scholarly journals A Dynamic Joint Angle Measurement Device for an Active Hand Rehabilitation System

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Yi-Tai Chen ◽  
Nguyen Van Hieu ◽  
Thien Luan Phan ◽  
Tzong Shiun Li ◽  
Siang-Ru Chen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Linear Correlation ◽  
Lower Limb ◽  
Joint Angle ◽  
Evaluation Process ◽  
Angle Measurement ◽  
Elderly Subjects ◽  
Hand Rehabilitation ◽  
Rehabilitation Programs ◽  
Accuracy And Repeatability

Traditional methods of measuring a joint angle are neither repeatable nor accurate and cannot instantly display, record, and upload the data onto a cloud drive. These mechanisms require development if they are to be used to evaluate rehabilitation programs. This pilot study aim is to create a simple dynamic joint angle measurement system and develop a hand rehabilitation application for stroke users using small and sensitive 3-axis accelerometers. Using Bluetooth communication technology, an electrogoniometer is developed to measure the free range of motion of lower limb joints and automatically send and save all data on to a cloud drive. The reliability of the proposed device is evaluated by comparison with a commercial electrogoniometer. Five healthy youth subjects and five health elderly subjects are involved in the evaluation process for this pilot study. The accuracy and repeatability of the proposed device are tested using Bland–Altman plots and linear correlation analysis. Measurements that were made by the proposed device and a commercial electrogoniometer are shown to be comparable and repeatable, as confirmed by Bland–Atman plots. There is also a very high degree of linear correlation (R2 > 0.99 for all joint angle measurements) between the lower limb joint angles that are measured using both devices. In conclusion, a portable, highly accurate and repeatable device was designed to be used for clinical assessment and for rehabilitation application that gives increased motivation to the user.

scholarly journals A Mechanical Sensor Designed for Dynamic Joint Angle Measurement

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Congo Tak-Shing Ching ◽  
Su-Yu Liao ◽  
Teng-Yun Cheng ◽  
Chih-Hsiu Cheng ◽  
Tai-Ping Sun ◽  
...  
Keyword(s):  
Gait Analysis ◽  
Linear Correlation ◽  
Lower Limb ◽  
Joint Angle ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Angle Measurement ◽  
Joint Angles ◽  
Rehabilitation Programs ◽  
Analysis System

Background. The measurement of the functional range of motion (FROM) of lower limb joints is an essential parameter for gait analysis especially in evaluating rehabilitation programs.Aim. To develop a simple, reliable, and affordable mechanical goniometer (MGR) for gait analysis, with six-degree freedom to dynamically assess lower limb joint angles.Design. Randomized control trials, in which a new MGR was developed for the measurements of FROM of lower limb joints.Setting. Reliability of the designed MGR was evaluated and validated by a motion analysis system (MAS).Population. Thirty healthy subjects participated in this study.Methods. Reliability and validity of the new MGR were tested by intraclass correlation coefficient (ICC), Bland-Altman plots, and linear correlation analysis.Results. The MGR has good inter- and intrarater reliability and validity withICC≥0.93(for both). Moreover, measurements made by MGR and MAS were comparable and repeatable with each other, as confirmed by Bland-Altman plots. Furthermore, a very high degree of linear correlation (R≥0.92for all joint angle measurements) was found between the lower limb joint angles measured by MGR and MAS.Conclusion. A simple, reliable, and affordable MGR has been designed and developed to aid clinical assessment and treatment evaluation of gait disorders.

627-P: Efficacy and Safety of Allogeneic Platelet Rich Plasma in Treatment of Diabetic Patients with Lower Limb Ulcers: A Pilot Study

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 627-P
Author(s):  
WUQUAN DENG ◽  
MIN HE ◽  
BING CHEN ◽  
YU MA ◽  
DAVID ARMSTRONG ◽  
...  
Keyword(s):  
Pilot Study ◽  
Lower Limb ◽  
Platelet Rich Plasma ◽  
Diabetic Patients ◽  
Efficacy And Safety

scholarly journals Effects of physical therapy on hyaluronan clearance and volume regulating hormones in lower limb lymphedema patients: A pilot study

2021 ◽  
Vol 104 (1) ◽  
pp. 003685042199848
Author(s):  
Bianca Brix ◽  
Gert Apich ◽  
Andreas Rössler ◽  
Sebastian Walbrodt ◽  
Nandu Goswami
Keyword(s):  
Pilot Study ◽  
Lower Limb ◽  
Time Course ◽  
Plasma Renin ◽  
Lymphatic Drainage ◽  
Invasive Treatment ◽  
Lymphatic Flow ◽  
Compression Bandaging ◽  
Complete Decongestive Therapy ◽  
Total Plasma Protein

