Test-retest reliability of the Shape/Texture Identification testTM in people with chronic stroke

To evaluate the test-retest reliability of the Shape/Texture Identification test (STI-test(TM)) in persons with chronic stroke

Fuzzy-description logic for supporting the rehabilitation of the elderly

[EN] According to the latest statistics, the proportion of the elderly (+65) is increasing and is expected to double within the European Union in a period of 50 years. This ageing is due to the improvement of quality of life and advances in medicine in the last decades. Gerontechnology is receiving a great deal of attention as a way of providing the elderly with sustainable products, environments, and services combining gerontology and technology. One of the most important aspects to consider by gerontechnology is the mobility/rehabilitation technologies, because there is an important relationship between mobility and the elderly's quality of life. Telerehabilitation systems have emerged to allow the elderly to perform their rehabilitation exercises remotely. However, in many cases, the proposed systems assist neither the patients nor the experts about the progress of the rehabilitation. To address this problem, we propose in this paper, a fuzzy-semantic system for evaluating patient's physical state during the rehabilitation process based on well-known standard for patients' evaluation. Moreover, a tool called FINE has been developed that facilitates the evaluation be accomplished in a semi-automatic way first asking patients to carry out a set of standard tests and then inferencing their state by means of a fuzzy-semantic approach using the data captured during the rehabilitation tasks.This research was funded by the Spanish Ministry of Economy and Competitiveness and by EU FEDER funds under project grants TIN2016-79100-R and TIN2015-72931-EXP. It has also been funded by the Junta de Comunidades de Castilla¿La Mancha scholarship 2018-UCLM1-9131Moya, A.; Navarro, E.; Jaén Martínez, FJ.; González, P. (2020). Fuzzy-description logic for supporting the rehabilitation of the elderly. 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Low-Cost Wearable Data Acquisition for Stroke Rehabilitation: A Proof-of-Concept Study on Accelerometry for Functional Task Assessment

Background: An increasingly aging society and consequently rising number of patients with poststroke-related neurological dysfunctions are forcing the rehabilitation field to adapt to ever-growing demands. Although clinical reasoning within rehabilitation is dependent on patient movement performance analysis, current strategies for monitoring rehabilitation progress are based on subjective time-consuming assessment scales, not often applied. Therefore, a need exists for efficient nonsubjective monitoring methods. Wearable monitoring devices are rapidly becoming a recognized option in rehabilitation for quantitative measures. Developments in sensors, embedded technology, and smart textile are driving rehabilitation to adopt an objective, seamless, efficient, and cost-effective delivery system. This study aims to assist physiotherapists’ clinical reasoning process through the incorporation of accelerometers as part of an electronic data acquisition system. Methods: A simple, low-cost, wearable device for poststroke rehabilitation progress monitoring was developed based on commercially available inertial sensors. Accelerometry data acquisition was performed for 4 first-time poststroke patients during a reach-press-return task. Results: Preliminary studies revealed acceleration profiles of stroke patients through which it is possible to quantitatively assess the functional movement, identify compensatory strategies, and help define proper movement. Conclusion: An inertial data acquisition system was designed and developed as a low-cost option for monitoring rehabilitation. The device seeks to ease the data-gathering process by physiotherapists to complement current practices with accelerometry profiles and aid the development of quantifiable methodologies and protocols.info:eu-repo/semantics/publishedVersio

Methodological considerations for kinematic analysis of upper limbs in healthy and poststroke adults Part II: a systematic review of motion capture systems and kinematic metrics

To review the methods used to analyze the kinematics of upper limbs (ULs) of healthy and poststroke adults, namely the motion capture systems and kinematic metrics. A database of articles published in the last decade was compiled using the following search terms combinations: (“upper extremity” OR “upper limb” OR arm) AND (kinematic OR motion OR movement) AND (analysis OR assessment OR measurement). The articles included in this review: (1) had the purpose to analyze objectively three-dimension kinematics of ULs, (2) studied functional movements or activities of daily living involving ULs, and (3) studied healthy and/or poststroke adults. Fourteen articles were included (four studied a healthy sample, three analyzed poststroke patients, and seven examined both poststroke and healthy participants). Most articles used optoelectronic systems with markers; however, the presentation of laboratory and task-specific errors is missing. Markerless systems, used in some studies, seem to be promising alternatives for implementation of kinematic analysis in hospitals and clinics, but the literature proving their validity is scarce. Most articles analyzed “joint kinematics” and “end-point kinematics,” mainly related with reaching. The different stroke locations of the samples were not considered in their analysis and only three articles described their psychometric properties. Future research should validate portable motion capture systems, document their specific error at the acquisition place and for the studied task, include grasping and manipulation analysis, and describe psychometric properties.info:eu-repo/semantics/publishedVersio

