Table 2.
Shoulder motion monitoring for application in patients with neurological disorders
| Reference, Year, Type of publication | Sensors, Brand | Placement and wearability | Target shoulder parameters, Performance | Gold standard | Task executed | Participants | Aim |
|---|---|---|---|---|---|---|---|
|
Bartalesi 2005, [8] Conference |
Strain sensor, WACKER Ltd. (ELASTOSIL LR 3162 A/B) |
Unilateral: Sensors’ segment series along right upper limb Shirt |
Sh ROM | – | – | HS | Wearable garment able to reconstruct shoulder, wrist and elbow movement to correct stroke patients’ rehabilitation exercises |
|
Hester 2006, [42] Conference |
Acc (n = 6) |
Unilateral: thumb, index, back of the hand, FA and UA (medially), thorax Adhesive |
Sh ROM | – | Reaching, prehension, manipulation | SP (n = 12) | Predict clinical scores of stroke patients’ motor abilities |
|
Zhou 2006, [43] Full-Text |
IMU (n = 2), Xsens MT9B |
Unilateral: Wrist (inwards), elbow (outwards) - |
Sh orientation and position | – |
FA FLX-EXT FA PR-SU, reach test |
HS (n = 1, M) | Propose a data fusion algorithm to locate the shoulder joint without drift |
|
Willmann 2007, [44] Conference |
M-IMU (n = 4), Philips |
Unilateral: Torso, shoulder, UA, FA Garment |
Sh ROM | – | – | HS | Provide a home system for upper limb rehabilitation in stroke patients |
|
Zhou 2008, [45] Full-Text |
M-IMU (n = 2), Xsens MT9B |
Unilateral: FA (distally, near the wrist center), UA (laterally, on the line between the lateral epicondyle and the acromion process) Velcro straps |
Sh orientation and position, RMSE = 2.5°-4.8° |
CODA |
reaching shrugging FA rotation |
HS (n = 4, M) 20–40 Y |
Validate data fusion algorithm |
|
Giorgino 2009, [46] Full-Text |
Strain sensor (n = 19), WACKER Ltd. (ELASTOSIL LR 3162 A/B) |
Unilateral: Sensors’ sensing segments distributed over the UA, FA, shoulder, elbow, wrist Shirt |
Sh ROM | – |
GH FLX (sagittal plane) Lateral AB ER |
HS (n = 1) | Describe a sensing garment for posture recognition in neurological rehabilitation |
|
Lee 2010, [47] Full-Text |
Acc (n = 2), Freescale MMA7261 QT |
Unilateral: UA, FA Velcro strap |
Sh ROM, Mean error~0°-3.5° |
gon | FLX-EXT (sagittal plane) | HS (n = 1) | Validate performance and accuracy of the system |
|
Chee Kian 2010, [48] Conference |
OLE (n = 1) Acc (n = 1) |
Unilateral: UA, elbow Adhesive patch |
Sh ROM | IGS-190 | Cyclic movements with arm exerciser | HS (n = 1) | Validate feasibility and performance (accuracy, repeatability) of the proposed sensing system designed to assist stroke patients in upper limb home rehabilitation |
|
Patel 2010, [49] Full-Text |
Acc (n = 6) |
Unilateral: thumb, index, back of the hand, FA, UA, trunk - |
Sh ROM | – | 8 activities of FAS |
SP (n = 24) 57.5 ± 11.8 Y |
Evaluate accuracy of FAS score obtained via analysis of the accelerometers data comparing such estimates with scores provided by an expert clinician using this scale |
|
Pérez 2010, [15] Full-Text |
M-IMU (n = 4), Xsens MTi |
Unilateral: UA (18 cm from acromion), FA (25 cm from epicondyle), hand (5.5 cm from distal radio-cubital joint), back (position is not relevant) Strap |
Sh ROM, r = 0.997 (for sh IR, after calibration) |
BTS SMART-D |
Sh FLX-EXT Sh horizontal AB-AD Sh IR Elb FLX Elb PR-SU Wri FLX-EXT Serving water from a jar |
HS (n = 1, F) | Validate the system |
|
Bento 2011, [50] Conference |
M-IMU (n = 4) |
Bilateral: Shoulder, UA, wrist (affected and unaffected side) Strap |
Sh orientation and position | – |
FA to Table FA to box Extend elbow Hand to table Hand to box |
SP (n = 5, M) 35–73 Y |
Preliminary validation of a system able to quantify upper limb motor function in patients after neurological trauma |
