Upper Limb Spasticity Evaluation Based on Stretch Reflex Threshold: Method, Device, Validity and Reliability

被引：0
|
作者：
Hu B.-H. [1 ]
Mu J.-S. [2 ]
Zhu Z.-J. [3 ]
Zhao P.-P. [1 ]
Wang Y. [1 ]
机构：
[1] School of Mechanical Engineering, Hefei University of Technology, Hefei
[2] Department of Rehabilitation Medicine, Anhui Provincial Hospital, Hefei
[3] Department of Acupuncture & Rehabilitation Department, First A-liated Hospital of Anhui University of Traditional Chinese Medicine, Hefei
来源：
Wang, Yong (simenkouwang@sina.com) | 2018年 / Science Press卷 / 44期
基金：
中国国家自然科学基金;
关键词：
Acceleration; Modified Ashworth scale (MAS); Spasticity; Stretch reflex threshold;
D O I：
10.16383/j.aas.2018.c160240
中图分类号：
TP31 [计算机软件];
学科分类号：
081202 ; 0835 ;
摘要：
Clinical methods for spasticity evaluation are criticized as subjective, and their validity and reliability remain to improve. This study is to present a new evaluation method for accurate and reliable evaluation of spasticity based on a stretch reflex threshold which is obtained from the acceleration and angle data. A corresponding device is designed to test the validity and reliability of the stretch reflex threshold in spasticity assessment, and further study is conducted to discuss the validity and reliability of acceleration mean variance (AMV). Spasticity is evaluated in 22 subjects with upper limb spasticity using the constructed portable device and the modified Ashworth scale (MAS) by four evaluators. The results of correlation analysis show that there is a strong negative correlation (r =-0.831 »-0.953, P < 0.05) between MAS and the stretch reflex threshold. Also, the correlation coefficient between the MAS and AMV is (r = 0.665 » 0.900, P < 0.05). Their test-retest reliabilities are (r = 0.890 » 0.962, P < 0.05) and (r = 0.632 » 0.928, P < 0.05). These results demonstrate that the method and device may provide a quantitative and practical way for spasticity measurement. Copyright © 2018 Acta Automatica Sinica. All rights reserved.
引用
收藏
页码：129 / 139
页数：10
相关论文
共 26 条
  • [1] Bar-On L., Molenaers G., Aertbelien E., Monari D., Feys H., Desloovere K., The relation between spasticity and muscle behavior during the swing phase of gait in children with cerebral palsy, Research in Developmental Disabilities, 35, 12, pp. 3354-3364, (2014)
  • [2] Wang G.-Z., The advancing of quantitative assessment of spasticity, Modern Rehabilitation, 4, 5, pp. 650-652, (2000)
  • [3] Feldman R.G., Young R.R., Koella W.P., Spasticity: Disordered Motor Control, pp. 485-495, (1980)
  • [4] Ishikawa S., Okamoto S., Isogai K., Akiyama Y., Yanagihara N., Yamada Y., Wearable dummy to simulate joint impairment: severity-based assessment of simulated spasticity of knee joint, Proceedings of the 2013 IEEE/SICE International Symposium on System Integration, pp. 300-305, (2013)
  • [5] Gracies J.M., Brashear A., Jech R., McAllister P., Banach M., Valkovic P., Walker H., Marciniak C., Deltombe T., Skoromets A., Khatkova S., Edgley S., Gul F., Catus F., De Fer Beatrice B., Vilain C., Picaut P., Safety and e-cacy of abobotulinumtoxinA for hemiparesis in adults with upper limb spasticity after stroke or traumatic brain injury: a double-blind randomised controlled trial, The Lancet Neurology, 14, 10, pp. 992-1001, (2015)
  • [6] Kim J.-H., Park H.-S., Damiano D.L., Accuracy and reliability of haptic spasticity assessment using HESS (Haptic Elbow Spasticity Simulator), Proceedings of the 33rd Annual International Conference of the IEEE EMBS, pp. 8527-8530, (2001)
  • [7] Li X.-P., Cheng K., Zhou J., Yang T., Yu J., Chen A.-L., Zhang H.-F., Clinical assessment of muscle spasticity in stroke patients with surface electromyography and isokinetic assessment, China Journal of Modern Medicine, 20, 4, (2010)
  • [8] Klingels K., De Cock P., Molenaers G., Desloovere K., Huenaerts C., Jaspers E., Feys H., Upper limb motor and sensory impairments in children with hemiplegic cerebral palsy. Can they be measured reliably?, Disability and Rehabilitation, 32, 5, pp. 409-416, (2010)
  • [9] Fleuren J.F.M., Voerman G.E., Erren-Wolters C.V., Snoek G.J., Rietman J.S., Hermens H.J., Nene A.V., Stop using the Ashworth Scale for the assessment of spasticity, Journal of Neurology, Neurosurgery & Psychiatry, 81, 1, pp. 46-52, (2010)
  • [10] Mehrholz J., Wagner K., Meissner D., Grundmann K., Zange C., Koch R., Pohl M., Reliability of the modified Tardieu scale and the modified Ashworth scale in adult patients with severe brain injury: a comparison study, Clinical Rehabilitation, 19, 7, pp. 751-759, (2015)
123