Lymphedema is manifested as a chronic swelling arising due to stasis in the lymphatic flow. No cure is currently available. A non-invasive treatment is a 3 week complete decongestive therapy (CDT), including manual lymphatic drainage and compression bandaging to control swelling. As CDT leads to mobilization of several liters of fluid, effects of CDT on hyaluronan clearance (maker for lymphatic outflow), volume regulating hormones, total plasma protein as well as plasma density, osmolality and selected electrolytes were investigated. In this pilot study, we assessed hyaluronan and volume regulating hormone responses from plasma samples of nine patients (three males, six females, aged 55 ± 13 years) with lower limb lymphedema stage II-III, before - and after - CDT. A paired non-parametric test (Wilcoxon) was used to assess hormonal and plasma volume changes. Correlation was tested using Spearman’s correlation. The main findings of this novel study are that lymphedema patients lost volume and weight after therapy. Hyaluronic acid did not significantly change pre- compared to post-CDT. Aldosterone increased significantly after therapy, while plasma renin activity increased, but not significantly. Plasma total protein, density, osmolality and sodium and chloride did not show differences after CDT. To our knowledge, no study has previously investigated the effects of CDT on volume regulating hormones or electrolytes. To identify the time-course of volume regulating hormones and lymphatic flow changes induced by CDT, future studies should assess these parameters serially over 3 weeks of therapy.

scholarly journals Modifying Kinect placement to improve upper limb joint angle measurement accuracy

2016 ◽  
Vol 29 (4) ◽  
pp. 465-473 ◽  
Author(s):  
Na Jin Seo ◽  
Mojtaba F. Fathi ◽  
Pilwon Hur ◽  
Vincent Crocher
Keyword(s):  
Upper Limb ◽  
Measurement Accuracy ◽  
Joint Angle ◽  
Angle Measurement

scholarly journals Effectiveness of Variable-Gain Kalman Filter Based on Angle Error Calculated from Acceleration Signals in Lower Limb Angle Measurement with Inertial Sensors

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Yuta Teruyama ◽  
Takashi Watanabe
Keyword(s):  
Kalman Filter ◽  
Lower Limb ◽  
Measurement Accuracy ◽  
Inertial Sensors ◽  
Angle Measurement ◽  
Angle Error ◽  
Variable Gain ◽  
Improve Measurement ◽  
Kalman Gain ◽  
Acceleration Signals

The wearable sensor system developed by our group, which measured lower limb angles using Kalman-filtering-based method, was suggested to be useful in evaluation of gait function for rehabilitation support. However, it was expected to reduce variations of measurement errors. In this paper, a variable-Kalman-gain method based on angle error that was calculated from acceleration signals was proposed to improve measurement accuracy. The proposed method was tested comparing to fixed-gain Kalman filter and a variable-Kalman-gain method that was based on acceleration magnitude used in previous studies. First, in angle measurement in treadmill walking, the proposed method measured lower limb angles with the highest measurement accuracy and improved significantly foot inclination angle measurement, while it improved slightly shank and thigh inclination angles. The variable-gain method based on acceleration magnitude was not effective for our Kalman filter system. Then, in angle measurement of a rigid body model, it was shown that the proposed method had measurement accuracy similar to or higher than results seen in other studies that used markers of camera-based motion measurement system fixing on a rigid plate together with a sensor or on the sensor directly. The proposed method was found to be effective in angle measurement with inertial sensors.

scholarly journals Investigating the feasibility and acceptability of real-time visual feedback in reducing compensatory motions during self-administered stroke rehabilitation exercises: A pilot study with chronic stroke survivors

2019 ◽  
Vol 6 ◽  
pp. 205566831983163 ◽  
Author(s):  
Shayne Lin ◽  
Jotvarinder Mann ◽  
Avril Mansfield ◽  
Rosalie H Wang ◽  
Jocelyn E Harris ◽  
...  
Keyword(s):  
Pilot Study ◽  
Upper Extremity ◽  
Visual Feedback ◽  
Feedback System ◽  
Optimal Recovery ◽  
Chronic Stroke ◽  
Stroke Survivors ◽  
Perfect Agreement ◽  
Rehabilitation Programs ◽  
Shoulder Elevation

Introduction Homework-based rehabilitation programs can help stroke survivors restore upper extremity function. However, compensatory motions can develop without therapist supervision, leading to sub-optimal recovery. We developed a visual feedback system using a live video feed or an avatar reflecting users' movements so users are aware of compensations. This pilot study aimed to evaluate validity (how well the avatar characterizes different types of compensations) and acceptability of the system. Methods Ten participants with chronic stroke performed upper-extremity exercises under three feedback conditions: none, video, and avatar. Validity was evaluated by comparing agreement on compensations annotated using video and avatar images. A usability survey was administered to participants after the experiment to obtain information on acceptability. Results There was substantial agreement between video and avatar images for shoulder elevation and hip extension (Cohen's κ: 0.6–0.8) and almost perfect agreement for trunk rotation and flexion (κ: 0.80–1). Acceptability was low due to lack of corrective prompts and occasional noise with the avatar display. Most participants suggested that an automatic compensation detection feature with visual and auditory cuing would improve the system. Conclusion The avatar characterized four types of compensations well. Future work will involve increasing sensitivity for shoulder elevation and implementing a method to detect compensations.

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