Department of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, 40506, USA.
Dr. Bing Zhang Department of Statistics, University of Kentucky, Lexington, KY, 40506, USA.
Sci Rep. 2024 Sep 5;14(1):20668. doi: 10.1038/s41598-024-71470-8.
Assessment of the upper limb is critical to guiding the rehabilitation cycle. Drawbacks of observation-based assessment include subjectivity and coarse resolution of ordinal scales. Kinematic assessment gives rise to objective quantitative metrics, but uptake is encumbered by costly and impractical setups. Our objective was to investigate feasibility and accuracy of computer vision (CV) for acquiring kinematic metrics of the drinking task, which are recommended in stroke rehabilitation research. We implemented CV for upper limb kinematic assessment using modest cameras and an open-source machine learning solution. To explore feasibility, 10 neurotypical participants were recruited for repeated kinematic measures during the drinking task. To investigate accuracy, a simultaneous marker-based motion capture system was used, and error was quantified for the following kinematic metrics: Number of Movement Units (NMU), Trunk Displacement (TD), and Movement Time (MT). Across all participant trials, kinematic metrics of the drinking task were successfully acquired using CV. Compared to marker-based motion capture, no significant difference was observed for group mean values of kinematic metrics. Mean error for NMU, TD, and MT were - 0.12 units, 3.4 mm, and 0.15 s, respectively. Bland-Altman analysis revealed no bias. Kinematic metrics of the drinking task can be measured using CV, and preliminary findings support accuracy. Further study in neurodivergent populations is needed to determine validity of CV for kinematic assessment of the post-stroke upper limb.
上肢评估对于指导康复周期至关重要。基于观察的评估存在主观性和等级量表分辨率低的缺点。运动学评估提供了客观的定量指标,但由于设置昂贵且不切实际,其应用受到阻碍。我们的目的是研究计算机视觉(CV)在获取中风康复研究中推荐的饮水任务运动学指标方面的可行性和准确性。我们使用普通相机和开源机器学习解决方案实现了 CV 进行上肢运动学评估。为了探索可行性,招募了 10 名神经正常的参与者进行重复的饮水任务运动学测量。为了研究准确性,同时使用基于标记的运动捕捉系统,并量化了以下运动学指标的误差:运动单位数(NMU)、躯干位移(TD)和运动时间(MT)。在所有参与者的试验中,成功使用 CV 获得了饮水任务的运动学指标。与基于标记的运动捕捉相比,运动学指标的组平均值没有观察到显著差异。NMU、TD 和 MT 的平均误差分别为-0.12 个单位、3.4 毫米和 0.15 秒。Bland-Altman 分析显示没有偏差。可以使用 CV 测量饮水任务的运动学指标,初步结果支持其准确性。需要在神经多样性人群中进一步研究,以确定 CV 对中风后上肢运动学评估的有效性。