Abstract:
:Human-administered clinical scales are commonly used for quantifying motor performance and determining the course of therapy in post-stroke individuals. Computerized methods aim to improve consistency, resolution and duration of patients' evaluation. The objective of this study was to test the validity of computerized square-drawing test (DT) for assessment of shoulder and elbow function by using novel set of DT-based kinematic measures and explore their relation with Wolf Motor Function Test (WMFT) scoring. Forty-seven stroke survivors were tested before and after the rehabilitation program. DT involved drawing a square in horizontal plane using a mechanical manipulandum and a digitizing board. Depending on the initial classification of patients into low or high performance groups, the two different outcome metrics were derived from DT kinematic data for evaluation of each group. Linear regression models applied to map DT outcome values to WMFT scores for both groups resulted with high correlation coefficients and low mean absolute prediction error. In conclusion, we have identified a set of kinematic measures suitable for fast and objective motor function evaluation and functional classification, strongly correlating with WMFT score in post-stroke individuals. The results support validation of square-drawing motor function assessment, encouraging its use in clinical settings.
journal_name
Med Eng Physjournal_title
Medical engineering & physicsauthors
Isaković MS,Savić AM,Konstantinović LM,Popović MBdoi
10.1016/j.medengphy.2019.06.001subject
Has Abstractpub_date
2019-09-01 00:00:00pages
114-120eissn
1350-4533issn
1873-4030pii
S1350-4533(19)30095-5journal_volume
71pub_type
杂志文章abstract::Investigations into the effects of sterilization on a new biomechanical pressure sensor are necessary before contemplating in vivo use. Ten, designated Experimental, "K-Scan" digital pressure sensor arrays were sterilized with ethylene oxide gas (EtO), and their ability to accurately and reproducibly measure an applie...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(03)00119-x
更新日期:2003-11-01 00:00:00
abstract::Results of a comparative analysis between Heart Rate (HR) patterns occurring before the onset of Paroxysmal Ventricular Tachycardia (PVT) and from healthy subjects are shown. Two study groups were made after electrocardiographic dynamical monitoring (Holter) of volunteers. The first group includes 100h from 27 healthy...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2010.08.004
更新日期:2010-12-01 00:00:00
abstract::Functional Electrical Stimulation (FES) is a well known clinical rehabilitation procedure, however the neural mechanisms that underlie this treatment at Central Nervous System (CNS) level are still not completely understood. Functional magnetic resonance imaging (fMRI) is a suitable tool to investigate effects of reha...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2011.04.005
更新日期:2011-10-01 00:00:00
abstract::Airway stents improve pulmonary function and quality of life in patients suffering from airway obstruction. The aim of this study was to compare main types of stents (silicone, balloon-dilated metal, self-expanding metal, and covered self-expanding metal) in terms of their mechanical properties and the radial forces t...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2015.02.008
更新日期:2015-04-01 00:00:00
abstract::Single-photon emission computed tomography (SPECT) of dopamine transporters with (99m)Tc-TRODAT-1 has recently been proposed to offer valuable information for the diagnosis of Parkinson's disease (PD). Furthermore, High-intensity focused ultrasound (HIFU) is a newly developed technique in which the energy of ultrasoun...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2012.01.006
更新日期:2013-02-01 00:00:00
abstract::Biomechanical movement analysis in 3D requires estimation of joint centres in the lower extremities and this estimation is based on extrapolation from markers placed on anatomical landmarks. The purpose of the present study was to quantify the accuracy of three established set of equations and provide new improved equ...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2015.07.001
更新日期:2015-10-01 00:00:00
abstract::We investigated whether automatic control of a hand grasp neuroprosthesis by means of signals from natural sensors in the skin of the index finger can mimic the natural control of grasp force in an important task of daily living, namely eating. We designed a simulated eating task with the same ratio of rest and activi...
