pp. 981-990
S&M2153 Research Paper of Special Issue https://doi.org/10.18494/SAM.2020.2628 Published in advance: January 10, 2020 Published: March 19, 2020 Quantitative Evaluation of Stroke Patients’ Wrist Paralysis by Estimation of Kinematic Coefficients and Machine Learning [PDF] Jihun Kim, Wookhyun Park, and Jaehyo Kim (Received September 20, 2019; Accepted November 25, 2019) Keywords: stroke, hemiplegia, rehabilitation, robotic therapy, machine learning
The increasing population of stroke survivors naturally produces needs for more effective
rehabilitation systems for both patients and therapists. Robotic therapies are widely studied and
practiced in various fields since they enable intense exercise as well as numerical evaluations.
In this paper, along with the rehabilitation robot we developed, we propose a quantitative
evaluation method for wrist paralysis in stroke patients using kinematic coefficients estimated
from the joint model and machine learning. Through experiments on five hemiplegic patients,
we observed the spring–damper characteristics of their paralyzed wrists and computed
the coefficients that represent stiffness and viscosity. During wrist extension, a patient at
Brunnstrom stage 3 showed a high average stiffness of 4.453 Nm/rad and viscosity of 4.533
Nms/rad toward the rest position, whereas a patient at Brunnstrom stage 4 showed smaller
coefficients of 1.135 Nm/rad and −0.669 Nms/rad, respectively. We applied a support vector
machine and a k-means method to the estimated stiffnesses and viscosities to classify the
patients into three different clusters. The two coefficients not only helped discriminate patients
in accordance with their Brunnstrom stage, but also revealed that patients at the same stage
could be more finely categorized.
Corresponding author: Jaehyo KimThis work is licensed under a Creative Commons Attribution 4.0 International License. Cite this article Jihun Kim, Wookhyun Park, and Jaehyo Kim, Quantitative Evaluation of Stroke Patients’ Wrist Paralysis by Estimation of Kinematic Coefficients and Machine Learning, Sens. Mater., Vol. 32, No. 3, 2020, p. 981-990. |