"Learning to assess the quality of stroke rehabilitation exercises" by Min Hun LEE, Daniel P. SIEWIOREK et al.
 

Publication Type

Conference Proceeding Article

Version

publishedVersion

Publication Date

3-2021

Abstract

Due to the limited number of therapists, task-oriented exercises are often prescribed for post-stroke survivors as in-home rehabilitation. During in-home rehabilitation, a patient may become unmotivated or confused to comply prescriptions without the feedback of a therapist. To address this challenge, this paper proposes an automated method that can achieve not only qualitative, but also quantitative assessment of stroke rehabilitation exercises. Specifically, we explored a threshold model that utilizes the outputs of binary classifiers to quantify the correctness of a movements into a performance score. We collected movements of 11 healthy subjects and 15 post-stroke survivors using a Kinect sensor and ground truth scores from primary and secondary therapists. The proposed method achieves the following agreement with the primary therapist: 0.8436, 0.8264, and 0.7976 F1-scores on three task-oriented exercises. Experimental results show that our approach performs equally well or better than multi-class classification, regression, or the evaluation of the secondary therapist. Furthermore, we found a strong correlation (R2 = 0.95) between the sum of computed exercise scores and the Fugl-Meyer Assessment scores, clinically validated motor impairment index of post-stroke survivors. Our results demonstrate a feasibility of automatically assessing stroke rehabilitation exercises with the decent agreement levels and clinical relevance.

Keywords

intelligent agent, motion analysis, stroke rehabilitation

Discipline

Artificial Intelligence and Robotics | Databases and Information Systems

Research Areas

Data Science and Engineering; Intelligent Systems and Optimization

Publication

24th International Conference on Intelligent User Interfaces. IUI ’19.

ISBN

9781450362726

Identifier

10.1145/3301275.3302273

Publisher

Association for Computing Machinery

City or Country

Marina del Ray, California

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