journal_title:Medical engineering & physics
pub_type: 临床试验,杂志文章
doi:10.1016/j.medengphy.2004.03.002
更新日期:2004-07-01 00:00:00
abstract::Knowledge about the human skin mechanical properties is essential in several domains, particularly for dermatology, cosmetic or to detect some cutaneous pathology. This study proposes a new method to determine the human skin mechanical properties in vivo using the indentation test. Usually, the skin mechanical paramet...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2007.06.011
更新日期:2008-06-01 00:00:00
abstract::Radiofrequency has established itself as a useful technique for managing cardiac arrhythmias and treating soft tissue tumors. However, despite its pervasive use, many of the biophysical principals needed to fully understand and optimize the radiofrequency ablation technique have not been explored. We have designed a t...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(02)00044-9
更新日期:2002-11-01 00:00:00
abstract::This study introduced a shape memory alloy (SMA)-based smart knee spacer for total knee arthroplasty (TKA). Subsequently, a 3D CAD model of a smart tibial component of TKA was designed in Solidworks software, and verified using a finite element analysis in ANSYS Workbench. The two major properties of the SMA (NiTi), t...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2018.03.001
更新日期:2018-05-01 00:00:00
abstract::This paper introduces a transcutaneous electro-muscle stimulator design that has a wide range of output capabilities. Because of this, the unit is referred to as a robust transcutaneous electro-muscle stimulator (RTES). The RTES is a constant current stimulator that is designed to be capable of generating significant ...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/1350-4533(95)90857-8
更新日期:1995-06-01 00:00:00
abstract::Locking compression plates (LCPs) have been used to fix femoral shaft fractures. Previous studies have attempted to identify the best LCP screw positions and numbers to achieve the fixation stability. However, the determined screw positions and numbers were mainly based on the surgeons' experiences. The aim of this st...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2013.09.005
更新日期:2014-01-01 00:00:00
abstract::The aim of this study was to develop a technique for analyzing and visualizing the regional, three-dimensional signal intensity distribution of articular cartilage in MR images, as a potential surrogate marker of structural or biochemical alterations in early osteoarthritis. Exemplary MR-images of human patellae were ...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(02)00006-1
更新日期:2002-04-01 00:00:00
abstract::The biomechanical strength of the skeleton, and hence the risk of future fractures, depends on both the bone quantity (assessed in terms of bone mineral density) and bone quality (assessed in terms of the integrity of its internal architecture). Precise methods of measuring the calcium-equivalent density of both the t...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/1350-4533(96)00011-2
更新日期:1996-10-01 00:00:00
abstract::This study directly measured the load acting on the abutment of the osseointegrated implant system of transfemoral amputees during level walking, and studied the variability of the load within and among amputees. Twelve active transfemoral amputees (age: 54 +/- 12 years, mass: 84.3 +/- 16.3 kg, height: 17.8 +/- 0.10 m...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2007.09.003
更新日期:2008-09-01 00:00:00
abstract::Ultrasonic scalers are used in dentistry for removing mineralised plaque, known as calculus, from tooth surfaces. Though there is much information relating to the longitudinal vibrations of scaler probes, corresponding lateral data is limited. Understanding the lateral motion of ultrasonic probes is essential as, when...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2010.02.010
更新日期:2010-07-01 00:00:00
abstract::Musculoskeletal simulations are an essential tool for studying functional implications of pathologies and of potential surgical outcomes, e.g., for the complex shoulder anatomy. Most shoulder models rely on line-segment approximation of muscles with potential limitations. Comprehensive shoulder models based on continu...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2020.04.010
更新日期:2020-08-01 00:00:00
abstract::Post-myocardial infarction remodeling process is known to alter the mechanical properties of the heart. Biomechanical parameters, such as tissue stiffness and contractility, would be useful for clinicians to better assess the severity of the diseased heart. However, these parameters are difficult to obtain in the curr...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2020.09.003
更新日期:2020-11-01 00:00:00
