Out-ward monitoring of neurorehabilitation in subacute stroke

Silvia Franco-Pastrana, F. Orihuela-Espina, Patrick Heyer-Wollenberg, J. Herrera-Vega, L. Sucar, Luis R. Castrejon, M. Saucedo, Lorena Palafox, Jorge Hernández-Franco
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Abstract

Validated clinical scales of functional dexterity of stroke patients provide only sparse and controlled observations of the neurorehabilitation process. Continuous naturalistic monitoring the progress during the rehabilitation therapy of out-patients remains unsatisfactorily resolved. We propose a new indicator of functional performance capitalizing on smart devices and the cloud services. The new index of limb usage balance (ILUB) derived from accelerometry data, provides an objective scalar that it is easy to estimate and interpret, and adequate for continuous uncontrolled monitoring. Three studies for the verification and validation of the index and accompanying platform are presented. We show that the index is unbiased to handedness dominance and provide preliminary evidence that it is appropriate for patients even during the subacute stage. The new index can complement clinical scales to observe the patient progress. CCSConcepts • Social and professional topics→Medical technologies; •Human-centered computing→Ubiquitous and mobile computing; Ubiquitous and mobile computing systems and tools; •Applied computing→ Health care information systems.
亚急性脑卒中患者神经康复的外监测
经过验证的脑卒中患者功能灵活性的临床量表仅提供了稀疏和控制的神经康复过程的观察。在门诊患者康复治疗过程中,持续的自然监测仍未得到满意的解决。我们提出了一个新的功能性能指标,利用智能设备和云服务。新的肢体使用平衡指数(ILUB)来源于加速度测量数据,提供了一个易于估计和解释的客观标量,并且足以用于连续的非受控监测。提出了对指标及其配套平台进行验证和验证的三项研究。我们表明,该指数是公正的手性优势,并提供初步证据,这是适当的病人,即使在亚急性期。新指标可以补充临床量表,观察患者的病情进展。•社会和专业主题→医疗技术;•以人为中心的计算→无处不在的移动计算;无处不在的移动计算系统和工具;•应用计算→医疗保健信息系统。
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