Abstract
Given its virtually algorithmic process, the Fugl-Meyer Assessment (FMA) of motor recovery is prone to automatization reducing subjectivity, alleviating therapists’ burden and collaterally reducing costs. Several attempts have been recently reported to achieve such automatization of the FMA. However, a cost-effective solution matching expert criteria is still unfulfilled, perhaps because these attempts are sensor-specific representation of the limb or have thus far rely on a trial and error strategy for building the underpinning computational model. Here, we propose a sensor abstracted representation. In particular, we improve previously reported results in the automatization of FMA by classifying a manifold embedded representation capitalizing on quaternions, and explore a wider range of classifiers. By enhancing the modeling, overall classification accuracy is boosted to 87% (mean: 82% ± 4.53:) well over the maximum reported in literature thus far 51.03% (mean: 48.72 ± std: 2.10). The improved model brings automatic FMA closer to practical usage with implications for rehabilitation programs both in ward and at home.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
We are currently in the process of collecting further clinical data.
- 2.
Full abstraction from the sensing geometry is beyond the scope of this work. For instance, we do not aim at being capable of achieving our goal of automatic motor assessment from say thermal sensors.
- 3.
The definition of what is an interesting view of the dataset correspond to the domain demands.
- 4.
Previously reported values were well below these figures.
References
Adamovich, S.V., Fluet, G.G., Tunik, E., Merians, A.S.: Sensorimotor training in virtual reality: a review. NeuroRehabilitation 25, 29 (2009)
Reinkensmeyer, D.J., Pang, C.T., Nessler, J.A., Painter, C.C.: Web-based telerehabilitation for the upper extremity after stroke. IEEE Trans. Neural Syst. Rehabil. Eng. 10, 102–108 (2002)
Krakauer, J.W., Carmichael, S.T., Corbett, D., Wittenberg, G.F.: Getting neurorehabilitation right: what can be learned from animal models? Neurorehabilitation Neural Repair 26, 923–931 (2012)
Fugl-Meyer, A.R., Jääskö, L., Leyman, I., Olsson, S., Steglind, S.: The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand. J. Rehabil. Med. 7, 13–31 (1975)
Duncan, P.W., Propst, M., Nelson, S.G.: Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident. Phys. Ther. 63, 1606–1610 (1983)
Quintana, G.E., et al.: Qualification of arm gestures using hidden markov models. In: 8th IEEE International Conference on Automatic Face & Gesture Recognition, FG 2008, pp. 1–6. IEEE (2008)
Hou, W.-H., Shih, C.-L., Chou, Y.-T., Sheu, C.-F., Lin, J.-H., Wu, H.-C., Hsueh, I.-P., Hsieh, C.-L.: Development of a computerized adaptive testing system of the Fugl-Meyer motor scale in stroke patients. Arch. Phys. Med. Rehabil. 93, 1014–1020 (2012)
Ma, V.Y., Chan, L., Carruthers, K.J.: The incidence, prevalence, costs and impact on disability of common conditions requiring rehabilitation in the US: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch. Phy. Med. Rehabil. 95(5), 986–995.e1 (2014)
Allin, S., Ramanan, D.: Assessment of post-stroke functioning using machine vision. In: MVA2007 IAPR Conference on Machine Vision Applications, 16-18 May, Tokyo, Japan, pp. 8–18 (2007)
Virgilio, F.B., Cruz, V.T., Ribeiro, D.D., Cunha, J.P.: Towards a movement quantification system capable of automatic evaluation of upper limb motor function after neurological injury. In: 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC, pp. 5456–5460. IEEE (2011)
Hester, T., Hughes, R., Sherrill, D.M., Knorr, B., Akay, M., Stein, J., Bonato, P.: Using wearable sensors to measure motor abilities following stroke. In: International Workshop on Wearable and Implantable Body Sensor Networks, BSN 2006, p. 4. IEEE (2006)
Balasubramanian, S., Wei, R., Perez, M., Shepard, B., Koeneman, J., Koeneman, E., He, J.: RUPERT: an exoskeleton robot for assisting rehabilitation of arm functions. In: Virtual Rehabilitation, 163–167. IEEE (2008)
Sucar, L.E., Orihuela-Espina, F., Velazquez, R.L., Reinkensmeyer, D.J., Leder, R., Hernández Franco, J.: Gesture therapy: an upper limb virtual reality-based motor rehabilitation platform. IEEE Trans. Neural Syst. Rehabil. Eng. 22(3), 634–643 (2014)
der Maaten, V.L., Hinton, G.: Visualizing data using t-SNE. J. Mach. Learn. Res. 9, 2579–2605 (2008)
Murphy, K.P.: Naive Bayes classifiers. University of British Columbia (2006)
Svetnik, V., Liaw, A., Tong, C., Culberson, J.C., Sheridan, R.P., Feuston, B.P.: Random forest: a classification and regression tool for compound classification and QSAR modeling. J. Chem. Inf. Comput. Sci. 43, 1947–1958 (2003)
Hearst, M.A., Dumais, S.T., Osman, E., Platt, J., Scholkopf, B.: Support vector machines. IEEE Intell. Syst. Appl. 13, 18–28 (1998)
Olesh, E.V., Yakovenko, S., Gritsenko, V.: Automated assessment of upper extremity movement impairment due to stroke. PLoS ONE 9(8), e104487 (2014)
Wade, E., Parnandi, A.R., Matarić, M.J.: Automated administration of the Wolf Motor Function test for post-stroke assessment. In: 4th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth), Munich, Germany, pp. 1–7 (2010)
Hondori, H.M., Ling, S.-F.: A method for measuring human arm’s mechanical impedance for assessment of motor rehabilitation. In: 3rd International Convention on Rehabilitation Engineering & Assistive Technology (i-CREATe 2009), Singapore, p. 4 (2009)
Carreira-Perpiñán, M.A.: A review of dimension reduction techniques University of Sheffield, University of Sheffield, Technical report, CS-96-09 (1997)
Heyer, P., Felipe, O.-E., Castrejón, L.R., Hernández-Franco, J., Sucar, L.E.: Sensor adequacy and arm movement encoding for automatic assessment of motor dexterity for virtual rehabilitation. Accepted at 9th World Congress for NeuroRehabilitation
Acknowledgment
The leading author has received a scholarship No. 339981 from CONACYT.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering
About this paper
Cite this paper
Heyer, P., Orihuela-Espina, F., Castrejón, L.R., Hernández-Franco, J., Sucar, L.E. (2017). Sensor Abstracted Extremity Representation for Automatic Fugl-Meyer Assessment. In: Sucar, E., Mayora, O., Munoz de Cote, E. (eds) Applications for Future Internet. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 179. Springer, Cham. https://doi.org/10.1007/978-3-319-49622-1_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-49622-1_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-49621-4
Online ISBN: 978-3-319-49622-1
eBook Packages: Computer ScienceComputer Science (R0)