|
Nguyen 2011, [51] Full-Text |
OLE (n = 3) Acc (n = 3) |
Unilateral: Shoulder, elbow, wrist Clothing module fixed with Velcro straps |
Sh ROM, Test2: RMSE = 3.8° (gon), RMSE = 3.1° (SW) Test3: ICC = 0.975 (sh) |
Test2: gon, Shape- Wrap |
Test2: Bend and Flex elbow Test3: reaching task |
Test2: HS (n = 3, M); Test3: HS (n = 5) |
Validation of the proposed motion capture system |
|
Ding 2013, [52] Full-Text |
M-IMU (n = 2), Analog Device (acc: ADXL320), HoneyWell (magn: HMC1 053), Silicon Sensing System (gyr) |
Unilateral: UA (distal, near elbow), FA (distal, near wrist) Velcro strap |
Sh ROM | – | Replication of 10 reference arm posture |
HS (n = 5) 20–27 Y |
Check the feasibility of the proposed system which measures orientation and corrects upper limb posture using vibrotactile actuators |
|
Lee 2014, [53] Full-Text |
M-IMU (n = 7), Analog Device (acc:ADXL 345) InvenSense (gyr: ITG3200) Honeywell (magn: HMC5883L) |
Bilateral: Back, UA, FA and hand Strap |
Sh ROM, Test1: r = 0.963 Test2: RMSE< 5° |
Test1: gon Test2: VICON |
Sh FLX-EXT Sh AB Arm IER Elb FLX FA PR-SU Wri FLX-EXT Wri radial-ulnar deviation |
SP (n = 5) 2 M, 3 F Mean age: 68 Y |
Introduce a smartphone centric wireless wearable system able to automate joint ROM measurements and detect the type of activities in stroke patients |
|
Bai 2015, [54] Full-Text |
M-IMU (n = 4 or n = 1), Xsens MTx |
Unilateral Scapula, UA, FA, back of the hand or only on UA Velfoam, Velcro straps |
Sh ROM (upper limb segments orientation and position) |
Test1: gon Test2: gon, VICON |
Sh FLX-EXT Sh IER Sh AB-AD Elb FLX-EXT FA PR-SU Wri FLX-EXT Wri radial-ulnar deviation |
HS (n = 10) 8 M, 2 F 20–38 Y P (n = 1), F 41 Y |
Evaluate a four-sensor system and a one-sensor system, investigate whether these systems are able to obtain quantitative motion information from patients’ assessment during neurorehabilitation |
|
Ertzgaard 2016, [55] Full-Text |
IMU (n = 5), Analog Device, Adis 16,350 |
Bilateral: Back (upper body), UA and FA Strap |
Sh ROM (HT joint angles), ICC = 0.768–0.985 |
Coda | Movements that mimic activities of daily life |
HS (n = 10) 2 M, 8 F 34.3 ± 13.1Y SP (n = 1), F, 43 Y |
Validation study to characterize elbow and shoulder motion during functional task using a modified Exposure Variation Analysis (EVA) |
|
Lorussi 2016, [56] Full-Text |
M-IMU (n = 2), Xsens MTw Strain sensor (n = 1), Smartex |
Unilateral: M-IMU sensors on sternum and UA Textile-based strain sensor on the back (from the spine to scapula) Shirt |
Sh ROM (HT joint angle and scapular translation) |
BTS SMART-DX |
UA FLX (sagittal plane) UA AB (frontal plane) |
HS (n = 5) | Validate sensors and data fusion algorithm to reconstruct scapular-humeral rhythm |
|
Mazamenos 2016, [57] Full-Text |
M-IMU (n = 2), Shimmer2r |
Unilateral: UA (distal, near elbow), FA (distal, near wrist) Straps |
Sh ROM (segments’ orientation and position) | – |
EXP1: Reach and retrieve, lift object to mouth, rotate an object EXP2: preparing a cup of tea |
HS (n = 18) M, F 25–50 Y SP (n = 4) M, F 45–73 Y |
Evaluate the performance and robustness of a detection and discrimination algorithm of arm movements |
|
Jiang 2017, [58] Conference |
Acc (n = 4), Analog Device ADXL362 EMG (n = 4), Analog Device AD8232 Temperature (n = 1) |
Unilateral: along upper limb Shirt |
Sh ROM | – | 4 typical joint actions performed in clinical assessment | HS (n = 1), M | Introduce an IoT-Bases upper limb rehabilitation assessment system for stroke patients |
|
Li 2017, [59] Full-Text |
IMU (n = 2), InvenSense, MPU-9250 EMG (n = 10), American Imex, Dermatrode |
Unilateral: IMU: UA, wrist EMG: FA (n = 8), UA (n = 2) Stretchable belt |
