Analyse quantifiée et membre supérieur : progrès et perspectives

Von Garteninspektor Meinhard

Computational Architecture of a Robot Coach for Physical Exercises in Kinesthetic Rehabilitation

International audienceThe rising number of the elderly incurs growing concern about healthcare, and in particular rehabilitation healthcare. Assistive technology and and assistive robotics in particular may help to improve this process. We develop a robot coach capable of demonstrating rehabilitation exercises to patients, watch a patient carry out the exercises and give him feedback so as to improve his performance and encourage him. We propose a general software architecture for our robot coach, which is based on imitation learning techniques using Gaussian Mixture Models. Our system is thus easily programmable by medical experts without specific robotics knowledge, as well as capable of personalised audio feedback to patients indicating useful information to improve on their physical rehabilitation exercise

Combined multi-protocols qMRI for thigh muscle analysis: a preliminary study

Quantitative MRI (qMRI) has been shown to be crucial for assessing organ dysfunction in the body. Usually, in qMRI approaches, a few metrics are extracted to distinguish normal and abnormal tissues. In this study, we coupled four MRI protocols (mDIXON T1, T1 and T2 mapping and DTI) to obtain 34 complementary metrics including 20 shape metrics, 2 texture metrics and 12 water diffusivity metrics for thigh muscle analysis. These metrics were calculated on both thighs to detect a pathological difference between a pair of right and left muscles. The method is based on a dimension reduction method and a projection of shape and diffusivity metrics into a three-dimensional linear latent space, along with two texture metrics. 5 healthy individuals (10 thighs, each thigh 7 muscles, i.e., 4 exors and 3 extensors) were scanned to provide the reference scores. The developed pipeline was used to analyse the pair thighs of 4 patients in order to suggest a specific muscle therapy before total knee arthroplasty (TKA) individually for each of the 7 muscles. Preliminary results from the analysis of thigh muscle texture, shape and diffusivity showed that this qMRI protocol can help to suggest a targeted, patient-specific exercise plan to improve muscle recovery after TKA surgery. More healthy and pathological subjects are needed to confirm these encouraging results

Validity and reliability of 3D marker based scapular motion analysis : a systematic review

Methods based on cutaneous markers are the most popular for the recording of three dimensional scapular motion analysis. Numerous methods have been evaluated, each showing different levels of accuracy and reliability. The aim of this review was to report the metrological properties of 3D scapular kinematic measurements using cutaneous markers and to make recommendations based on metrological evidence. A database search was conducted using relevant keywords and inclusion/exclusion criteria in 5 databases. 19 articles were included and assessed using a quality score. Concurrent validity and reliability were analyzed for each method. Six different methods are reported in the literature, each based on different marker locations and post collection computations. The acromion marker cluster (AMC) method coupled with a calibration of the scapula with the arm at rest is the most studied method. Below 90–100° of humeral elevation, this method is accurate to about 5° during arm flexion and 7° during arm abduction compared to palpation (average of the 3 scapular rotation errors). Good to excellent within-session reliability and moderate to excellent between-session reliability have been reported. The AMC method can be improved using different or multiple calibrations. Other methods using different marker locations or more markers on the scapula blade have been described but are less accurate than AMC methods. Based on current metrological evidence we would recommend (1) the use of an AMC located at the junction of the scapular spine and the acromion, (2) the use of a single calibration at rest if the task does not reach 90° of humeral elevation, (3) the use of a second calibration (at 90° or 120° of humeral elevation), or multiple calibrations above 90° of humeral elevation