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Robot-aided assessment of wrist proprioception.

Identifieur interne : 000252 ( PubMed/Checkpoint ); précédent : 000251; suivant : 000253

Robot-aided assessment of wrist proprioception.

Auteurs : Leonardo Cappello [Italie] ; Naveen Elangovan [États-Unis] ; Sara Contu [Singapour] ; Sanaz Khosravani [États-Unis] ; Jürgen Konczak [États-Unis] ; Lorenzo Masia [Singapour]

Source :

RBID : pubmed:25926785

Abstract

Impaired proprioception severely affects the control of gross and fine motor function. However, clinical assessment of proprioceptive deficits and its impact on motor function has been difficult to elucidate. Recent advances in haptic robotic interfaces designed for sensorimotor rehabilitation enabled the use of such devices for the assessment of proprioceptive function.

DOI: 10.3389/fnhum.2015.00198
PubMed: 25926785


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pubmed:25926785

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<nlm:affiliation>Department of Robotics Brain and Cognitive Sciences, Istituto Italiano di Tecnologia , Genova , Italy.</nlm:affiliation>
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<nlm:affiliation>School of Kinesiology, University of Minnesota , Minneapolis, MN , USA.</nlm:affiliation>
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<name sortKey="Contu, Sara" sort="Contu, Sara" uniqKey="Contu S" first="Sara" last="Contu">Sara Contu</name>
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<name sortKey="Masia, Lorenzo" sort="Masia, Lorenzo" uniqKey="Masia L" first="Lorenzo" last="Masia">Lorenzo Masia</name>
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<div type="abstract" xml:lang="en">Impaired proprioception severely affects the control of gross and fine motor function. However, clinical assessment of proprioceptive deficits and its impact on motor function has been difficult to elucidate. Recent advances in haptic robotic interfaces designed for sensorimotor rehabilitation enabled the use of such devices for the assessment of proprioceptive function.</div>
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<Title>Frontiers in human neuroscience</Title>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Impaired proprioception severely affects the control of gross and fine motor function. However, clinical assessment of proprioceptive deficits and its impact on motor function has been difficult to elucidate. Recent advances in haptic robotic interfaces designed for sensorimotor rehabilitation enabled the use of such devices for the assessment of proprioceptive function.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">This study evaluated the feasibility of a wrist robot system to determine proprioceptive discrimination thresholds for two different DoFs of the wrist. Specifically, we sought to accomplish three aims: first, to establish data validity; second, to show that the system is sensitive to detect small differences in acuity; third, to establish test-retest reliability over repeated testing.</AbstractText>
<AbstractText Label="METHODOLOGY" NlmCategory="METHODS">Eleven healthy adult subjects experienced two passive wrist movements and had to verbally indicate which movement had the larger amplitude. Based on a subject's response data, a psychometric function was fitted and the wrist acuity threshold was established at the 75% correct response level. A subset of five subjects repeated the experimentation three times (T1, T2, and T3) to determine the test-retest reliability.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean threshold for wrist flexion was 2.15°± 0.43° and 1.52°± 0.36° for abduction. Encoder resolutions were 0.0075°(flexion-extension) and 0.0032°(abduction-adduction). Motor resolutions were 0.2°(flexion-extension) and 0.3°(abduction-adduction). Reliability coefficients were r T2-T1 = 0.986 and r T3-T2 = 0.971.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We currently lack established norm data on the proprioceptive acuity of the wrist to establish direct validity. However, the magnitude of our reported thresholds is physiological, plausible, and well in line with available threshold data obtained at the elbow joint. Moreover, system has high resolution and is sensitive enough to detect small differences in acuity. Finally, the system produces reliable data over repeated testing.</AbstractText>
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<Keyword MajorTopicYN="N">discrimination threshold</Keyword>
<Keyword MajorTopicYN="N">quantitative measurements</Keyword>
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