Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients

Sara Contu; Angelo Basteris; Tegan K. Plunkett; Christopher W.K. Kuah; Karen S. Chua; Domenico Campolo; Lorenzo Masia

doi:10.1109/BIOROB.2018.8488083

Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients

Sara Contu
, Angelo Basteris
, Tegan K. Plunkett
, Christopher W.K. Kuah
, Karen S. Chua
, Domenico Campolo
, Lorenzo Masia

School of Mechanical and Aerospace Engineering
Tan Tock Seng Hospital
University of Twente

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

3 Scopus citations

Abstract

Proprioception is a critical component of sensorimotor functions which directly affect recovery after neurological injuries. However, clinical tests of proprioception still lack sensitivity and reliability, while robotic devices can provide quantitative, accurate, and repeatable metrics. This work presents the analysis of the efficacy of a robotic assessment of wrist proprioception in terms of the capability to discern between movements along the different DoFs in a healthy population with a broad range of age. The effect of aging on the proprioceptive matching was analyzed to select an appropriate control group for the comparison with stroke patients, designed to confirm the hypothesis that a high percentage of stroke patients presents proprioceptive impairments in the acute and subacute states. Results show that the protocol is capable of detecting differences in performance along different movement directions, and that wrist proprioception does not deteriorate in the age ranges analyzed. Finally, stroke patients were less accurate in matching the position of their wrist, confirming the hypothesis that proprioceptive performance is often impaired in the acute and subacute phases of stroke.

Original language	English
Title of host publication	BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics
Publisher	IEEE Computer Society
Pages	19-24
Number of pages	6
ISBN (Electronic)	9781538681831
DOIs	https://doi.org/10.1109/BIOROB.2018.8488083
State	Published - 9 Oct 2018
Externally published	Yes
Event	7th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, BIOROB 2018 - Enschede, Netherlands Duration: 26 Aug 2018 → 29 Aug 2018

Publication series

Name	Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics
Volume	2018-August
ISSN (Print)	2155-1774

Conference

Conference	7th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, BIOROB 2018
Country/Territory	Netherlands
City	Enschede
Period	26/08/18 → 29/08/18

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Access to Document

10.1109/BIOROB.2018.8488083

Cite this

Contu, S., Basteris, A., Plunkett, T. K., Kuah, C. W. K., Chua, K. S., Campolo, D., & Masia, L. (2018). Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients. In BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics (pp. 19-24). Article 8488083 (Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics; Vol. 2018-August). IEEE Computer Society. https://doi.org/10.1109/BIOROB.2018.8488083

Contu, Sara ; Basteris, Angelo ; Plunkett, Tegan K. et al. / Wrist Proprioception in Acute and Subacute Stroke : A Robotic Protocol for Highly Impaired Patients. BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics. IEEE Computer Society, 2018. pp. 19-24 (Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics).

@inproceedings{cb37a23d738f4377aa9023687db932ab,

title = "Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients",

abstract = "Proprioception is a critical component of sensorimotor functions which directly affect recovery after neurological injuries. However, clinical tests of proprioception still lack sensitivity and reliability, while robotic devices can provide quantitative, accurate, and repeatable metrics. This work presents the analysis of the efficacy of a robotic assessment of wrist proprioception in terms of the capability to discern between movements along the different DoFs in a healthy population with a broad range of age. The effect of aging on the proprioceptive matching was analyzed to select an appropriate control group for the comparison with stroke patients, designed to confirm the hypothesis that a high percentage of stroke patients presents proprioceptive impairments in the acute and subacute states. Results show that the protocol is capable of detecting differences in performance along different movement directions, and that wrist proprioception does not deteriorate in the age ranges analyzed. Finally, stroke patients were less accurate in matching the position of their wrist, confirming the hypothesis that proprioceptive performance is often impaired in the acute and subacute phases of stroke.",

author = "Sara Contu and Angelo Basteris and Plunkett, \{Tegan K.\} and Kuah, \{Christopher W.K.\} and Chua, \{Karen S.\} and Domenico Campolo and Lorenzo Masia",

