The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
A Novel Approach to Monitor Rehabilitation Outcomes in Stroke Survivors Using Wearable Technology
Open accessAbstract
Quantitative assessment of motor abilities in stroke survivors can provide valuable feedback to guide clinical interventions. Numerous clinical scales were developed in the past to assess levels of impairment and functional limitation in individuals after stroke. The Functional Ability Scale is one of these clinical scales. It is a 75-point scale used to evaluate the functional ability of subjects by grading movement quality during performance of 15 motor tasks. Performance of these motor tasks requires subjects to reach for objects (e.g., a pencil on a table) and manipulate them (e.g., lift the pencil). In this paper, we show that accelerometer data recorded during performance of a subset of the motor tasks pertaining to the Functional Ability Scale can be relied upon to derive accurate estimates of the scores provided by a clinician using this scale. Accelerometer-based estimates of clinical scores were obtained by segmenting the recordings into movement components (reaching, manipulation, release/return), extracting data features, selecting features that maximized the separation among classes associated with different clinical scores, feeding these features to Random Forests to estimate scores for individual motor tasks, and using a linear equation to estimate the total Functional Ability Scale score based on the sum of the clinical scores for individual motor tasks derived from the accelerometer data. Results showed that it is possible to achieve estimates of the total Functional Ability Scale score marked by a bias of only 0.04 points of the scale and a standard deviation of only 2.43 points when using as few as three sensors to collect data during performance of only six motor tasks.
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“Finally, Patel et al. [109] showed that, using accelerometers placed on the arm, it is possible to derive accurate estimates of upper extremity functional ability.”
From A review of wearable sensors and systems with application in rehabilitation (2012) · cites this paper as [109]
Citations
Cites
Breiman, L. (2001) · Machine Learning · doi:10.1023/a:1010933404324 · Cited by 133,538
Data Mining: Practical Machine Learning Tools and Techniques
Witten, I. H., Frank, E., & Hall, M. A. (2011) · Elsevier eBooks · doi:10.1016/c2009-0-19715-5 · Cited by 25,543
Witten, I. H. (2008) · Cited by 9,143
The random subspace method for constructing decision forests
Ho, T. K. (1998) · IEEE Transactions on Pattern Analysis and Machine Intelligence · doi:10.1109/34.709601 · Cited by 7,005 · cited 1×
“To estimate the FAS scores associated with each of the motor tasks listed in Table 1, we chose to train Random Forests [31], [ 32 ] (RFs) with accelerometer data features derived and selected as summarized above.”
MethodHeart Disease and Stroke Statistics—2009 Update
WRITING GROUP MEMBERS, Lloyd‐Jones, D. M., Adams, R. J., Carnethon, M. R., SIMONE, G. D., Ferguson, T. B., Flegal, K. M., Ford, E. S., Furie, K. L., Go, A. S., et al. (2009) · Circulation · doi:10.1161/circulationaha.108.191259 · Cited by 3,915
A Practical Approach to Feature Selection
Kira, K., & Rendell, L. A. (1992) · Elsevier eBooks · doi:10.1016/b978-1-55860-247-2.50037-1 · Cited by 3,090 · cited 1×
“For the Manipulation Tasks, the results were derived using features estimated from all three data segments (S1V reaching, S2Vmanipulation, and S3Vrelease/return).”
MethodTheoretical and Empirical Analysis of ReliefF and RReliefF
Robnik-Šikonja, M., & Kononenko, I. (2003) · Machine Learning · doi:10.1023/a:1025667309714 · Cited by 3,025 · cited 2×
“First, we used the ReliefF [ 27 ] algorithm which ranks the features in decreasing order of importance.”
MethodReview of control strategies for robotic movement training after neurologic injury
Marchal-Crespo, L., & Reinkensmeyer, D. J. (2009) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-6-20 · Cited by 1,182
Some new indexes of cluster validity
Bezdek, J. C., & Pal, N. R. (1998) · IEEE Transactions on Systems Man and Cybernetics Part B (Cybernetics) · doi:10.1109/3477.678624 · Cited by 1,143 · cited 1×
“This was achieved by calculating the Davies-Bouldin (DB) cluster validity index [ 30 ].”
MethodWOLF, S., LeCraw, D. E., BARTON, L., & Jann, B. B. (1989) · Experimental Neurology · doi:10.1016/s0014-4886(89)80005-6 · Cited by 892
Monitoring Motor Fluctuations in Patients With Parkinson's Disease Using Wearable Sensors
Patel, S., Lorincz, K., Hughes, R., Huggins, N., Growdon, J., Standaert, D., Akay, M., Dy, J., Welsh, M., & Bonato, P. (2009) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2009.2033471 · Cited by 623 · cited 1×
“Wireless and e-textile systems have been developed to monitor physiological variables and movement patterns with application to a wide range of clinical problems including monitoring of neurological [ 15 ], [16] and cardiovascular [17], [18] conditions.”