Sh ROM | – |
11 tasks including: Sh FLX, Sh AB Wri FLX-EXT, Fetch and hold a ball or a cylindric roll, finger to nose, touch the back of the sh, FA PR-SU |
HS (n = 16) 10 M, 6 F 36.25 ± 15.19Y SP (n = 18) 11 M, 7 F 55.28 ± 12.25 Y |
Propose data fusion from IMU and surface EMG for quantitative motor function evaluation in stroke subjects |
|
Newman 2017, [60] Full-Text |
IMU (n = 3), Gait Up SA Physilog4 |
Bilateral: sternum, UA (posterior) Velcro straps, adhesive patch |
Sh ROM (HT joint angles) |
– | Reaching movements (lateral, forward, upward) |
Children (n = 30) 10.6 ± 3.4 Y 17 boys, 13 girls |
Test an IMU-based system to measure upper limb function in children with hemiparesis and its correlation with clinical scores |
|
Yang e Tan 2017, [61] Conference |
M-IMU (n = 4), APDM Opal |
Unilateral: Waist, thorax, UA (distal, near elbow), FA (distal, near elbow) Straps |
Sh ROM (HT joint angles) |
Optitrack | Movements related with waist joint, sh joint and elb joints to achieve joint rotation | HS (n = 2) | Validate the proposed motion tracking system |
|
Daunoraviciene 2018, [62] Full-Text |
M-IMU (n = 6), Shimmer |
Bilateral: UA, FA, hand (on centres of mass) Strap |
Sh ROM | – | FNT test (Sh EXT, sh AB, elb FLX, hand SU) |
CG (n = 24) 7 M 31.14 ± 5.67 17 F 28 ± 3.97 MS-P (n = 34) 13 M 36.46 ± 13.07 21 F 42.19 ± 12.55 |
Test a M-IMU based system to identify quantitative parameters for evaluation of UL disability and relate it to clinical scores |
|
Jung 2018, [63] Conference |
M-IMU (n = 5), Xsens MTw Awinda |
Bilateral: UA and FA, trunk Velcro straps |
Sh ROM (HT join angles), RMSE = 0.32 for the estimation of movements qualities using data of the entire duration of movements |
Quality of movements’ label provided by the therapist | Reaching exercise |
SP (n = 5), F 66.6 ± 15.9 Y |
Evaluate movements quality regarding compensation and inter-joint coordination; exploiting a supervised machine learning approach, validate the hypothesis that therapists’ evaluation can be made considering only the beginning movement data |
|
Lin 2018, [64] Full-Text |
IMU (n = 2) |
Unilateral: UA (distal, near elbow), FA (dorsal aspect of the wrist) Strap |
Sh ROM | – |
Sh FLX-EXT Sh AB Sh ER Elb FLX FA PR-SU |
SP (n = 18): n = 9, control group (62.6 ± 7.1) n = 9, device group (52.2 ± 10.2 Y) |
Evaluate the feasibility and efficacy of an IMU-based system for upper limb rehabilitation in stroke patients and compare the intervention effects with those in a control group |
|
Repnik 2018, [7] Full-Text |
M-IMU (n = 7), Myo armband, n = 2_ with n = 8 EMGs built-in, Thalamic labs |
Bilateral: -M-IMU: Back of the hand, wrist, UA (distal, near elbow), sternum -MYO: FA (in the proximity of elbow joint) Straps, armband |
Sh ROM (HT joint angles) |
– | ARAT tasks: 19 movements divided in 4 subtests (grasp, grip, pinch, gross arm movement) |
SP (n = 28) 18 M, 10 F 57 ± 9.1 Y HS (n = 12) 9 M, 3 F 36 ± 8 Y |
Quantify UL and trunk movement in stroke patients |
acc accelerometer, gyr gyroscope, magn magnetometer, OLE Optical Linear Encoder, IMU Inertial Measurement Unit, M-IMU Magneto and Inertial Measurement Unit, UA Upper Arm, FA Forearm, ROM Range of motion, HT humerothoracic, GH glenohumeral, Sh shoulder, wri wrist, elb elbow, FLX-EXT flexion-extension, PR-SU pronation-supination, AB-AD abduction-adduction, IER internal-external rotation, RMSE root mean square error, r = correlation, ICC Intraclass Correlation Coefficients, gon goniometer, HS Healthy subject, CG control group, SP Stroke Patient, MS-P Multiple Sclerosis Patient, P patient, M male, F female, Y Years old, FAS Functional Ability Scale, ARAT Action research arm test