Senzorski sistem za objektivnu motornu procenu na osnovu tapping-a prstima i stopalom

Background/Aim. Finger tapping test is commonly used in neurological examinations as a test of motor performance. The new system comprising inertial and force sensors and custom proprietary software was developed for quantitative estimation and assessment of finger and foot tapping tests. The aim of this system was to provide diagnosis support and objective assessment of motor function. Methods. Miniature inertial sensors were placed on fingertips and used for measuring finger movements. A force sensor was placed on the fingertip of one finger, in order to measure the force during tapping. For foot tapping assessment, an inertial sensor was mounted on the subject's foot, which was placed above a force platform. By using this system, various parameters such as a number of taps, tapping duration, rhythm, open and close speed, the applied force and tapping angle, can be extracted for detailed analysis of a patient's motor performance. The system was tested on 13 patients with Parkinson's disease and 14 healthy controls. Results. The system allowed easy measurement of listed parameters, and additional graphical representation showed quantitative differences in these parameters between neurological patient and healthy subjects. Conclusion. The novel system for finger and foot tapping test is compact, simple to use and efficiently collects patient data. Parameters measured in patients can be compared to those measured in healthy subjects, or among groups of patients, or used to monitor progress of the disease, or therapy effects. Created data and scores could be used together with the scores from clinical tests, providing the possibility for better insight into the diagnosis.Uvod/Cilj. Tapping tj. tapkanje prstiju šake i stopala se uobičajeno koristi u neurološkim ispitivanjima kao test motorike. Prikazan je novi sistem koji sadrži inercijalne senzore i senzore sile, kao i odgovarajući softver za kvantitativnu procenu dijagnostičkog motornog testa na osnovu tapping-a prstima i stopalima. Uz pomoć ovog sistema moguća je objektivna evaluacija motornog obrasca bolesnika, a samim tim i lakše postavljanje određenih dijagnoza i praćenje progresa bolesti ili terapije. Metode. Minijaturni inercijalni senzori su bili postavljeni na vrhove prstiju u cilju kvantifikovanja pokreta prstiju. Senzor sile postavljen je na jagodicu jednog prsta i merio je silu primenjenu u toku tapping-a - tapkanja kažiprsta o palac. Za ocenu tapping-a stopalom, inercijalni senzor je postavljen na gornji deo stopala ispitanika koje je bilo postavljeno na platformu za merenje sile. Pomoću ovog sistema mogu se posmatrati brojni parametri poput broja i trajanja svakog pokreta, ritma i promena ritma, brzine otvaranja i brzine zatvaranja prstiju, primenjene sile, promene ugla između prstiju, i na osnovu ovih parametara može se vršiti detaljna analiza motornog stanja bolesnika. Sistem je testiran na 13 bolesnika sa Parkinsonovom bolešću i 14 zdravih ispitanika. Rezultati. Sistem je omogućio jednostavno merenje navedenih parametara i grafički prikaz kvantitativnih razlika u ovim parametrima između zdravih ispitanika i bolesnika sa neurološkim oboljenjem. Zaključak. Novi sistem za tapping prstima i stopalima je kompaktan, jednostavan za upotrebu i efikasan za prikupljanje podataka o bolesniku. Izmereni parametri mogu se koristi za poređenje bolesnika sa zdravim ispitanicima, ili sa drugim grupama bolesnika, ali i za praćenje progresa bolesti ili efekata terapije. Dobijeni podaci mogu se koristiti zajedno sa rezultatima drugih kliničkih testova, dajući tako mogućnost za bolji uvid u dijagnozu

Spectral parameters for finger tapping quantification

A miniature inertial sensor placed on fingertip of index finger while performing finger tapping test can be used for an objective quantification of finger tapping motion. Temporal and spatial parameters such as cadence, tapping duration, and tapping angle can be extracted for detailed analysis. However, the mentioned parameters, although intuitive and simple to interpret, do not always provide all the necessary information regarding the subject's motor performance. Analysis of frequency content of the finger tapping movement can provide crucial information about the patient's condition. In this paper, we present parameters extracted from spectral analysis that we found to be significant for finger tapping assessment. With these parameters, tapping's intra-variability, movement smoothness and anomalies that may occur within the tapping performance can be detected and described, providing significant information for further diagnostics and monitoring progress of the disease or response to therapy

SPECTRAL PARAMETERS FOR FINGER TAPPING QUATIFICATION

A miniature inertial sensor placed on fingertip of index finger while performing finger tapping test can be used for an objective quantification of finger tapping motion. Temporal and spatial parameters such as cadence, tapping duration, and tapping angle can be extracted for detailed analysis. However, the mentioned parameters, although intuitive and simple to interpret, do not always provide all the necessary information regarding the subject’s motor performance. Analysis of frequency content of the finger tapping movement can provide crucial information about the patient's condition. In this paper, we present parameters extracted from spectral analysis that we found to be significant for finger tapping assessment. With these parameters, tapping’s intra-variability, movement smoothness and anomalies that may occur within the tapping performance can be detected and described, providing significant information for further diagnostics and monitoring progress of the disease or response to therapy