abstract::An 'instantaneous' optimal filter is presented for improving the signal-to-noise ratio in averaged electrocardiograms (ECGs). The filter design is based on a simple model that accounts for correlation across the ensemble of beats but ignores correlation in time. Another property of the model is that the noise level is...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(96)00069-0
更新日期:1997-04-01 00:00:00
abstract::This study employed a noncontact resonance frequency (RF) detection technique that was developed by our group to evaluate the interfacial bone in in vitro implant-bone models. Based on our method, the implant-bone structure was excited by the acoustic energy of a loudspeaker, and its vibration response was acquired wi...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2013.05.006
更新日期:2013-12-01 00:00:00
abstract::The prerequisite for the continuous in vivo monitoring of glucose concentration is the development of an implantable glucose sensor with long-term stability. A new enzyme electrode concept featuring fluid-state glucose oxidase modified carbon powder along with a cross-linked glucose oxidase enzyme layer has been devel...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/1350-4533(90)90008-v
更新日期:1994-09-01 00:00:00
abstract::Intradialytic hypotension (IDH) is a major complication during hemodialysis treatment, and therefore it is highly desirable to identify, at an early stage during treatment, whether the patient is prone to IDH. Heart rate variability (HRV), blood pressure variability (BPV) and baroreflex sensitivity (BRS) were analyzed...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2015.10.003
更新日期:2015-12-01 00:00:00
abstract::Computational fluid dynamics (CFD) simulations quantifying thoracic aortic flow patterns have not included disturbances from the aortic valve (AoV). 80% of patients with aortic coarctation (CoA) have a bicuspid aortic valve (BAV) which may cause adverse flow patterns contributing to morbidity. Our objectives were to d...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2012.07.015
更新日期:2013-06-01 00:00:00
abstract::A method for assessment and second-order polynomial detrending of signals containing periodic components is proposed. The analytically derived properties of this method are validated with synthesized signals, processed by the computational procedure developed. It is shown that, in addition to accurate detrending, the ...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(98)00077-0
更新日期:1998-11-01 00:00:00
abstract::In contrast enhanced magnetic resonance imaging (MRI) and computed tomography (CT), the equilibrium distribution of anionic contrast agent is expected to reflect the fixed charged density (FCD) of articular cartilage. Diffusion is mainly responsible for the transport of contrast agents into cartilage. In osteoarthriti...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2010.06.002
更新日期:2010-10-01 00:00:00
abstract::The mean value and standard deviation of localization error for the stereo imaging systems are derived based on probability theory. Compared with the maximum error analysis method used in our previous study, the new approach yields more informative and precise results as the guidance for X-ray imaging system design an...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(01)00084-4
更新日期:2001-10-01 00:00:00
abstract::This article reviews the role of cavitation in the therapeutic applications of ultrasound and laser surgery, and the cavitation effects in mechanical heart valves. Whenever laser pulses are used to ablate or disrupt tissue in a liquid environment, cavitation bubbles are produced which interact with the tissue. The int...
journal_title:Medical engineering & physics
pub_type: 杂志文章,评审
doi:10.1016/j.medengphy.2009.03.007
更新日期:2009-09-01 00:00:00
abstract::We have developed a computer-based system to simulate a guidewire in blood vessels for surgical planning, intra-operative assistance, and to facilitate the design of new guidewires. In this study, we compared simulation results with experimental results for validation of the simulation system. First, we inserted a com...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2014.09.012
更新日期:2014-12-01 00:00:00
abstract::Accurate models of bone shapes are essential for orthopaedic reconstructions. The commonly used methods of using the contralateral side requires an intact bone and anatomical symmetry. Recent studies have shown that statistical shape and appearance models (SSAMs) as an alternative can predict accurate geometric models...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/j.medengphy.2019.03.007
更新日期:2019-05-01 00:00:00
abstract::The formation of pressure ulcers can be exacerbated by a breakdown in the integrity of the patient's skin caused by poor maintenance of the skin microclimate. Patient support systems (PSSs-specialised beds, mattresses, chairs, cushions and pads) play an important role in the dissipation of heat and moisture away from ...
journal_title:Medical engineering & physics
pub_type: 杂志文章
doi:10.1016/s1350-4533(00)00003-5
更新日期:1999-12-01 00:00:00