note = "Publisher Copyright: {\textcopyright} 2018 IEEE.; 7th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, BIOROB 2018 ; Conference date: 26-08-2018 Through 29-08-2018",

year = "2018",

month = oct,

day = "9",

doi = "10.1109/BIOROB.2018.8488083",

language = "English",

series = "Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics",

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Contu, S, Basteris, A, Plunkett, TK, Kuah, CWK, Chua, KS, Campolo, D & Masia, L 2018, Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients. in BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics., 8488083, Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics, vol. 2018-August, IEEE Computer Society, pp. 19-24, 7th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, BIOROB 2018, Enschede, Netherlands, 26/08/18. https://doi.org/10.1109/BIOROB.2018.8488083

Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients. / Contu, Sara; Basteris, Angelo; Plunkett, Tegan K. et al.
BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics. IEEE Computer Society, 2018. p. 19-24 8488083 (Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics; Vol. 2018-August).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › peer-review

TY - GEN

T1 - Wrist Proprioception in Acute and Subacute Stroke

T2 - 7th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, BIOROB 2018

AU - Contu, Sara

AU - Basteris, Angelo

AU - Plunkett, Tegan K.

AU - Kuah, Christopher W.K.

AU - Chua, Karen S.

AU - Campolo, Domenico

AU - Masia, Lorenzo

PY - 2018/10/9

Y1 - 2018/10/9

N2 - Proprioception is a critical component of sensorimotor functions which directly affect recovery after neurological injuries. However, clinical tests of proprioception still lack sensitivity and reliability, while robotic devices can provide quantitative, accurate, and repeatable metrics. This work presents the analysis of the efficacy of a robotic assessment of wrist proprioception in terms of the capability to discern between movements along the different DoFs in a healthy population with a broad range of age. The effect of aging on the proprioceptive matching was analyzed to select an appropriate control group for the comparison with stroke patients, designed to confirm the hypothesis that a high percentage of stroke patients presents proprioceptive impairments in the acute and subacute states. Results show that the protocol is capable of detecting differences in performance along different movement directions, and that wrist proprioception does not deteriorate in the age ranges analyzed. Finally, stroke patients were less accurate in matching the position of their wrist, confirming the hypothesis that proprioceptive performance is often impaired in the acute and subacute phases of stroke.

AB - Proprioception is a critical component of sensorimotor functions which directly affect recovery after neurological injuries. However, clinical tests of proprioception still lack sensitivity and reliability, while robotic devices can provide quantitative, accurate, and repeatable metrics. This work presents the analysis of the efficacy of a robotic assessment of wrist proprioception in terms of the capability to discern between movements along the different DoFs in a healthy population with a broad range of age. The effect of aging on the proprioceptive matching was analyzed to select an appropriate control group for the comparison with stroke patients, designed to confirm the hypothesis that a high percentage of stroke patients presents proprioceptive impairments in the acute and subacute states. Results show that the protocol is capable of detecting differences in performance along different movement directions, and that wrist proprioception does not deteriorate in the age ranges analyzed. Finally, stroke patients were less accurate in matching the position of their wrist, confirming the hypothesis that proprioceptive performance is often impaired in the acute and subacute phases of stroke.

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M3 - Conference contribution

AN - SCOPUS:85056599333

T3 - Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics

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BT - BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics

PB - IEEE Computer Society

Y2 - 26 August 2018 through 29 August 2018

ER -

Contu S, Basteris A, Plunkett TK, Kuah CWK, Chua KS, Campolo D et al. Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients. In BIOROB 2018 - 7th IEEE International Conference on Biomedical Robotics and Biomechatronics. IEEE Computer Society. 2018. p. 19-24. 8488083. (Proceedings of the IEEE RAS and EMBS International Conference on Biomedical Robotics and Biomechatronics). doi: 10.1109/BIOROB.2018.8488083

Wrist Proprioception in Acute and Subacute Stroke: A Robotic Protocol for Highly Impaired Patients

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