Long-Dose Intensive Therapy Is Necessary for Strong, Clinically Significant, Upper Limb Functional Gains and Retained Gains in Severe/Moderate Chronic Stroke

Background. Effective treatment methods are needed for moderate/severely impairment chronic stroke. Objective. The questions were the following: (1) Is there need for long-dose therapy or is there a mid-treatment plateau? (2) Are the observed gains from the prior-studied protocol retained after treatment? Methods. Single-blind, stratified/randomized design, with 3 applied technology treatment groups, combined with motor learning, for long-duration treatment (300 hours of treatment). Measures were Arm Motor Ability Test time and coordination-function (AMAT-T, AMAT-F, respectively), acquired pre-/posttreatment and 3-month follow-up (3moF/U); Fugl-Meyer (FM), acquired similarly with addition of mid-treatment. Findings. There was no group difference in treatment response (P ≥ .16), therefore data were combined for remaining analyses (n = 31; except for FM pre/mid/post, n = 36). Pre-to-Mid-treatment and Mid-to-Posttreatment gains of FM were statistically and clinically significant (P \u3c .0001; 4.7 points and P \u3c .001; 5.1 points, respectively), indicating no plateau at 150 hours and benefit of second half of treatment. From baseline to 3moF/U: (1) FM gains were twice the clinically significant benchmark, (2) AMAT-F gains were greater than clinically significant benchmark, and (3) there was statistically significant improvement in FM (P \u3c .0001); AMAT-F (P \u3c .0001); AMAT-T (P \u3c .0001). These gains indicate retained clinically and statistically significant gains at 3moFU. From posttreatment to 3moF/U, gains on FM were maintained. There were statistically significant gains in AMAT-F (P = .0379) and AMAT-T P = .003

La mutación de la biblioteca en los inicios del siglo XXI

El papel que las bibliotecas desempeñan en la actualidad ha sido cuestionado en numerosas ocasiones, a causa de la revolución tecnológica a la que se está asistiendo, la cual pondría en amenaza el papel básico que hasta ahora tenían éstas. Pero la realidad es que se observa una tendencia en la que cada vez se construyen más bibliotecas y más complejas. Por lo que se torna harto interesante descubrir hacia dónde camina la arquitectura en este sentido. A este respecto, se advierte un cambio de paradigma respecto al papel que juega la biblioteca en la actualidad, provocando a su vez una respuesta en cuanto a la arquitectura bibliotecaria. Los cambios sociales que se han producido de la mano del desarrollo de la tecnología, se han visto implicados de forma directa e indirecta en este cambio de paradigma, presentando los desafíos a los que se enfrenta la arquitectura actual. Debido a la incertidumbre que se presenta de cara a este nuevo periodo, en base a los constantes cambios que se manifiestan debido a la rápida evolución que sufren las nuevas tecnologías, y de cara a las demandas de esta nueva sociedad, se torna fundamental la aplicación del principio de la flexibilidad en los nuevos espacios bibliotecarios, pero se rehúye de la clásica solución espacial donde el espacio se vuelve uniforme, sin apenas expresión plástica ni variedad. Por otro lado, se presentan los temidos efectos que la globalización tiene sobre el planeta, a cualquier escala, y que parecen llevar todo hacia una tendencia universalista. Por lo que se hace interesante el estudio de la arquitectura bibliotecaria desde diferentes ópticas a nivel cultural, tomando como referencia la cultura occidental, debido a su importante papel de cara al origen de este proceso, así como la cultura oriental, definida prácticamente como la antítesis de ésta. Sobre la base de lo planteado, la presente investigación, a modo de primera toma de contacto, ha pretendido abrir un campo de estudio a través del cual se puedan identificar nuevas formas de aplicar la flexibilidad en los espacios bibliotecarios, de cara a que éstos no se vuelvan caducos en cuanto al diseño que presentan, además de poner el causa los procesos de globalización que pretenden reducir la realidad actual, en base a procesos de homogeneización; por lo que se busca identificar procesos de hibridación en la arquitectura actual, a través de los cuales poder identificar si se producen diferencias entre las distintas culturas, valorando en qué medida se incluyen las cuestiones de carácter local en las obras que representan cada una de estas culturas. A través de la metodología empleada, basada en los estudios de caso individual y en el análisis comparativo de éstos, se han podido evidenciar líneas que muestran esa evolución de la arquitectura actual, en la que se torna evidente la importancia que tiene la flexibilidad en el nuevo escenario, así como la posibilidad de aplicarla de diversa manera, además de reconocerse los mencionados procesos de hibridación, permitiendo establecer diferencias entre las dos culturas, desmontando así la ambiciosa visión de carácter unilateral que se tenía sobre la globalización.Abstract: The role played by libraries nowadays has been frequently questioned in view of the technological revolution currently underway, which would seem to threaten the basic function libraries had up until now. However, what we are actually seeing is a trend in which a growing number of increasingly complex libraries are being built. Therefore, it is of interest to take a look at where architecture in this sector is heading. The truth is, a change can be observed in what is considered to be the model role of libraries today, which in turn leads to a different response in terms of their architecture. The social changes that have taken place as a result of developments in technology have played both a direct and indirect role in such a change of model and represent the challenges facing current architecture. Given the uncertainty that exists these days due to the constant changes occurring as a result of the rapid evolution of new technologies and of society’s new demands, it has become essential to build a flexibility component into all new library design concepts, while shying away from the classic solution of uniform spaces with little plastic variety or expression. On the other hand, the effects of globalisation present at all scales of life on this planet inevitably arise and tend to drive everything towards a common universality. So it is interesting to study the architecture of libraries from different cultural perspectives, firstly in Western culture, given the important role it has played in the origin of this process, and subsequently from the viewpoint of Oriental culture, practically defined as the antithesis of the former. On the basis of the above premises, this paper seeks to stand as the initial contact in a line of research that identifies new ways of applying flexibility into the architecture of libraries so that they do not become obsolete in terms of their design, as well as identifying the globalisation processes that seek to reduce current reality through homogenisation procedures. Therefore, it aims to identify hybridisation processes in current architecture that serve to ascertain whether distinctions occur between different cultures and to assess the extent to which local issues find a place in iconic buildings representing each of those cultures. By means of the methodology used, based on individual case studies and comparative analysis of each, certain traits have been revealed that show an evolution in contemporary architecture, in which greater importance is given in this new scenario to flexibility and the ability to apply it in different ways, as well as acknowledging the aforementioned hybridization processes, enabling differences between the two cultures to be identified and thus any narrow-minded view of globalization as a unilateral phenomenon to be dismantled

Participation and satisfaction after spinal cord injury: results of a vocational and leisure outcome study

Study design: Survey. Objectives: Insight in (1) the changes in participation in vocational and leisure activities and (2) satisfaction with the current participation level of people with spinal cord injuries (SCIs) after reintegration in society. Design: Descriptive analysis of data from a questionnaire. Setting: Rehabilitation centre with special department for patients with SCIs, Groningen, The Netherlands. Subjects: A total of 57 patients with traumatic SCI living in the community, who were admitted to the rehabilitation centre two to 12 years before the current assessment. Main outcome measures: Changes in participation in activities; current life satisfaction; support and unmet needs. Results: Participation expressed in terms of hours spent on vocational and leisure activities changed to a great extent after the SCI. This was mainly determined by a large reduction of hours spent on paid work. While 60% of the respondents successfully reintegrated in work, many changes took place in the type and extent of the job. Loss of work was partially compensated with domestic and leisure activities. Sports activities were reduced substantially. The change in participation level and compensation for the lost working hours was not significantly associated with the level of SCI-specific health problems and disabilities. As was found in other studies, most respondents were satisfied with their lives. Determinants of a negative life satisfaction several years following SCI were not easily indicated. Reduced quality of life was particularly related to an unsatisfactory work and leisure situation. Conclusions: Most people with SCI in this study group were able to resume work and were satisfied with their work and leisure situation