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1.6.2 Automated kinematic performance assessment

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Recently, with the development of sensing technologies, a number of approaches have been proposed to either automate conventional testing scales or develop new methods. Some examples are shown as follows.

Knorr et al. [177] automated two tasks, including reaching to the front and to the side, in the WMFT for people after stroke. Three accelerometers were attached to the hand, the corresponding forearm and the upper arm respectively to capture the characteristics of motion patterns. Eventually, two linear features (root mean square errors of acceleration and jerk) and a non‐linear feature (approximate entropy of acceleration) were evaluated as the measurements of functional limitation and motor impairment. Similarly, Wade et al. [369] tried to automate the widely used WMFT for post‐stroke patients. In their proposal, one IMU was attached to the wrist of the subject to measure the time used by the subject to finish each task in different WMFT tasks. Hester et al. [143] utilised 14 features to predict the clinical measurement scores of patients with stroke. These features were extracted from data collected by four accelerometers, three of which were attached to the affected hand, forearm and upper arm, while the fourth sensor was on the trunk. As for the tasks, different from the two previous studies, some tasks were not included in the WMFT. The process of predicting clinical scores from these 14 features is shown in Figure 1.12. Furthermore, Leibowitz et al. [202] introduced a protocol to quantitatively measure the proprioception deficit. In the protocol, the affected hand was located under a square board so that it could not be seen by the subject. After passively moving the impaired hand to one of four locations, the healthy hand was required to be moved to the same location actively. Eventually, the positions of both hands were measured by a MiniBIRD500 magnetic tracking system and the positional differences between the impaired and non‐impaired hands were computed as an indicator.


Figure 1.12 The process of predicting clinical scores from 14 features.

Human Motion Capture and Identification for Assistive Systems Design in Rehabilitation

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