Patient-Tailored Augmented Reality Games for Assessing Upper Extremity Motor Impairments in Parkinson's Disease and Stroke.

In clinical practice, upper extremity motor impairments are commonly assessed with disease-specific, subjectively scored and low-resolution rating scales that often do not consider the variations in tasks and environment that are essential aspects of daily life. Augmented reality (AR) systems with c...

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Published in:Journal of Medical Systems Vol. 42; no. 12; pp. 1 - 2
Main Authors: Bank, Paulina J. M., Cidota, Marina A., Ouwehand, P. (Elma) W., Lukosch, Stephan G.
Format: pictorial research tables/charts Journal Article
Published: Springer Nature Dec2018
Online Access:View this record in EBSCOhost
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        10.1007/s10916-018-1100-9
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        atl: Patient-Tailored Augmented Reality Games for Assessing Upper Extremity Motor Impairments in Parkinson's Disease and Stroke.
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          Bank, Paulina J. M.
          Cidota, Marina A.
          Ouwehand, P. (Elma) W.
          Lukosch, Stephan G.
        affil: Department of Neurology, Leiden University Medical Center, PO Box 9600, 2300, Leiden, RC, The Netherlands
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        subj:
          Augmented Reality
          Games
          Motor Activity Evaluation
          Hand Physiology
          Upper Extremity Physiopathology
          Parkinson Disease
          Stroke Patients
          Funding Source
          Human
          Male
          Female
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          Aged
          Netherlands
          Outpatients
          Academic Medical Centers
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          Scales
          Computer Terminals
          Software
          Descriptive Statistics
          Analysis of Variance
          Mann-Whitney U Test
          T-Tests
          Wilcoxon Rank Sum Test
          Data Analysis Software
          Post Hoc Analysis
          Middle Aged: 45-64 years
          Aged: 65+ years
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      ab: In clinical practice, upper extremity motor impairments are commonly assessed with disease-specific, subjectively scored and low-resolution rating scales that often do not consider the variations in tasks and environment that are essential aspects of daily life. Augmented reality (AR) systems with contactless tracking of the hand and upper body offer opportunities for objective quantification of motor (dys)function in a challenging, engaging and patient-tailored environment. In this study, we explore the potential of AR for evaluating 1) speed and goal-directedness of movements within the individually determined interaction space, 2) adaptation of hand opening to objects of different sizes, and 3) obstacle avoidance in healthy individuals (N = 10) and two highly prevalent neurological conditions (N = 10 patients with Parkinson's Disease and N = 10 stroke patients). We successfully implemented three AR games to evaluate these key aspects of motor function. As expected, PD patients moved slower than controls and needed more time for task completion. No differences were observed between stroke patients and controls, perhaps because motor impairments in this patient group were relatively mild. Importantly, usability of our AR system was good and considerably improved compared to our previous study due to more natural and patient-tailored interaction. Although our findings testify to the potential of AR for assessing motor impairments in patients with neurological conditions and provide starting points for further improvement, there are still many steps to be taken towards application in clinical practice.
      pubtype: Academic Journal
      doctype:
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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