BackgroundSelf-citationThe reliability of the Wolf Motor Function Test for assessing upper extremity function after stroke
Morris, D. M., Uswatte, G., Crago, J. E., Cook, E. W., & Taub, E. (2001) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2001.23183 · Cited by 543 · cited 1×
“The FAS is a six-point scale (0–5) to rate movement quality in stroke survivors via observation of the performance of the 15 motor tasks of the Wolf Motor Function Test [20]–[ 22 ].”
MethodAdvances in wearable technology and applications in physical medicine and rehabilitation
Bonato, P. (2005) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-2-2 · Cited by 385
Self-citationWearable sensors/systems and their impact on biomedical engineering
Bonato, P. (2003) · IEEE Engineering in Medicine and Biology Magazine · doi:10.1109/memb.2003.1213622 · Cited by 382
Self-citationWolf, S. L., Winstein, C. J., Miller, J. P., Thompson, P. A., Taub, E., Uswatte, G., Morris, D. M., Blanton, S., Nichols‐Larsen, D. S., & Clark, P. C. (2008) · The Lancet Neurology · doi:10.1016/s1474-4422(07)70294-6 · Cited by 331
Wearable Medical Systems for p-Health
Teng, X.-F., Zhang, Y.-T., Poon, C. C. Y., & Bonato, P. (2008) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2008.2008248 · Cited by 310 · cited 1×
“The following pairs of accelerometers time series were used for estimating the correlation coefficients: forearm and upper arm, hand and forearm, thumb and index finger, thumb and forearm, hand and index finger, forearm and index finger, sternum and upper arm, and sternum and forearm.”
MethodSelf-citationReliability of Observational Kinematic Gait Analysis
Krebs, D. E., Edelstein, J. E., & Fishman, S. (1985) · Physical Therapy · doi:10.1093/ptj/65.7.1027 · Cited by 303
The EXCITE Trial: Attributes of the Wolf Motor Function Test in Patients with Subacute Stroke
Wolf, S. L., Thompson, P. A., Morris, D. M., Rose, D. K., Winstein, C. J., Taub, E., Giuliani, C., & Pearson, S. L. (2005) · Neurorehabilitation and neural repair · doi:10.1177/1545968305276663 · Cited by 262 · cited 1×
“We determined an optimal cutoff point for the two groups of motor tasks (i.e., the Reaching Tasks and the Manipulation Tasks) beyond which adding more features led to no significant improvement in the DB index.”
MethodAdamovich, S., Fluet, G. G., Mathai, A., Qiu, Q., Lewis, J. A., & Merians, A. S. (2009) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-6-28 · Cited by 150
Levin, M. F., Desrosiers, J., Beauchemin, D., Bergeron, N., & Rochette, A. (2004) · Physical Therapy · doi:10.1093/ptj/84.1.8 · Cited by 120
Constraint-induced movement therapy for motor recovery after stroke
Morris, D. M., Crago, J. E., DeLuca, S., Pidikiti, R. D., & Taub, E. (1997) · Neurorehabilitation · doi:10.3233/nre-1997-9104 · Cited by 107
Using Wearable Sensors to Measure Motor Abilities following Stroke
Hester, T., Hughes, R., Sherrill, D. M., Knorr, B., Akay, M., Stein, J., & Bonato, P. (2006) · International Workshop on Wearable and Implantable Body Sensor Networks (BSN'06) · doi:10.1109/bsn.2006.57 · Cited by 82 · cited 1×
“Then, we attempted to identify the minimum number of sensors and motor tasks necessary to achieve accurate estimates of the total FAS scores.”
Self-citationReliability of the Scores for the Finger-to-Nose Test in Adults with Traumatic Brain Injury
SWAINE, B. R., & Sullivan, S. J. (1993) · Physical Therapy · doi:10.1093/ptj/73.2.71 · Cited by 73
In-Ear Vital Signs Monitoring Using a Novel Microoptic Reflective Sensor
Vogel, S., Hülsbusch, M., Hennig, T., Blažek, V., & Leonhardt, S. K. (2009) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2009.2033268 · Cited by 68 · cited 1×
“Wireless and e-textile systems have been developed to monitor physiological variables and movement patterns with application to a wide range of clinical problems including monitoring of neurological [15], [16] and cardiovascular [ 17 ], [18] conditions.”
BackgroundConstraint-induced movement therapy for moter recovery after stroke
Morris, D. M. (1997) · Neurorehabilitation · doi:10.1016/s1053-8135(97)00012-7 · Cited by 64
Can the Wolf Motor Function Test be Streamlined?