Taxonomy of Atlantic Central African orchids 5. A new species of Angraecum sect. Conchoglossum (Orchidaceae, Angraecinae) from Gabon and Cameroon

International audienceRecent field inventories and taxonomic research in Central Africa have resulted in the discovery of many new orchid species. Five specimens of an apparently new Angraecum species were collected in Gabon and Cameroon. They stand out for their hanging habit and short zigzag stem. Morphology of leaves and habit is somewhat comparable to A. cultriforme and A. stolzii, two species from East Africa. Flowers of the novelty share the general morphology of A. pyriforme from which the new species is distinguished by being smaller and with a different lip-spur ratio. Here we show that these five specimens represent a new species, described here as Angraecum lanceolatum. The distinguishing traits include thin lanceolate leaves, convolute distally, with a rhombic lip shape. Dichotomous key to four Central African species of sect. Conchoglossum and a table of the diagnostic characters of the seven related Continental African Angraecum taxa are included here. A preliminary assessment of the conservation status of A. lanceolatum is provided, using the IUCN Red List Categories and Criteria

Taxonomy of Atlantic Central African orchids, 6: three new species of Angraecum sect. Afrangraecum (Orchidaceae, Angraecinae) from Gabon and São Tomé

International audienceThree new species of Angraecum sect. Afrangraecum from Central Africa are here described and illustrated. They are morphologically similar to A. affine and A. cribbianum. Two of them, A. gereauanum and A. geerinckianum, are only known from Massif du Chaillu in Gabon and appear to be closely related based on morphological and preliminary molecular evidence. The third species, A. oliveirae, is endemic to São Tomé. A dichotomous key to all fourteen species of A. sect. Afrangraecum and a table with the distinguishing characters of the three new species and closely allied taxa are provided. A preliminary assessment of the conservation status of the new species is also presented, using the IUCN Red List categories and criteria

Gait alterations in Parkinson's disease at the stage of hemiparkinsonism-A longitudinal study.

BackgroundProgressive gait impairment in Parkinson's disease (PD) leads to significant disability. Quantitative gait parameters analysis provides valuable information about fine gait alterations.ObjectivesTo analyse change of gait parameters in patients with early PD at the stage of hemiparkinsonism and after 1 year of follow up, taking into account clinical asymmetry.MethodsConsecutive early PD outpatients with strictly unilateral motor features underwent clinical and neuropsychological assessment at the study entry and after 1 year of follow up. Gait was assessed with GAITRite walkway using dual-task methodology. Spatiotemporal gait parameters (step time and length, swing time and double support time) and their coefficients of variation (CV), gait velocity and heel-to-heel base support were evaluated.ResultsWe included 42 PD patients with disease duration of 1.3 years (±1.13). Progression of motor and non-motor symptoms, without significant cognitive worsening, was observed after 1 year of follow up. Significant shortening of the swing time, prolongation of the double support and increase of their CVs were observed during all task conditions similarly for most parameters on symptomatic and asymptomatic bodysides, except for CV for the swing time under the combined task.ConclusionAlterations of the swing time and double support time are already present even at the asymptomatic body side, and progress similarly, or even at faster pace, at this side, despite dopaminergic treatment These parameters deserve further investigation in larger, prospective studies to address their potential to serve as markers of progression in interventional disease modifying trials with early PD patients

Implementation of continuous wavelet transformation in repetitive finger tapping analysis for patients with PD

In this paper we propose a methodology for objective evaluation and classification of repetitive finger tapping performance based solely on its spectral behavior. We used miniature sensor system with gyroscope placed over fingertip of index finger for finger tapping recording. The study included 20 subjects 10 patients with Parkinson's disease (PD) and 10 age and gender matched healthy controls. Acquired data were preprocessed using continuous wavelet transformation (CWT), and their coefficients were used in further analysis. Based on cross-sections of CWT in time and frequency, we introduced parameters describing characteristic tapping frequencies and vigor of the performed movements, its decrement and isolated characteristic frequency areas. These parameters were further used in classification for distinction between PD patients and controls, achieving 95% classification accuracy

Multiple regression analysis of repetitive finger tapping parameters

In this paper, we present methodology for investigating relations among kinematic parameters of finger tapping, typically used for motor assessment of upper limb by implementing multiple linear regression analysis. Duration, speed and angle were selected as the most frequently used to describe taping performance. The goal of this study was to determine if these basic finger tapping parameters can be estimated through other parameters and to quantify their relations and contributions to the obtained estimation. The study included 12 patients with Parkinson's disease (PD) and 12, age and gender matched healthy subjects (HS). Results showed that selected three kinematic parameters can be estimated with error less than 7% for healthy subjects and less than 10% error for patients with PD