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上肢运动分析的方法学考虑在健康和脑卒中成人中的应用 第二部分:运动捕捉系统和运动学指标的系统评价。

Methodological considerations for kinematic analysis of upper limbs in healthy and poststroke adults Part II: a systematic review of motion capture systems and kinematic metrics.

机构信息

a Department of Functional Sciences and Center for Rehabilitation Research (CIR), School of Health of Polytechnic Institute of Porto (ESS-P.Porto) , Porto , Portugal.

b LABIOMEP: Porto Biomechanics Laboratory, University of Porto , Porto , Portugal.

出版信息

Top Stroke Rehabil. 2019 Sep;26(6):464-472. doi: 10.1080/10749357.2019.1611221. Epub 2019 May 8.

DOI:10.1080/10749357.2019.1611221
PMID:31064281
Abstract

: To review the methods used to analyze the kinematics of upper limbs (ULs) of healthy and poststroke adults, namely the motion capture systems and kinematic metrics. : A database of articles published in the last decade was compiled using the following search terms combinations: ("upper extremity" OR "upper limb" OR arm) AND (kinematic OR motion OR movement) AND (analysis OR assessment OR measurement). The articles included in this review: (1) had the purpose to analyze objectively three-dimension kinematics of ULs, (2) studied functional movements or activities of daily living involving ULs, and (3) studied healthy and/or poststroke adults. Fourteen articles were included (four studied a healthy sample, three analyzed poststroke patients, and seven examined both poststroke and healthy participants). : Most articles used optoelectronic systems with markers; however, the presentation of laboratory and task-specific errors is missing. Markerless systems, used in some studies, seem to be promising alternatives for implementation of kinematic analysis in hospitals and clinics, but the literature proving their validity is scarce. Most articles analyzed "joint kinematics" and "end-point kinematics," mainly related with reaching. The different stroke locations of the samples were not considered in their analysis and only three articles described their psychometric properties. : Future research should validate portable motion capture systems, document their specific error at the acquisition place and for the studied task, include grasping and manipulation analysis, and describe psychometric properties.

摘要

目的

综述分析健康成人和脑卒中后成人上肢运动学的方法,即运动捕捉系统和运动学指标。

方法

使用以下搜索词组合编制了过去十年发表的文章数据库:(“上肢”或“上肢”或“手臂”)和(运动学或运动或运动)和(分析或评估或测量)。本综述中包含的文章:(1)目的是客观分析上肢的三维运动学,(2)研究涉及上肢的功能运动或日常生活活动,以及(3)研究健康和/或脑卒中后成人。共纳入 14 篇文章(4 篇研究健康样本,3 篇分析脑卒中患者,7 篇同时研究脑卒中后和健康参与者)。

结果

大多数文章使用带标记的光电系统;然而,实验室和特定任务误差的呈现缺失。在一些研究中使用的无标记系统似乎是在医院和诊所实施运动学分析的有前途的替代方案,但证明其有效性的文献很少。大多数文章分析了“关节运动学”和“末端点运动学”,主要与伸手有关。样本的不同脑卒中部位在其分析中未被考虑,只有三篇文章描述了它们的心理测量特性。

结论

未来的研究应验证便携式运动捕捉系统,记录其在获取地点和研究任务中的特定误差,包括抓握和操作分析,并描述心理测量特性。

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