論文

査読有り 筆頭著者 本文へのリンクあり 国際共著 国際誌
2020年3月

Assessment and Rating of Motor Cerebellar Ataxias With the Kinect v2 Depth Sensor: Extending Our Appraisal.

Frontiers in neurology
  • Takeru Honda
  • Hiroshi Mitoma
  • Hirotaka Yoshida
  • Kyota Bando
  • Hiroo Terashi
  • Takeshi Taguchi
  • Yohane Miyata
  • Satoko Kumada
  • Takashi Hanakawa
  • Hitoshi Aizawa
  • Shiro Yano
  • Toshiyuki Kondo
  • Hidehiro Mizusawa
  • Mario Manto
  • Shinji Kakei
  • 全て表示

11
開始ページ
179
終了ページ
179
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3389/fneur.2020.00179

Current assessment of patients with cerebellar disorders is based on conventional neurological examination that is dependent on subjective judgements. Quantitative measurement of cerebellar ataxias (CAs) is essential for assessment of evidence-based treatments and the monitoring of the progress or recovery of diseases. It may provide us a useful tool to navigate future treatments for ataxia. We developed a Kinect v2. sensor system with a novel algorithm to measure and evaluate movements for two tests of Scale for the Assessment and Rating of Ataxia (SARA): the nose-finger test and gait. For the nose-finger test, we evaluated and compared accuracy, regularities and smoothness in the movements of the index finger and the proximal limbs between cerebellar patients and control subjects. For the task of walking, we evaluated and compared stability between the two groups. The precision of the system for evaluation of movements was smaller than 2 mm. For the nose-finger test, the mildly affected patients tended to show more instability than the control subjects. For a severely affected patient, our system quantified the instability of movements of the index finger using kinematic parameters, such as fluctuations and average speed. The average speed appears to be the most sensitive parameter that contrasts between patients with CAs and control subjects. Furthermore, our system also detected the adventitious movements of more proximal body parts, such as the elbow, shoulder and head. Assessment of walking was possible only in patients with mild CAs. They demonstrated large sways and compensatory wide stances. These parameters appeared to show higher accuracy than SARA. This examiner-independent device measures movements of the points of interest of SARA more accurately than eye and further provides additional information about the ataxic movements (e.g., the adventitious movements of the elbow, shoulder and head in the nose-finger test and the wide-based walking with large oscillation in the gait task), which is out of the scope of SARA. Our new system enables more accurate scoring of SARA and further provides additional information that is not currently evaluated with SARA. Therefore, it provides an easier, more accurate and more systematic description of CAs.

リンク情報
DOI
https://doi.org/10.3389/fneur.2020.00179
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32218767
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078683
URL
https://www.frontiersin.org/articles/10.3389/fneur.2020.00179/full 本文へのリンクあり
ID情報
  • DOI : 10.3389/fneur.2020.00179
  • PubMed ID : 32218767
  • PubMed Central 記事ID : PMC7078683

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