HapticV1, PubMed, Corpus, bibRecord, 000D06

Accuracy and reliability of haptic spasticity assessment using HESS (Haptic Elbow Spasticity Simulator).

Identifieur interne : 000D06 ( PubMed/Corpus ); précédent : 000D05; suivant : 000D07

Accuracy and reliability of haptic spasticity assessment using HESS (Haptic Elbow Spasticity Simulator).

Auteurs : Jonghyun Kim ; Hyung-Soon Park ; Diane L. Damiano

Source :

Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference [ 1557-170X ] ; 2011.

RBID : pubmed:22256328

English descriptors

KwdEn :
- Cerebral Palsy (physiopathology), Child, Elbow (physiopathology), Humans, Muscle Spasticity (diagnosis), Reproducibility of Results, Robotics (methods), Surveys and Questionnaires, Touch (physiology).
MESH :
- diagnosis : Muscle Spasticity.
- methods : Robotics.
- physiology : Touch.
- physiopathology : Cerebral Palsy, Elbow.
- Child, Humans, Reproducibility of Results, Surveys and Questionnaires.

Abstract

Clinical assessment of spasticity tends to be subjective because of the nature of the in-person assessment; severity of spasticity is judged based on the muscle tone felt by a clinician during manual manipulation of a patient's limb. As an attempt to standardize the clinical assessment of spasticity, we developed HESS (Haptic Elbow Spasticity Simulator), a programmable robotic system that can provide accurate and consistent haptic responses of spasticity and thus can be used as a training tool for clinicians. The aim of this study is to evaluate the accuracy and reliability of the recreated haptic responses. Based on clinical data collected from children with cerebral palsy, four levels of elbow spasticity (1, 1+, 2, and 3 in the Modified Ashworth Scale [MAS]) were recreated by HESS. Seven experienced clinicians manipulated HESS to score the recreated haptic responses. The accuracy of the recreation was assessed by the percent agreement between intended and determined MAS scores. The inter-rater reliability among the clinicians was analyzed by using Fleiss's kappa. In addition, the level of realism with the recreation was evaluated by a questionnaire on "how realistic" this felt in a qualitative way. The percent agreement was high (85.7±11.7%), and for inter-rater reliability, there was substantial agreement (κ=0.646) among the seven clinicians. The level of realism was 7.71±0.95 out of 10. These results show that the haptic recreation of spasticity by HESS has the potential to be used as a training tool for standardizing and enhancing reliability of clinical assessment.

