School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, Suzhou 215163, China.
Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou 215163, China.
Sensors (Basel). 2022 Feb 3;22(3):1170. doi: 10.3390/s22031170.
Rehabilitation training and movement evaluation after stroke have become a research hotspot as stroke has become a very common and harmful disease. However, traditional rehabilitation training and evaluation are mainly conducted under the guidance of rehabilitation doctors. The evaluation process is time-consuming and the evaluation results are greatly influenced by doctors. In this study, a desktop upper limb rehabilitation robot was designed and a quantitative evaluation system of upper limb motor function for stroke patients was proposed. The kinematics and dynamics data of stroke patients during active training were collected by sensors. Combined with the scores of patients' upper limb motor function by rehabilitation doctors using the Wolf Motor Function Test (WMFT) scale, three different quantitative evaluation models of upper limb motor function based on Back Propagation Neural Network (BPNN), K-Nearest Neighbors (KNN), and Support Vector Regression (SVR) algorithms were established. To verify the effectiveness of the quantitative evaluation system, 10 healthy subjects and 21 stroke patients were recruited for experiments. The experimental results show that the BPNN model has the best evaluation performance among the three quantitative evaluation models. The scoring accuracy of the BPNN model reached up to 87.1%. Moreover, there was a significant correlation between the models' scores and the doctors' scores. The proposed system can help doctors to quantitatively evaluate the upper limb motor function of stroke patients and accurately master the rehabilitation progress of patients.
脑卒中已成为一种非常常见且危害极大的疾病,因此,脑卒中患者的康复训练和运动评估已成为研究热点。然而,传统的康复训练和评估主要是在康复医生的指导下进行的。评估过程耗时较长,评估结果受医生影响较大。本研究设计了一种桌面式上肢康复机器人,并提出了一种基于脑卒中患者上肢运动功能的定量评估系统。通过传感器采集脑卒中患者在主动训练过程中的运动学和动力学数据,结合康复医生使用 Wolf 运动功能测试(WMFT)量表对患者上肢运动功能的评分,建立了基于反向传播神经网络(BPNN)、K 近邻(KNN)和支持向量回归(SVR)算法的三种不同的上肢运动功能定量评估模型。为了验证定量评估系统的有效性,招募了 10 名健康受试者和 21 名脑卒中患者进行实验。实验结果表明,在三种定量评估模型中,BPNN 模型的评估性能最佳。BPNN 模型的评分准确率高达 87.1%。此外,模型评分与医生评分之间存在显著相关性。该系统可帮助医生对脑卒中患者的上肢运动功能进行定量评估,准确掌握患者的康复进程。