Inter-rater and intra-rater reliability and validity of a parallel robotic system with musculoskeletal model-based feedback for monitoring the proprioceptive system in healthy individuals.

IF 5.2 2区医学 Q2 ENGINEERING, BIOMEDICAL

IEEE Transactions on Neural Systems and Rehabilitation Engineering Pub Date : 2025-10-01 DOI:10.1109/TNSRE.2025.3616577

Elena Munoz-Gomez, Marta Ingles, Jose L Pulloquinga, Marina Valles, Eugenio Ivorra, Noemi Moreno-Segura, Sara Molla-Casanova, Pilar Serra-Ano

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引用次数: 0

Abstract

Background: Knee proprioception is essential for injury prevention, stability, and performance improvement. Reliable proprioception measurement tools are crucial for accurate assessment and effective rehabilitation. Thus, the aim of the present study was to determine the validity and reliability of a parallel robotic system with musculoskeletal model-based feedback to assess knee joint position sense (JPS) in healthy people.

Material/methods: Fourteen healthy participants (7 men and 7 women) (mean (SD) age = 35.21 (9.32) years) volunteered for the study. The validity, inter-rater and intra-rater reliability of a parallel robotic system for measuring JPS were evaluated.

Results: The results indicate moderate to strong reliability in the 30° JPS test (ICC = 0.41-0.66; SEM = 0.27-0.37), and strong to excellent reliability in the 50° JPS test (ICC = 0.64-0.87; SEM = 0.31-0.45). Significant concurrent validity with correlations of variable strength was detected between the inclinometer and the robot in the 30° JPS tests (Pearson's correlation = 0.52-0.66; SEM = 0.30-0.43), and in the 50° JPS tests (Pearson's correlation = 0.55; SEM = 0.44) but only for the passive motion in closed kinetic chain.

Conclusions: A parallel robotic system with musculoskeletal model-based knee measurement provides a valid and reliable method for assessing knee JPS in healthy people. Its precision makes it a promising tool for both clinical use and future research applications.

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基于肌肉骨骼模型反馈的平行机器人系统监测健康个体本体感觉系统的内部和内部可靠性和有效性。

背景：膝关节本体感觉对损伤预防、稳定性和运动能力的提高至关重要。可靠的本体感觉测量工具对于准确评估和有效康复至关重要。因此，本研究的目的是确定基于肌肉骨骼模型反馈的并联机器人系统评估健康人膝关节位置感（JPS）的有效性和可靠性。材料/方法：14名健康参与者（7男7女）（平均（SD）年龄= 35.21（9.32）岁）自愿参加本研究。对测量JPS的并联机器人系统的有效性、间效度和内效度进行了评价。结果：30°JPS检验的信度为中至强信度（ICC = 0.41-0.66; SEM = 0.27-0.37）， 50°JPS检验的信度为强至优信度（ICC = 0.64-0.87; SEM = 0.31-0.45）。在30°JPS测试中（Pearson’s correlation = 0.52-0.66; SEM = 0.30-0.43），在50°JPS测试中（Pearson’s correlation = 0.55; SEM = 0.44），倾角仪与机器人之间存在显著的并发效度，且具有可变强度的相关性，但仅适用于封闭动力链中的被动运动。结论：基于肌肉骨骼模型的膝关节测量并联机器人系统为评估健康人膝关节JPS提供了一种有效可靠的方法。它的精度使它成为临床使用和未来研究应用的有前途的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

IEEE Transactions on Neural Systems and Rehabilitation Engineering 医学-工程：生物医学

CiteScore

8.60

自引率

8.20%

发文量

479

审稿时长

6-12 weeks

期刊介绍： Rehabilitative and neural aspects of biomedical engineering, including functional electrical stimulation, acoustic dynamics, human performance measurement and analysis, nerve stimulation, electromyography, motor control and stimulation; and hardware and software applications for rehabilitation engineering and assistive devices.