Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis

ObjectiveTo develop an upper limb active rehabilitation system with Kinect somatosensory interaction technology based on the basic rehabilitation theory and different stages of rehabilitation treatment for the post stroke hemiplegic patients to improve the effect of rehabilitation treatment.MethodsV...

Full description

Saved in:
Bibliographic Details
Main Authors: MAI Wangxiang, ZHENG Jiaxing, HE Weiyi, FANG Liang, SHANG Yaru, LI Wanyue, CHEN Zhuoming
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2023-06-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2023.03005
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841536879033319424
author MAI Wangxiang
ZHENG Jiaxing
HE Weiyi
FANG Liang
SHANG Yaru
LI Wanyue
CHEN Zhuoming
author_facet MAI Wangxiang
ZHENG Jiaxing
HE Weiyi
FANG Liang
SHANG Yaru
LI Wanyue
CHEN Zhuoming
author_sort MAI Wangxiang
collection DOAJ
description ObjectiveTo develop an upper limb active rehabilitation system with Kinect somatosensory interaction technology based on the basic rehabilitation theory and different stages of rehabilitation treatment for the post stroke hemiplegic patients to improve the effect of rehabilitation treatment.MethodsVirtual training scenarios were created with 3D modeling technology, and the human body posture and movements were detected with the Kinect somatosensory interaction technology. Based on the plasticity of the central nervous system, Brunnstrom theory, motor re-learning, and other rehabilitation theories, this study designed the virtual games in line with the characteristics of upper limb motor dysfunction after stroke. Meanwhile, the real-time feedback was given to the training of patients. Finally the upper limb exercise rehabilitation training system was established, and the validity and reliability of the rehabilitation system for the measurement of upper limb joint range of motion were verified. An upper limb active rehabilitation system was designed using the Kinect somatosensory interaction technology.ResultsThe system included several virtual trai-ning games such as cutting food and shooting. Through motion detection and discrimination algorithm, the system realized the interaction between patients and virtual environment, as well as the evaluation of motor function and real-time feedback of joint range of motion information. The measurement of shoulder abduction, flexion, extension, elbow flexion and other joint range of motion in the system had a high consistency with the set target values. The Bland-Altman was used for comparison. The 95% consistency limits of shoulder abduction range of motion in the system was (-1.29, 1.57). The 95% consistency limits for shoulder flexion range of motion was (-1.46, 1.60), the 95% consistency limits for shoulder extension range of motion was (-1.53, 1.67), and the 95% consistency limits for elbow flexion range of motion was (-1.42, 1.56), indicating good system validity. Intra-group correlation coefficient (ICC) was used to evaluate the reliability of the system. In test-retest reliability, the ICC of shoulder abduction, flexion, extension and elbow flexion were all greater than 0.9. In terms of interobserver reliability, the ICC of all four joint range of motion were greater than 0.9.ConclusionThis upper limb active rehabilitation system designed based on somatosensory interaction technology has good validity and reliability, strong feasibility, which can meet the needs of clinical upper limb rehabilitation, and provide a new method for the rehabilitation of upper limb function after stroke. Compared with the traditional upper limb training, it is highly targeted and interesting, and is expected to improve the efficiency of rehabilitation treatment.
format Article
id doaj-art-3ce77c92ddfb4e2e814c0b20c87dc9de
institution Kabale University
issn 2096-0328
language English
publishDate 2023-06-01
publisher Editorial Office of Rehabilitation Medicine
record_format Article
series 康复学报
spelling doaj-art-3ce77c92ddfb4e2e814c0b20c87dc9de2025-01-14T10:08:16ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282023-06-013322323039346776Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation AnalysisMAI WangxiangZHENG JiaxingHE WeiyiFANG LiangSHANG YaruLI WanyueCHEN ZhuomingObjectiveTo develop an upper limb active rehabilitation system with Kinect somatosensory interaction technology based on the basic rehabilitation theory and different stages of rehabilitation treatment for the post stroke hemiplegic patients to improve the effect of rehabilitation treatment.MethodsVirtual training scenarios were created with 3D modeling technology, and the human body posture and movements were detected with the Kinect somatosensory interaction technology. Based on the plasticity of the central nervous system, Brunnstrom theory, motor re-learning, and other rehabilitation theories, this study designed the virtual games in line with the characteristics of upper limb motor dysfunction after stroke. Meanwhile, the real-time feedback was given to the training of patients. Finally the upper limb exercise rehabilitation training system was established, and the validity and reliability of the rehabilitation system for the measurement of upper limb joint range of motion were verified. An upper limb active rehabilitation system was designed using the Kinect somatosensory interaction technology.ResultsThe system included several virtual trai-ning games such as cutting food and shooting. Through motion detection and discrimination algorithm, the system realized the interaction between patients and virtual environment, as well as the evaluation of motor function and real-time feedback of joint range of motion information. The measurement of shoulder abduction, flexion, extension, elbow flexion and other joint range of motion in the system had a high consistency with the set target values. The Bland-Altman was used for comparison. The 95% consistency limits of shoulder abduction range of motion in the system was (-1.29, 1.57). The 95% consistency limits for shoulder flexion range of motion was (-1.46, 1.60), the 95% consistency limits for shoulder extension range of motion was (-1.53, 1.67), and the 95% consistency limits for elbow flexion range of motion was (-1.42, 1.56), indicating good system validity. Intra-group correlation coefficient (ICC) was used to evaluate the reliability of the system. In test-retest reliability, the ICC of shoulder abduction, flexion, extension and elbow flexion were all greater than 0.9. In terms of interobserver reliability, the ICC of all four joint range of motion were greater than 0.9.ConclusionThis upper limb active rehabilitation system designed based on somatosensory interaction technology has good validity and reliability, strong feasibility, which can meet the needs of clinical upper limb rehabilitation, and provide a new method for the rehabilitation of upper limb function after stroke. Compared with the traditional upper limb training, it is highly targeted and interesting, and is expected to improve the efficiency of rehabilitation treatment.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2023.03005strokesomatosensory interactionupper limb active rehabilitationconceptual design
spellingShingle MAI Wangxiang
ZHENG Jiaxing
HE Weiyi
FANG Liang
SHANG Yaru
LI Wanyue
CHEN Zhuoming
Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis
康复学报
stroke
somatosensory interaction
upper limb active rehabilitation
conceptual design
title Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis
title_full Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis
title_fullStr Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis
title_full_unstemmed Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis
title_short Design of Upper Limb Active Rehabilitation System Based on Somatosensory Interaction Technology and Reliability and Validation Analysis
title_sort design of upper limb active rehabilitation system based on somatosensory interaction technology and reliability and validation analysis
topic stroke
somatosensory interaction
upper limb active rehabilitation
conceptual design
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2023.03005
work_keys_str_mv AT maiwangxiang designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis
AT zhengjiaxing designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis
AT heweiyi designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis
AT fangliang designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis
AT shangyaru designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis
AT liwanyue designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis
AT chenzhuoming designofupperlimbactiverehabilitationsystembasedonsomatosensoryinteractiontechnologyandreliabilityandvalidationanalysis