Dis Manag 2020; 10:137-157. [PMID: 32571150 DOI: 10.2217/nmt-2019-0037] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: This paper introduces Apkinson, a mobile application for motor evaluation and monitoring of Parkinson's disease patients. Materials & methods: The App is based on previously reported methods, for instance, the evaluation of articulation and pronunciation in speech, regularity and freezing of gait in walking, and tapping accuracy in hand movement. Results: Preliminary experiments indicate that most of the measurements are suitable to discriminate patients and controls. Significance is evaluated through statistical tests. Conclusion: Although the reported results correspond to preliminary experiments, we think that Apkinson is a very useful App that can help patients, caregivers and clinicians, in performing a more accurate monitoring of the disease progression. Additionally, the mobile App can be a personal health assistant.
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Affiliation(s)
- Juan Rafael Orozco-Arroyave
- GITA Research Lab, Faculty of Engineering, University of Antioquia, 050010 Medellín-Colombia.,LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany
| | - Juan Camilo Vásquez-Correa
- GITA Research Lab, Faculty of Engineering, University of Antioquia, 050010 Medellín-Colombia.,LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany
| | - Philipp Klumpp
- LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany
| | - Paula Andrea Pérez-Toro
- GITA Research Lab, Faculty of Engineering, University of Antioquia, 050010 Medellín-Colombia
| | - Daniel Escobar-Grisales
- GITA Research Lab, Faculty of Engineering, University of Antioquia, 050010 Medellín-Colombia
| | - Nils Roth
- MaD Lab, Faculty of Engineering, University or Erlangen, 91052 Erlangen-Germany
| | | | - Martin Strauss
- LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany
| | | | - Sebastian Bayerl
- LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany
| | | | - Tomas Arias-Vergara
- GITA Research Lab, Faculty of Engineering, University of Antioquia, 050010 Medellín-Colombia.,LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany.,Department of Otorhinolaryngology, Head & Neck Surgery, Ludwig-Maximilians University, 81377 Munich-Germany
| | - Arne Künderle
- MaD Lab, Faculty of Engineering, University or Erlangen, 91052 Erlangen-Germany
| | | | | | - Björn Eskofier
- MaD Lab, Faculty of Engineering, University or Erlangen, 91052 Erlangen-Germany
| | - Luis Felipe Gómez-Gómez
- GITA Research Lab, Faculty of Engineering, University of Antioquia, 050010 Medellín-Colombia
| | - Maria Schuster
- Department of Otorhinolaryngology, Head & Neck Surgery, Ludwig-Maximilians University, 81377 Munich-Germany
| | - Elmar Nöth
- LME Lab, Faculty of Engineering, University of Erlangen, 91058 Erlangen-Germany
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Cotti A, Del Corso M, Diana R, Cornale L, Sudanese A, Stecco A, Branchini M. Inter and Intra Operator Reliability of Motor and Palpation Evaluation in Fascial Manipulation in individuals with coxarthrosis. J Man Manip Ther 2019; 28:236-245. [PMID: 31668142 DOI: 10.1080/10669817.2019.1683675] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVE An inter and intra rater reliability (INTERR and INTRAR) study was designed. METHODS 71 subjects, with primary hip coxarthrosis, were included and randomly divided in a study group (SG= 36) and a control group (CG= 35) to assess the efficacy of the Fascial Manipulation® (FM®) method. The primary objective was the assessment of INTERR and INTRAR about movement verification (MV) and palpation verification (PV) of FM® performed by two physiotherapists (PtA and PtB). The secondary objective was evaluate the efficacy of FM® through MV, PV and pain score. Pain was assessed using the Numeric Rating Scale (NRS). SG received three weekly sessions of FM® byPtA. PtB re-evaluated all the subjects at the end of the study. RESULTS Results of the INTERR analysis showed for SG: MV (ICC= 0.92, k= 72.7%); PV (ICC= 0.91, k= 75.7%). For CG : MV (ICC= 0.95, k= 84.2%); PV (ICC= 0.90, k= 75%). Results of the INTRAR analysis for SG reported: MV (ICC= 0.82, k= 74,8%); PV (ICC= 0.60, k= 46.8%); for CG: MV (ICC= 0.93, k= 78.7%); PV (ICC= 0.84, k= 53.3%). Statistical significance were reported in NRS (p = 0.001), MV (p = 0.0003) and PV (p < 0.0001) with better results for SG using "Intention To Treat" method. DISCUSSION This study demonstrates that FM® assessment procedures have a high reliability even if applied by practitioners with basic experience. Furthermore FM® treatment can improve pain and ROM in individuals with primary coxarthrosis.
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Affiliation(s)
- Andrea Cotti
- Department of Rehabilitation, Rizzoli Orthopaedic Institute, Bologna, Italy
| | | | | | | | - Alessandra Sudanese
- Orthopaedic-Trauma and Prosthetic Surgery, Hip Revisions, Knee Implants, Rizzoli Institute, Bologna, Italy
| | - Antonio Stecco
- School of Medicine, New York University, New York, NY, USA
| | - Mirco Branchini
- Department of Hip and Knee Prosthesis Surgery Unit, Rizzoli Orthopaedic Institute, Bologna, Italy
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