Bogard, K., Wolf, S. L., Zhang, Q., Thompson, P. A., Morris, D. M., & Nichols‐Larsen, D. S. (2009) · Neurorehabilitation and neural repair · doi:10.1177/1545968308331141 · Cited by 62
Efficacy of EMG-triggered electrical arm stimulation in chronic hemiparetic stroke patients
von Lewinski, F., Hofer, S., Kaus, J., Merboldt, K., Rothkegel, H., Schweizer, R., Liebetanz, D., Frahm, J., & Paulus, W. (2009) · Restorative Neurology and Neuroscience · doi:10.3233/rnn-2009-0469 · Cited by 59
Pilot Normative Database for the Wolf Motor Function Test
Wolf, S. L., McJunkin, J. P., Swanson, M. L., & Weiss, P. (2006) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2005.10.006 · Cited by 55
Systematic muscle building exercises in the rehabilitation of stroke patients
Badics, E., Wittmann, A., Rupp, M., Stabauer, B., & Zifko, U. (2002) · Neurorehabilitation · doi:10.3233/nre-2002-17306 · Cited by 54
Wearable and Mobile System to Manage Remotely Heart Failure
Villalba‐Mora, E., Salvi, D., Ottaviano, M., Peinado, I., Arredondo, M. T., & Akay, A. R. (2009) · IEEE Transactions on Information Technology in Biomedicine · doi:10.1109/titb.2009.2026572 · Cited by 53 · cited 1×
“Wireless and e-textile systems have been developed to monitor physiological variables and movement patterns with application to a wide range of clinical problems including monitoring of neurological [15], [16] and cardiovascular [17], [ 18 ] conditions.”
BackgroundAdvances in Wearable Technology for Rehabilitation
Bonato, P. (2009) · Studies in health technology and informatics · doi:10.3233/978-1-60750-018-6-145 · Cited by 47
Self-citationAgreement between physiotherapists on quality of movement rated via videotape
Pomeroy, V. M., Pramanik, A., Sykes, L., Richards, J., & Hill, E. (2003) · Clinical Rehabilitation · doi:10.1191/0269215503cr607oa · Cited by 46
Upper-Extremity Stroke Therapy Task Discrimination Using Motion Sensors and Electromyography
Giuffrida, J. P., Lerner, A. J., Steiner, R. P., & Daly, J. J. (2008) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2007.914454 · Cited by 29 · cited 1×
“In future applications of the technique based on processing data gathered in the home and community settings, we envision that one would employ methods to detect the performance of specific motor tasks (e.g., using algorithms such as the one recently proposed by Giuffrida et al. [ 33 ]),”
MethodToni Giorgino, A., Tormene, P., Maggioni, G., Capozzi, D., Quaglini, S., & Pistarini, C. (2009) · PubMed · Cited by 27
Lucca, L. F., Castelli, E., & Sannita, W. G. (2009) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0433 · Cited by 14
Using Wearable Sensors to Analyze the Quality of Use of Mobility Assistive Devices
Hester, T., Sherrill, D. M., Bonato, P., Hamel, M., Perreault, K., & Boissy, P. (2006) · Wearable and Implantable Body Sensor Networks · doi:10.1109/bsn.2006.56 · Cited by 3
Self-citation
Cited by
Sorted by citations
A review of wearable sensors and systems with application in rehabilitation
Patel, S., Park, H., Bonato, P., Chan, L., & Rodgers, M. (2012) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/1743-0003-9-21 · Cited by 2,396
Self-citationActivity Recognition Using a Single Accelerometer Placed at the Wrist or Ankle
MANNINI, A., INTILLE, S. S., ROSENBERGER, M., SABATINI, A. M., & HASKELL, W. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31829736d6 · Cited by 383
“Activity counts summarize data in an epoch, simplifying data management, analysis, and interpretation; however, information about the structure of the raw accelerometer signal is lost, which might be used by algorithms to infer specific activity type (3,17), gait parameters (gait phase detection, walking speed estimat…”
MethodThe need to approximate the use-case in clinical machine learning
Saeb, S., Lonini, L., Jayaraman, A., Mohr, D. C., & Kording, K. P. (2017) · GigaScience · doi:10.1093/gigascience/gix019 · Cited by 367
Recent Advances in Wearable Sensors for Health Monitoring
Rodgers, M. M., Pai, V. M., & Conroy, R. S. (2015) · IEEE Sensors Journal · doi:10.1109/jsen.2014.2357257 · Cited by 325
“[64] used accelerometers placed on the arm to derive accurate”
MethodMaceira-Elvira, P., Popa, T., Schmid, A., & Hummel, F. C. (2019) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-019-0612-y · Cited by 291
Metadata
- Authors
- Patel, S., Hughes, R., Hester, T., Stein, J., Akay, M., Dy, J. G., & Bonato, P.
- Affiliations
- Harvard University (US)
- The University of Texas at Austin (US)
- Cornell University (US)
- University of Houston (US)
- Northeastern University (US)
- Venue
- Proceedings of the IEEE
- Published
- 2010-03
- Volume
- 98
- Issue
- 3
- Pages
- 450-461
- ISSN
- 0018-9219 (ISSN-L)
- 1558-2256
- OpenAlex
- W2163901584
- Cited by
- 170
- References
- 36
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 7 · 2021: 11 · 2020: 23 · 2019: 14 · 2018: 21 · 2017: 15 · 2016: 15 · 2015: 10 · 2014: 17 · 2013: 8 · 2012: 3
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Proceedings of the IEEE (publishedVersion)
- DSpace@MIT (Massachusetts Institute of Technology) (submittedVersion, cc-by-nc)
- Funders
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Keywords
- stroke rehabilitation, accelerometer data, wearable sensors, random forest, movement segmentation, feature selection, stroke survivors, motor impairment
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