Annu Int Conf IEEE Eng Med Biol Soc. 2021 Nov;2021:5747-5751. doi: 10.1109/EMBC46164.2021.9630289.
Cerebellar ataxias are a large family of movement disorders that generally follow a stroke. The clinical picture is very complicated and normal activities become difficult for ataxic patients. For instance, dynamic ataxia involves both walk and upper-limbs movement, thus affecting the possibility to fulfill daily life tasks. Rehabilitation treatments and strategies for cerebellar ataxia are nowadays controversial, since different opinions on the several approaches are spread among the clinical community. The purpose of the present work is not to shed some light on such disagreements. Indeed, here a solution for delivering rehabilitation activities in the form of videogame is presented. Data related to patient's performance are collected and analyzed in order to provide the clinical staff with objective indicators that properly describe the activity. Such information can also be used to discuss the effectiveness and the incidence of some strategy adopted for fulfilling some task. The experimental phase is conducted on two case-studies with regards to the upper-limb rehabilitation. The adoption of the strategy of weighting the limb when performing the movement is discussed. The indicators computed in both sessions with and without strategy are compared, also referring to the practice of some healthy subjects. The present work introduces the preliminary phase of a wider study and foretells its future development conducted on a larger population.
小脑共济失调是一组以中风为主要表现的运动障碍疾病。其临床表现十分复杂，共济失调患者的正常活动会变得困难。例如，动态性共济失调涉及行走和上肢运动，从而影响完成日常生活任务的可能性。目前，小脑共济失调的康复治疗和策略存在争议，因为临床医生对几种方法存在不同意见。本工作的目的不是要解决这些分歧。实际上，这里提出了一种以视频游戏形式提供康复活动的解决方案。收集与患者表现相关的数据并进行分析，以便为临床人员提供适当描述活动的客观指标。这些信息还可用于讨论为完成某些任务而采用的某些策略的有效性和发生率。实验阶段针对上肢康复进行了两个案例研究。讨论了在进行运动时对肢体进行加权的策略。比较了有策略和无策略两种情况下计算的指标，并与一些健康受试者的练习情况进行了比较。本工作介绍了一项更广泛研究的初步阶段，并预测了其在更大人群中进行的未来发展。