DOI: 10.1109/IEMBS.2011.6092104
PubMed: 22256328

Links to Exploration step

pubmed:22256328

Le document en format XML

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<author><name sortKey="Kim, Jonghyun" sort="Kim, Jonghyun" uniqKey="Kim J" first="Jonghyun" last="Kim">Jonghyun Kim</name>
<affiliation><nlm:affiliation>Rehabilitation Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Park, Hyung Soon" sort="Park, Hyung Soon" uniqKey="Park H" first="Hyung-Soon" last="Park">Hyung-Soon Park</name>
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<author><name sortKey="Damiano, Diane L" sort="Damiano, Diane L" uniqKey="Damiano D" first="Diane L" last="Damiano">Diane L. Damiano</name>
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<term>Muscle Spasticity (diagnosis)</term>
<term>Reproducibility of Results</term>
<term>Robotics (methods)</term>
<term>Surveys and Questionnaires</term>
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<front><div type="abstract" xml:lang="en">Clinical assessment of spasticity tends to be subjective because of the nature of the in-person assessment; severity of spasticity is judged based on the muscle tone felt by a clinician during manual manipulation of a patient's limb. As an attempt to standardize the clinical assessment of spasticity, we developed HESS (Haptic Elbow Spasticity Simulator), a programmable robotic system that can provide accurate and consistent haptic responses of spasticity and thus can be used as a training tool for clinicians. The aim of this study is to evaluate the accuracy and reliability of the recreated haptic responses. Based on clinical data collected from children with cerebral palsy, four levels of elbow spasticity (1, 1+, 2, and 3 in the Modified Ashworth Scale [MAS]) were recreated by HESS. Seven experienced clinicians manipulated HESS to score the recreated haptic responses. The accuracy of the recreation was assessed by the percent agreement between intended and determined MAS scores. The inter-rater reliability among the clinicians was analyzed by using Fleiss's kappa. In addition, the level of realism with the recreation was evaluated by a questionnaire on "how realistic" this felt in a qualitative way. The percent agreement was high (85.7±11.7%), and for inter-rater reliability, there was substantial agreement (κ=0.646) among the seven clinicians. The level of realism was 7.71±0.95 out of 10. These results show that the haptic recreation of spasticity by HESS has the potential to be used as a training tool for standardizing and enhancing reliability of clinical assessment.</div>
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<Abstract><AbstractText>Clinical assessment of spasticity tends to be subjective because of the nature of the in-person assessment; severity of spasticity is judged based on the muscle tone felt by a clinician during manual manipulation of a patient's limb. As an attempt to standardize the clinical assessment of spasticity, we developed HESS (Haptic Elbow Spasticity Simulator), a programmable robotic system that can provide accurate and consistent haptic responses of spasticity and thus can be used as a training tool for clinicians. The aim of this study is to evaluate the accuracy and reliability of the recreated haptic responses. Based on clinical data collected from children with cerebral palsy, four levels of elbow spasticity (1, 1+, 2, and 3 in the Modified Ashworth Scale [MAS]) were recreated by HESS. Seven experienced clinicians manipulated HESS to score the recreated haptic responses. The accuracy of the recreation was assessed by the percent agreement between intended and determined MAS scores. The inter-rater reliability among the clinicians was analyzed by using Fleiss's kappa. In addition, the level of realism with the recreation was evaluated by a questionnaire on "how realistic" this felt in a qualitative way. The percent agreement was high (85.7±11.7%), and for inter-rater reliability, there was substantial agreement (κ=0.646) among the seven clinicians. The level of realism was 7.71±0.95 out of 10. These results show that the haptic recreation of spasticity by HESS has the potential to be used as a training tool for standardizing and enhancing reliability of clinical assessment.</AbstractText>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Dev Med Child Neurol. 2006 Jan;48(1):64-73</RefSource>
<PMID Version="1">16359597</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Clin Rehabil. 2005 Jan;19(1):63-72</RefSource>
<PMID Version="1">15704510</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Muscle Nerve Suppl. 1997;6:S1-13</RefSource>
<PMID Version="1">9826979</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Phys Ther. 1987 Feb;67(2):206-7</RefSource>
<PMID Version="1">3809245</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Biometrics. 1977 Mar;33(1):159-74</RefSource>
<PMID Version="1">843571</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>IEEE Int Conf Rehabil Robot. 2011;2011:5975462</RefSource>
<PMID Version="1">22275660</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Int J Rehabil Res. 2011 Mar;34(1):59-64</RefSource>
<PMID Version="1">20671560</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Disabil Rehabil. 2010;32(5):409-16</RefSource>
<PMID Version="1">20095955</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Neurol Neurosurg Psychiatry. 2010 Jan;81(1):2</RefSource>
<PMID Version="1">20019216</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Acta Physiol (Oxf). 2007 Feb;189(2):171-80</RefSource>
<PMID Version="1">17250567</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>J Child Neurol. 2006 Dec;21(12):1031-5</RefSource>
<PMID Version="1">17156693</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites"><RefSource>Clin Rehabil. 2005 Oct;19(7):751-9</RefSource>
<PMID Version="1">16250194</PMID>
</CommentsCorrections>
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Accuracy and reliability of haptic spasticity assessment using HESS (Haptic Elbow Spasticity Simulator).

Accuracy and reliability of haptic spasticity assessment using HESS (Haptic Elbow Spasticity Simulator).

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki