arXiv:2409.05871cs.ROcs.LG2024-09中稿 · IEEE RAS EMBS 10th…被引 1

分析截肢者代偿动作的空间分布,为康复与假肢设计提供依据。

Multi-feature Compensatory Motion Analysis for Reaching Motions Over a Discretely Sampled Workspace

  • 通过多特征融合分析代偿动作,构建补偿指数。
  • 发现右利手用户在左右/上下伸手时代偿集中在特定区域。
  • 结果可指导临床康复与假肢评估,减少疼痛风险。

上肢假肢缺乏功能性的腕关节,导致使用者在日常活动中产生代偿动作。以往研究的运动目标位置未标准化,评估指标也较简单。本研究在离散采样的7×7二维目标网格上,分析了受试者在无支撑(正常)和有支撑(代偿)条件下伸手动作的最终姿态。针对有支撑条件,使用固定装置模拟经桡骨截肢假肢,限制被试腕关节活动。共分析1372次伸手姿态,提出一种补偿指数,综合关节空间位置、角度、可分性及机器学习聚类分析。个体分析结果与最终补偿指数以热图形式对应工作区布局,揭示代偿动作的空间依赖性。结果显示,右利手受试者水平与垂直伸手时,代偿主要发生在左上区域的直角梯形区和中部左侧的竖直梯形区。该结果可指导临床康复、职业治疗及假肢评估中的动作选择,避免残肢疼痛与过度使用综合征。

原文摘要 · Abstract (English)

The absence of functional arm joints, such as the wrist, in upper extremity prostheses leads to compensatory motions in the users' daily activities. Compensatory motions have been previously studied for varying task protocols and evaluation metrics. However, the movement targets' spatial locations in previous protocols were not standardised and incomparable between studies, and the evaluation metrics were rudimentary. This work analysed compensatory motions in the final pose of subjects reaching across a discretely sampled 7*7 2D grid of targets under unbraced (normative) and braced (compensatory) conditions. For the braced condition, a bracing system was applied to simulate a transradial prosthetic limb by restricting participants' wrist joints. A total of 1372 reaching poses were analysed, and a Compensation Index was proposed to indicate the severity level of compensation. This index combined joint spatial location analysis, joint angle analysis, separability analysis, and machine learning (clustering) analysis. The individual analysis results and the final Compensation Index were presented in heatmap format to correspond to the spatial layout of the workspace, revealing the spatial dependency of compensatory motions. The results indicate that compensatory motions occur mainly in a right trapezoid region in the upper left area and a vertical trapezoid region in the middle left area for right-handed subjects reaching horizontally and vertically. Such results might guide motion selection in clinical rehabilitation, occupational therapy, and prosthetic evaluation to help avoid residual limb pain and overuse syndromes.

代偿动作假肢评估康复医学运动分析

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